{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:59:01Z","timestamp":1787068741536,"version":"build-2736575974"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      It has been recently reported that histamine H\n                      <jats:sub>2<\/jats:sub>\n                      receptor antagonists (H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      s) are associated with impairment of ventricular remodeling and incident heart failure. In addition, favorable pleiotropic effects and adverse effects of proton pump inhibitors (\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s) on cardiovascular disease have also been reported. We examined the associations of acid suppressive therapy using H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      s or\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s with cardiac mortality in patients with heart failure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      In total, 1191 consecutive heart failure patients were divided into 3 groups: a non\u2013acid suppressive therapy group (n=363), an H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      group (n=164), and a\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      group (n=664). In the follow\u2010up period (mean 995\u00a0days), 169 cardiac deaths occurred. In the Kaplan\u2013Meier analysis, cardiac mortality was significantly lower in the\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      group than in the H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      and non\u2013acid suppressive therapy groups (11.0% versus 21.3% and 16.8%, respectively; log\u2010rank\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.004). In the multivariable Cox proportional hazards analysis, use of\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s, but not H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      s, was found to be an independent predictor of cardiac mortality (\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s: hazard ratio 0.488,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.002; H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      s: hazard ratio 0.855,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.579). The propensity\u2010matched 1:1 cohort was assessed based on propensity score (H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      s, n=164;\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s, n=164). Cardiac mortality was significantly lower in the\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      group than in the H2\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">RA<\/jats:styled-content>\n                      group in the postmatched cohort (log\u2010rank\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.025). In the Cox proportional hazards analysis, the use of\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s was a predictor of cardiac mortality in the postmatched cohort (hazard ratio 0.528,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.028).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      <jats:styled-content style=\"fixed-case\" toggle=\"no\">PPI<\/jats:styled-content>\n                      s may be associated with better outcome in patients with heart failure.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.116.005110","type":"journal-article","created":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T20:20:21Z","timestamp":1494966021000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Associations of Acid Suppressive Therapy With Cardiac Mortality in Heart Failure Patients"],"prefix":"10.1161","volume":"6","author":[{"given":"Akiomi","family":"Yoshihisa","sequence":"first","affiliation":[{"name":"Fukushima Medical University","place":["Fukushima, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Takiguchi","sequence":"additional","affiliation":[{"name":"Fukushima Medical University","place":["Fukushima, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Kanno","sequence":"additional","affiliation":[{"name":"Fukushima Medical University","place":["Fukushima, 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