
Demystifying the use of Mineralocorticoid Receptor Antagonists(MRAs) in HFpEF.
Spironolactone and the TOPCAT trial in HFpEF are reported negative but trial is mired with some controversies that is discussed. Future trials previewed.
Steroidal and nonsteroidal MRAs simplified.
Finerenone is the new MRA - the FINE ART trial and the FINEHEART meta - analysis efficacy and safety are outlined.
Finally an approach to the management of HFpEF in clinical practice.