生存交响曲:沙比里尔/缬沙坦对心力衰竭死亡率的衷心影响:一项系统综述

Eshwar Burra, Kamran Shahid, Yonas Tamene, Shefali P. Mody, Kaiser O Sadiq, Yogamba M Shivakumar, Pousette Farouk
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摘要

心力衰竭(HF)是一种普遍和使人衰弱的疾病,影响着全世界数百万人。多年来,许多治疗策略被用于治疗心衰,改善患者的生活质量,降低发病率和死亡率。Sacubitril/缬沙坦是一种新型联合药物,已成为治疗心力衰竭伴射血分数降低(HFrEF)的一种有前景的治疗选择。本文综述了Sacubitril/缬沙坦在心力衰竭患者中的应用。它深入研究了这两种成分的作用机制,研究了苏比利(一种neprilysin抑制剂)和缬沙坦(一种血管紧张素受体阻滞剂)如何协同作用,以解决HFrEF的复杂病理生理问题。这些药物的独特组合已被证明可以改善心功能,减少心室重塑,减轻神经激素激活,从而改善心衰患者的预后。一些临床试验和现实世界的研究已经证明了苏比里尔/缬沙坦在心衰治疗中的有效性和安全性。这些研究强调了该药物减少hf相关住院治疗和改善患者功能状态和运动耐受性的能力。此外,联合治疗已显示出良好的风险-收益概况,使其成为对血管紧张素转换酶(ACE)抑制剂不耐受的心衰患者的有价值的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Symphony of Survival: Sacubitril/Valsartan’s Heartfelt Impact on Mortality in Heart Failure: A Systemic Review
Heart failure (HF) is a prevalent and debilitating condition affecting millions worldwide. Over the years, numerous therapeutic strategies have been employed to manage HF, improving patients' quality of life, and reducing morbidity and mortality rates.Sacubitril/valsartan, a novel combination drug, has emerged as a promising therapeutic option in the management of HF with reduced ejection fraction (HFrEF This abstract provides a comprehensive review of the use of sacubitril/valsartan in treating HF patients.It delves into the mechanism of action of both components, examining how sacubitril, a neprilysin inhibitor, and valsartan, an angiotensin receptor blocker, work synergistically to address the complex pathophysiology of HFrEF. The unique combination of these agents has been shown to improve cardiac function, reduce ventricular remodeling, and mitigate neurohormonal activation, leading to better outcomes in HF patients. Several clinical trials and real-world studies have demonstrated the efficacy and safety of sacubitril/valsartan in HF management. These studies have highlighted the drug's ability to reduce HF-related hospitalizations and improve patients' functional status and exercise tolerance. Moreover, the combination therapy has shown a favorable risk-benefit profile, making it a valuable option for HF patients intolerant to angiotensin-converting enzyme (ACE) inhibitors.
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