Title: VALsartan In Acute myocardial iNfarcTion (VALIANT) trial: baseline characteristics in context
Authors: Velazquez, Eric J ×
Pfeffer, Marc A
McMurray, John V
Maggioni, Aldo P
Rouleau, Jean Lucien
Van de Werf, Frans
Kober, Lars
White, Harvey D
Swedberg, Karl
Leimberger, Jeffrey D
Gallo, Paul
Sellers, Mary Ann
Edwards, Susan
Henis, Marc
Califf, Robert M #
Issue Date: Aug-2003
Series Title: European journal of heart failure : journal of the Working Group on Heart Failure of the European Society of Cardiology vol:5 issue:4 pages:537-44
Abstract: BACKGROUND: The VALsartan In Acute myocardial iNfarcTion (VALIANT) trial compared outcomes with: (1) angiotensin-converting enzyme inhibition (ACEI) with the reference agent captopril; (2) angiotensin-receptor blockade (ARB) with valsartan; or (3) both in patients with heart failure (HF) and/or left ventricular systolic dysfunction (LVSD) after myocardial infarction (MI). AIMS: a goal of this active-control trial was to simulate conditions that would lead current practitioners to use ACEIs. Thus, we compared characteristics of VALIANT patients with those of patients in placebo-controlled trials that established ACEIs as standard treatment. METHODS AND RESULTS: We collected demographic, clinical, medication and imaging information from 14703 patients in 24 countries. This high-risk population was a median 65.8 years old, and 31.1% were female. Most (51.8%) showed imaging evidence of LVSD at enrollment. Most (72%) had Killip class>/=II HF. Patients received evidence-based therapies at rates similar to those of contemporary MI trials and at an improved rate compared with prior placebo-controlled ACEI trials. CONCLUSION: VALIANT represents the largest globally representative cohort enrolled with HF and/or LVSD after MI. Patients were similar to those in placebo-controlled ACEI trials while reflecting improvements in evidence-based care. With enrollment complete, VALIANT is poised to define the optimal strategy for renin-angiotensin system blockade after MI to improve cardiovascular outcomes.
ISSN: 1388-9842
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Cardiology
× corresponding author
# (joint) last author

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