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Increased the Worsening Renal Function of tolvaptan in patients with acute decompensated heart failure. Tolvaptan was not reducing the incidence of Worsening Renal Function or short-term all-cause mortality , however, it decreases the body weight while increases the sodium level . Only 7 randomized controlled studies were included, however, some studies have limitations. Lack of unified standards for the dosage, the tolvaptan use duration and follow-up time, which may affect the clinical outcomes. Only English language studies included.

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This page is a summary of: Effects of tolvaptan add-on therapy in patients with acute heart failure: meta-analysis on randomised controlled trials, BMJ Open, April 2019, BMJ,
DOI: 10.1136/bmjopen-2018-025537.
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