{"id":863,"date":"2022-12-08T14:53:29","date_gmt":"2022-12-08T14:53:29","guid":{"rendered":"https:\/\/www.merckconnect.com\/verquvo\/?page_id=863"},"modified":"2025-12-17T14:58:00","modified_gmt":"2025-12-17T14:58:00","slug":"worsening-hf-symptoms","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/verquvo\/worsening-hf-symptoms\/","title":{"rendered":"Worsening HF Symptoms"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1764613072' media='all' \/>\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1764613072' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"acbea1094-6ca7-4b90-af67-e817f6544da4\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h1FontSizeDesktop);--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:var(--h1FontSizeMobile);--desktopLineHeightSize:var(--h1LineHeightDesktop);--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Patient profiles<\/strong><\/h1><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1765898918' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn secondary secondary-regular has-primary-border-color has-white-background-color has-primary-color\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:20px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckconnect.com\/verquvo\/chronic-whf-hospitalization\/\" title=\"Bernard\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Bernard\" data-design-module=\"Button\">Bernard<\/a><\/div>\n\n\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular has-primary-background-color\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:20px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckconnect.com\/verquvo\/worsening-hf-symptoms\/\" title=\"Evette\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Evette\" data-design-module=\"Button\">Evette<\/a><\/div>\n\n\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn secondary secondary-regular has-primary-border-color has-white-background-color has-primary-color\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:20px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckconnect.com\/verquvo\/first-hf-hospitalization\/\" title=\"Ralph\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Ralph\" data-design-module=\"Button\">Ralph<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a90782ead-2ceb-4bf5-bd08-5092bed450e9\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Evette, age 68, female<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><link rel='stylesheet' id='vivid360-image-module-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image-module\/css\/style.min.css?ver=1773676709' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-image-module ratio-50-50 content-above one-col full-page-width\"><div class=\"vivid360-block-image-module__content-wrapper content-align-left\" id=\"contentDiv\"><\/div><figure class=\"vivid360-block-image-module__image-container\"><picture><source media=\"(max-width: 767px)\" data-srcset=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2022\/12\/Image-Verquvo-Evette.png?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1440px)\" data-srcset=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2022\/12\/Image-Verquvo-Evette.png?w=1440\"\/><img decoding=\"async\" data-src=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2022\/12\/Image-Verquvo-Evette.png\" src=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2022\/12\/Image-Verquvo-Evette.png\" alt=\"View the Profile of a Hypothetical Patient Diagnosed With NYHA Class III Heart Failure Who Recently Experienced Worsening Symptoms\"\/><\/picture><figcaption class=\"caption-align-left captionText\" id=\"figcaption\"><p class=\"caption-title vivid360-block-image-module__caption\" style=\"--captionFontSize:14px;--captionFontSizeTablet:14px;--captionFontSizeMobile:14px\">*Not an actual patient<\/p><\/figcaption><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"has-regular-font-size\"><strong>Has experienced a recent increase in worsening symptoms <\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<p><strong>Diagnosed 18 months ago with New York Heart Association (NYHA) class III heart failure<\/strong><\/p>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1764613072' media='all' \/>\n\n<div class=\"vivid-block-list content-width default-list block-e152cebd-7cb9-4154-bcff-0c045030ea49 has-regular-font-size\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-e152cebd-7cb9-4154-bcff-0c045030ea49\"><ul class=\"first-level\"><li>Left ventricular ejection fraction (LVEF) 30%<\/li><\/ul><\/div>\n\n\n\n<p><strong>Experienced her first heart failure (HF) hospitalization 3 months ago<\/strong><\/p>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-512199c6-6b32-4b52-aab5-3fe75b7574f0\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-512199c6-6b32-4b52-aab5-3fe75b7574f0\"><ul class=\"first-level\"><li>Experienced an episode of edema and shortness of breath<\/li><\/ul><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a3bee9a7e-2039-4457-a181-8cd3d82d337b\"><h3 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>Has recently experienced worsening symptoms such as an increase in dyspnea and ankle edema<\/strong><\/h3><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-a64a2c23-1b1d-426b-8075-e0667beb6187\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-a64a2c23-1b1d-426b-8075-e0667beb6187\"><ul class=\"first-level\"><li>Previously on sacubitril\/valsartan<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"af1badf69-6a79-4c01-aa44-11ed2c396465\"><h3 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>Comorbidities:<\/strong><\/h3><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-2d4230ae-5a9c-42e3-9b4b-87473c00e046\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-2d4230ae-5a9c-42e3-9b4b-87473c00e046\"><ul class=\"first-level\"><li>Chronic kidney disease<\/li><li>eGFR = 35 mL\/min\/1.73 m<sup>2<\/sup><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a703f887b-3320-4a8c-94ef-eaeb9e4ecd03\"><h3 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>Medications:<\/strong><\/h3><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-2623d00b-c258-45a6-9541-04c220ec9f45\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-2623d00b-c258-45a6-9541-04c220ec9f45\"><ul class=\"first-level\"><li>Carvedilol<\/li><li>Furosemide<\/li><li>Spironolactone<\/li><li>Valsartan<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a8745c9b2-9843-44b1-9545-07a7672bbbf1\"><h3 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>Activity level:<\/strong><\/h3><\/div>\n\n\n\n<p>Finds it hard to do light activity such as grocery shopping and walking short distances <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"adf76c760-c0c3-400b-9348-9d193bc94edc\"><h3 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>Definitions:<\/strong><\/h3><\/div>\n\n\n\n<p>eGFR = estimated glomerular filtration rate.<\/p>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1769804753' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal\"><div class=\"vivid360-modal-trigger-container\"><span data-design-module=\"modal\" data-design-category=\"modal-page-load\" class=\"vivid360-modal-trigger-pageload\" data-page-load-parameter=\"safety_overlay\"><\/span><\/div><div class=\"vivid360-modal-container vivid360-modal-blurredBgBlack\"><div class=\"vivid360-modal larger_modal\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\"><i class=\"icon-close\" tabindex=\"0\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:undefined\"><h2><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Indication<\/mark><\/strong><\/h2><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n\n<p>VERQUVO\u00ae (vericiguat) tablets 2.5 mg, 5 mg, 10 mg is indicated to reduce the risk of cardiovascular death and heart failure (HF) hospitalization following a hospitalization for HF or need for outpatient IV diuretics, in adults with symptomatic chronic HF and ejection fraction less than 45%.<\/p>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"ae3f18162-b15e-4ddb-8adb-0cf616173065\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Selected Safety Information<\/mark><\/strong><\/h2><\/div>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:2px;border-style:solid;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width wide-bg-width\"><div class=\"cropped\" id=\"row703a15e1-f691-4a35-90d9-4f246ffd9079\">  <div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:4px\" class=\"row-content wide-width hcp-wide-width\">\n\n<div class=\"vivid360-heading\" id=\"a3dfc9d76-5039-458f-846a-a43161db845e\"><h4 class=\"has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>WARNING: EMBRYO-FETAL TOXICITY<\/strong><\/h4><\/div>\n\n\n<p><strong>Females of reproductive potential: Exclude pregnancy before the start of treatment. To prevent pregnancy, females of reproductive potential must use effective forms of contraception during treatment and for one month after stopping treatment. Do not administer VERQUVO to a pregnant female because it may cause fetal harm.<\/strong><\/p>\n\n<\/div><\/div><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-9f7982ff-5e80-4ec5-9b86-212873cab08f hyperlink-blue\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-9f7982ff-5e80-4ec5-9b86-212873cab08f\"><ul class=\"first-level\"><li>VERQUVO is contraindicated in patients with concomitant use of other soluble guanylate cyclase (sGC) stimulators.<\/li><li>VERQUVO is contraindicated in pregnancy.<\/li><li><strong>Embryo-Fetal Toxicity:<\/strong>&nbsp;Based on data from animal reproduction studies, VERQUVO may cause fetal harm when administered to a pregnant woman. Advise females of reproductive potential of the potential risk to a fetus. Obtain a pregnancy test before the start of treatment. Advise females of reproductive potential to use effective contraception during treatment with VERQUVO and for at least one month after the final dose.<\/li><li>There is a Pregnancy Surveillance Program that monitors pregnancy outcomes in women exposed to VERQUVO during pregnancy. Health care providers should report any prenatal exposure by calling&nbsp;<span class=\"no-wrap-text\">1-877-888-4231<\/span>&nbsp;or at&nbsp;<a href=\"https:\/\/pregnancyreporting.verquvo-us.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"interstitial-external-link\">https:\/\/pregnancyreporting.verquvo-us.com<\/span><\/a>.<\/li><li>In a clinical trial, the most commonly observed adverse events with VERQUVO vs placebo, occurring at a frequency \u22655%, were hypotension (16% vs 15%) and anemia (10% vs 7%).<\/li><li>Concomitant use of VERQUVO with PDE-5 inhibitors is not recommended due to the potential for hypotension.<\/li><li>There are no data on the presence of vericiguat in human milk, the effects on the breastfed infant, or effects on milk production. Because of the potential for serious adverse reactions in breastfed infants from VERQUVO, advise women not to breastfeed during treatment with VERQUVO.<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<p><strong>Before prescribing VERQUVO, please read the accompanying <a href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Prescribing information<\/a> including the Boxed Warning about embryo-fetal toxicity. The <a href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_mg.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Medication guide<\/a> also is available.<\/strong><\/p>\n\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"modal\" tabindex=\"0\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"modal\" tabindex=\"0\">Button 2<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"modal\" tabindex=\"0\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"modal\" tabindex=\"0\">Button 2<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Has experienced a recent increase in worsening symptoms Diagnosed 18 months ago with New York Heart Association (NYHA) class III heart failure&#8230;<\/p>\n","protected":false},"author":708,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[272],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[304],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[335],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[484],"ga4_page_product":[626],"ga4_page_region":[711],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-863","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patient Profile: NYHA Class III Heart Failure With Increase in Worsening 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