This study investigated the effects of adding eplerenone to evidence-based heart failure therapies in patients with mild systolic heart failure symptoms. The study randomized 2,737 patients to receive either eplerenone or placebo. The primary outcome of death from cardiovascular causes or hospitalization for heart failure occurred in 18.3% of the eplerenone group compared to 25.9% of the placebo group, demonstrating that eplerenone reduced risks. The trial was stopped early due to these benefits after a median follow up of 21 months. Eplerenone was found to provide cardiovascular protection in patients with heart failure compared to placebo.