PMID- 30039930 OWN - NLM STAT- MEDLINE DCOM- 20190110 LR - 20211204 IS - 2055-5822 (Electronic) IS - 2055-5822 (Linking) VI - 5 IP - 5 DP - 2018 Oct TI - Sacubitril-valsartan in heart failure and multimorbidity patients. PG - 956-959 LID - 10.1002/ehf2.12338 [doi] AB - AIMS: The poor control of symptoms in patients with advanced heart failure with reduced ejection function (HFrEF) can limit the functionality of patients. Sacubitril-valsartan, compared with enalapril, has been shown to reduce mortality and hospitalization, and nowadays, there is still little evidence about the improvement on functionality. The aim of our study is to analyse the improvement of the functional class and the 6 min walking test (6MWT) in patients with multiple pathologies and advanced heart failure. METHODS AND RESULTS: From September 2016 to March 2018, 65 multimorbidity patients with severe symptomatic HFrEF were initiated to receive sacubitril-valsartan. Mean age was 78.6 +/- 7.4 years, and 68% were male. The Charlson co-morbidity index was 8 points. Seventy-four per cent had New York Heart Association (NYHA) Functional Class IV. After the treatment, patients were able to achieve 55.68 m or more on 6MWT, and 91% presented an improvement in the NYHA functional class. CONCLUSIONS: Sacubitril-valsartan relieves symptoms and improves functional class prognostic risk of patients with advanced HFrEF and co-morbidity. CI - (c) 2018 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. FAU - Rodil Fraile, Raquel AU - Rodil Fraile R AUID- ORCID: 0000-0001-9868-8066 AD - Internal Medicine Department, Chronic-Multimorbidity Unit, Complejo Hospitalario de Navarra, Irunlarrea, 34, 31008, Pamplona, Spain. FAU - Malafarina, Vincenzo AU - Malafarina V AD - Geriatric Department, Chronic-Multimorbidity Unit, Complejo Hospitalario de Navarra, Irunlarrea, 34, 31008, Pamplona, Spain. AD - Department of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008, Pamplona, Spain. FAU - Tiberio Lopez, Gregorio AU - Tiberio Lopez G AD - Internal Medicine Department, Chronic-Multimorbidity Unit, Complejo Hospitalario de Navarra, Irunlarrea, 34, 31008, Pamplona, Spain. LA - eng PT - Journal Article PT - Observational Study DEP - 20180724 PL - England TA - ESC Heart Fail JT - ESC heart failure JID - 101669191 RN - 0 (Aminobutyrates) RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Biphenyl Compounds) RN - 0 (Drug Combinations) RN - 0 (Tetrazoles) RN - 80M03YXJ7I (Valsartan) RN - EC 3.4.24.11 (Neprilysin) RN - WB8FT61183 (sacubitril and valsartan sodium hydrate drug combination) SB - IM CIN - ESC Heart Fail. 2019 Oct;6(5):1096. PMID: 31420966 CIN - ESC Heart Fail. 2019 Oct;6(5):1097-1098. PMID: 31420974 MH - Aged MH - Aminobutyrates/*therapeutic use MH - Angiotensin Receptor Antagonists/therapeutic use MH - Biphenyl Compounds MH - Comorbidity MH - Drug Combinations MH - Female MH - Heart Failure/*drug therapy/epidemiology MH - Humans MH - Male MH - Neprilysin MH - Retrospective Studies MH - Tetrazoles/*therapeutic use MH - Treatment Outcome MH - Valsartan PMC - PMC6165940 OTO - NOTNLM OT - Elderly OT - MAGGIC score OT - Multimorbidity OT - NYHA OT - Sacubitril-valsartan OT - Six-minute walking test EDAT- 2018/07/25 06:00 MHDA- 2019/01/11 06:00 PMCR- 2018/07/24 CRDT- 2018/07/25 06:00 PHST- 2018/05/16 00:00 [received] PHST- 2018/06/22 00:00 [accepted] PHST- 2018/07/25 06:00 [pubmed] PHST- 2019/01/11 06:00 [medline] PHST- 2018/07/25 06:00 [entrez] PHST- 2018/07/24 00:00 [pmc-release] AID - EHF212338 [pii] AID - 10.1002/ehf2.12338 [doi] PST - ppublish SO - ESC Heart Fail. 2018 Oct;5(5):956-959. doi: 10.1002/ehf2.12338. Epub 2018 Jul 24.