The patients in the LCZ@ group had @ % fewer hospitalizations for worsening heart failure ( @ versus @ ; P < @ ) and were less likely to require intensive care ( @ versus @ ; @ % rate reduction , P = @ ) , to receive intravenous positive inotropic agents ( @ % risk reduction , P < @ ) , and to have implantation of a heart failure device or cardiac transplantation ( @ % risk reduction , P = @ ) .