Background: Mineralocorticoid receptor antagonists (MRA) are an underutilized therapy for heart failure with a reduced\nejection fraction (HFrEF), but the current impact of hospitalization on MRA use is not well characterized. The objective of\nthis study was to describe contemporary MRA prescription for heart failure patients before and after the full scope of\nhospitalizations and the association between MRA discharge prescription and post-hospitalization outcomes.\nMethods: We conducted a retrospective cohort study at an academic hospital system in 2013-2016. Among 1500\nincluded hospitalizations of 1009 unique patients with HFrEF and without MRA contraindication, the mean age was................
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