Outcome measures (n=140) | |
Up-titration achieved (target dose 97/103 mg bd) | 77 (55%) |
Reduction in loop diuretic dosage | 30 (27%) |
SV intolerability and stopped | 11 (8%) |
MRA dose reduced due to hyperkalaemia | 2 (2%) |
MRA dose stopped due to hyperkalaemia | 1 (1%) |
Postural hypotension with drop of systolic blood pressure at (>10 mmHg) | 44 (31%) |
Hyperkalaemia (>6.0 mmol/L) | 4* (3%) |
Deterioration in eGFR>10 | 15 (10%) |
NYHA class improvement (by 1 class) | 43 (31%) |
Improvement in LVEF | 23† out of total 34 patients (66%) |
Mean EF (pre-SV) (±SD) | 23% (±8.6) |
Mean EF (post-SV) (±SD) | 30% (±10.5) |
Mortality (6 months n=140) | 5‡ (4%) |
Mortality (1 year n=68) | 5 (7%) |
HF admission (6 months n=140) | 8 (6%) |
HF admission (1 year n=68) | 4 (6%) |
*2 patients admitted to hospital.
†7 patients from LVEF <35% to >55%.
‡2 HF-related deaths, 3 non-HF-related deaths.
EF = ejection fraction; eGFR = estimated glomerular filtration rate; HF = heart failure; LVEF = left ventricular ejection fraction; MRA = mineralocorticoid receptor antagonist; NHYA = New York Heart Association; SD = standard deviation; SV = sacubitril/valsartan.