© 2008 European Society of Cardiology
All clinical trials are not created equal: The dilemma of HEAAL
Division of Cardiology, Saint Louis University School of Medicine United States
Key Words: Randomised clinical trial Losartan Dose
Received June 3, 2008; Accepted June 26, 2008
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"All animals are created equal but some are more equal than others"—George Orwell, Animal Farm [1]
Many of the core advances in clinical therapeutics in heart failure have come about through randomised clinical trials (RCTs). Over the last twenty years, trials have increased in sophistication and the results of these trials have directly impacted patient care and outcomes. Landmark studies have the weight of history behind them: from CONSENSUS [2] and V-HeFT [3] to SOLVD [4] and COPERNICUS [5], these are but a few of the names