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Opiates should be avoided in acute decompensated heart failure
  1. G N Cattermole,
  2. C A Graham
  1. Accident and Emergency Medicine Academic Unit, Prince of Wales Hospital, Shatin, Hong Kong
  1. Professor G N Cattermole, Accident and Emergency Medicine Academic Unit, Prince of Wales Hospital, Shatin, Hong Kong; gncattermole{at}cuhk.edu.hk

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We were pleased to read the paper by Peacock et al1 warning of the dangers of morphine therapy in acute decompensated heart failure. This retrospective review was the largest yet performed, with nearly 150 000 patients in the database. The most concerning finding was an increased risk of mortality with an odds ratio of …

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