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conducted prospective and retrospective observational studies on the efficacy of the combination of duloxetine (DLX) and pregabalin (PGB) for the treatment of FM syndrome, and the possibility of additional benefits with the addition of the lipid signaling molecule palmitoylethanolamide (PEA) [59]

(4) outcome measures, studies that used one or more of the following measurements were eligible: all-cause mortality, cardiovascular events, New York Heart Association (NYHA) classification, overall efficacy, exercise capacity (i.e., 6-minute walk), changes in cardiac function parameters (i.e., left ventricular ejection fraction (LVEF), strike volume (SV), cardiac output (CO), E/A, left ventricular end-systolic dimension (LVESD), left ventricular end-diastolic dimension (LVEDD), and left ventricular end-systolic volume (LVESV)), brain natriuretic peptide (BNP), N-terminal pro-brain natriuretic peptide (NT-proBNP), and adverse events