Use of dronedarone for the preparation of a medicament for use in the prevention of cardiovascular hospitalization or of morality
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1. A method of reducing a risk of cardiovascular hospitalization in a patient, said method comprising administering to said patient an effective amount of dronedarone or a pharmaceutically acceptable salt thereof, twice a day with a morning and an evening meal, wherein said patient does not have severe heart failure, (i) wherein severe heart failure is indicated by:
- a) NYHA Class IV heart failure or b) hospitalization for heart failure within the last month; and
(ii) wherein said patient has a history of, or current, paroxysmal or persistent non-permanent atrial fibrillation or flutter, and (iii) wherein said patient has structural heart disease, wherein said structural heart disease is coronary heart disease; and
(iv) wherein the patient has (a) an age greater than or equal to 75 or (b) an age greater than or equal to 70 and at least one cardiovascular risk factor selected from the group consisting of;
i. hypertension;
ii. diabetes;
iii. a history of cerebral stroke or of systemic embolism;
iv. a left atrial diameter greater than or equal to 50 mm; and
v. a left ventricular ejection fraction less than 40%.
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Abstract
Methods of using dronedarone or a pharmaceutically acceptable salt thereof, for the preparation of a medicament for use in the prevention of cardiovascular hospitalization or of mortality, articles of manufacture and packages related thereto.
42 Citations
14 Claims
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1. A method of reducing a risk of cardiovascular hospitalization in a patient, said method comprising administering to said patient an effective amount of dronedarone or a pharmaceutically acceptable salt thereof, twice a day with a morning and an evening meal, wherein said patient does not have severe heart failure, (i) wherein severe heart failure is indicated by:
- a) NYHA Class IV heart failure or b) hospitalization for heart failure within the last month; and
(ii) wherein said patient has a history of, or current, paroxysmal or persistent non-permanent atrial fibrillation or flutter, and (iii) wherein said patient has structural heart disease, wherein said structural heart disease is coronary heart disease; and
(iv) wherein the patient has (a) an age greater than or equal to 75 or (b) an age greater than or equal to 70 and at least one cardiovascular risk factor selected from the group consisting of;i. hypertension; ii. diabetes; iii. a history of cerebral stroke or of systemic embolism; iv. a left atrial diameter greater than or equal to 50 mm; and v. a left ventricular ejection fraction less than 40%. - View Dependent Claims (2, 3, 4, 5, 7)
- a) NYHA Class IV heart failure or b) hospitalization for heart failure within the last month; and
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6. A method of reducing a risk of cardiovascular hospitalization in a patient, said method comprising administering to said patient an effective amount of dronedarone or a pharmaceutically acceptable salt thereof, twice a day with a morning and evening meal, (i) wherein said patient has a history of, or current, paroxysmal or persistent non-permanent atrial fibrillation or flutter;
- and (ii) wherein said patient has congestive heart failure defined as NYHA class III; and
(iii) wherein said patient has not been hospitalized for heart failure within the last month. - View Dependent Claims (8)
- and (ii) wherein said patient has congestive heart failure defined as NYHA class III; and
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9. A method of reducing a risk of cardiovascular hospitalization for atrial fibrillation in a patient, said method comprising administering dronedarone, or a pharmaceutically acceptable salt thereof, twice a day with a morning and an evening meal to a patient in need of reduction of said risk, wherein said patient does not have severe heart failure, (i) wherein severe heart failure is indicated by:
- a) NYHA Class IV heart failure or b) hospitalization for heart failure within the last month; and
(ii) wherein said patient has a history of, or current, paroxysmal or persistent non-permanent atrial fibrillation, and (iii) wherein said patient has structural heart disease, wherein said structural heart disease is coronary heart disease; and
(iv) wherein the patient has (a) an age greater than or equal to 75 or (b) an age greater than or equal to 70 and at least one cardiovascular risk factor selected from the group consisting of;i. hypertension; ii. diabetes; iii. a history of cerebral stroke or of systemic embolism; iv. a left atrial diameter greater than or equal to 50 mm; and v. a left ventricular ejection fraction less than 40%. - View Dependent Claims (10, 11, 12, 13, 14)
- a) NYHA Class IV heart failure or b) hospitalization for heart failure within the last month; and
Specification