Comparison of the prognosis and outcome of heart failure with reduced ejection fraction patients treated with sacubitril/valsartan according to age

被引:11
作者
Abumayyaleh, Mohammad [1 ,2 ]
El-Battrawy, Ibrahim [1 ,2 ]
Kummer, Marvin [1 ,2 ]
Pilsinger, Christina [1 ]
Sattler, Katherine [1 ]
Kuschyk, Juergen [1 ]
Aweimer, Assem [3 ]
Muegge, Andreas [3 ]
Borggrefe, Martin [1 ,2 ]
Akin, Ibrahim [1 ,2 ]
机构
[1] Heidelberg Univ, Univ Med Ctr Mannheim, Dept Med 1, Mannheim, Germany
[2] DZHK German Ctr Cardiovasc Res, Partner Site, Mannheim, Germany
[3] Ruhr Univ Bochum, Bergmannsheil Univ Hosp, Dept Cardiol & Angiol, Bochum, Germany
关键词
adult patients; age; mortality rate; older patients; sacubitril/valsartan; ANGIOTENSIN-NEPRILYSIN INHIBITION; NEUTRAL ENDOPEPTIDASE; NATRIURETIC PEPTIDES; LCZ696; MORTALITY; CONGESTION; MORBIDITY; ENALAPRIL; INSIGHTS; HISTORY;
D O I
10.2217/fca-2020-0213
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The treatment with sacubitril/valsartan in patients suffering from chronic heart failure with reduced ejection fraction increases left ventricular ejection fraction and decreases the risk of sudden cardiac death. We conducted a retrospective analysis regarding the impact of age differences on the treatment outcome of sacubitril/valsartan in patients with chronic heart failure with reduced ejection fraction. Patients were defined as adults if <= 65 years (n = 51) and older if >65 years of age (n = 76). The incidence of ventricular arrhythmias at 1-year follow-up was comparable in both groups (30.8 vs 26.5%; p = 0.71). The mortality rate in adult patients is significantly lower as compared with older patients (2 vs 14.5%; log-rank = 0.04). Older patients may suffer remarkably more side effects than adult patients (21.1 vs 11.8%; p = 0.03).
引用
收藏
页码:1131 / 1142
页数:12
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