July 8, 2026 · American heart journal · DOI: 10.1016/j.ahj.2026.107525

Comparative effectiveness of torsemide vs furosemide in the management of heart failure patients: win-ratio reanalysis of the TRANSFORM-HF trial

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The authors aimed to evaluate the comparative effectiveness of torsemide versus furosemide in managing heart failure patients, specifically assessing outcomes related to mortality, hospitalizations, and patient-reported health status using a hierarchical win-ratio framework. Their analysis of the TRANSFORM-HF trial data revealed no significant differences between the two diuretics over a 12-month period, suggesting that neither treatment demonstrated superiority in improving patient outcomes. The findings are considered exploratory and highlight the need for further research in this area.

Guangyu Tong, Yukang Zeng, Stephen J Greene, Kevin J Anstrom, Jeffrey Testani, Robert J Mentz, Fan Li, Eric J Velazquez

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