Abstract

Among patients with heart failure with reduced ejection fraction who were hospitalized for acute decompensated heart failure, the initiation of sacubitril-valsartan therapy led to a greater reduction in the NT-proBNP concentration than enalapril therapy. Rates of worsening renal function, hyperkalemia, symptomatic hypotension, and angioedema did not differ significantly between the two groups. (Funded by Novartis; PIONEER-HF ClinicalTrials.gov number, NCT02554890 .).

Keywords

NeprilysinAcute decompensated heart failureHeart failureCardiologyInternal medicineMedicineChemistryEnzyme

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Aims Although the focus of therapeutic intervention has been on neurohormonal pathways thought to be harmful in heart failure (HF), such as the renin–angiotensin–aldosterone sys...

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Publication Info

Year
2018
Type
article
Volume
380
Issue
6
Pages
539-548
Citations
1185
Access
Closed

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Eric J. Velazquez, David A. Morrow, Adam D. DeVore et al. (2018). Angiotensin–Neprilysin Inhibition in Acute Decompensated Heart Failure. New England Journal of Medicine , 380 (6) , 539-548. https://doi.org/10.1056/nejmoa1812851

Identifiers

DOI
10.1056/nejmoa1812851