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10.1016/j.ijcard.2021.02.012

http://scihub22266oqcxt.onion/10.1016/j.ijcard.2021.02.012
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33581182!ä!33581182

suck abstract from ncbi


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pmid33581182      Int+J+Cardiol 2021 ; 330 (ä): 112-119
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  • Sacubitril-valsartan treatment is associated with decrease in central apneas in patients with heart failure with reduced ejection fraction #MMPMID33581182
  • Passino C; Sciarrone P; Vergaro G; Borrelli C; Spiesshoefer J; Gentile F; Emdin M; Giannoni A
  • Int J Cardiol 2021[May]; 330 (ä): 112-119 PMID33581182show ga
  • BACKGROUND: To assess the impact of sacubitril-valsartan on apneic burden in patients with heart failure with reduced ejection fraction (HFrEF), 51 stable HFrEF patients planned for switching from an ACE-i/ARB to sacubitril-valsartan were prospectively enrolled. METHODS AND RESULTS: At baseline and after 6 months of treatment, all patients underwent echocardiography, 24-h cardiorespiratory monitoring, neurohormonal evaluation, and cardiopulmonary exercise testing. At baseline 29% and 65% of patients presented with obstructive and central apneas, respectively. After 6 months, sacubitril-valsartan was associated with a decrease in NT-proBNP, improvement in LV function, functional capacity and ventilatory efficiency. After treatment, the apnea-hypopnea index (AHI) decreased across the 24-h period (p < 0.001), as well as at daytime (p < 0.001) and at nighttime (p = 0.026), proportionally to baseline severity. When subgrouping according to the type of apneas, daytime, nighttime and 24-h AHI decreased in patients with central apneas (all p < 0.01). Conversely, in patients with obstructive apneas, the effect of drug administration was neutral at nighttime, with significant decrease only in daytime events (p = 0.007), mainly driven by reduction in hypopneas. CONCLUSIONS: Sacubitril-valsartan on top of medical treatment is associated with a reduction in the apneic burden among a real-life cohort of HFrEF patients. The most marked reduction was observed for central apneas.
  • |*Heart Failure/diagnostic imaging/drug therapy[MESH]
  • |*Sleep Apnea, Central/drug therapy[MESH]
  • |Aminobutyrates[MESH]
  • |Angiotensin Receptor Antagonists/therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors[MESH]
  • |Biphenyl Compounds[MESH]
  • |Drug Combinations[MESH]
  • |Humans[MESH]
  • |Stroke Volume[MESH]
  • |Tetrazoles[MESH]


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