PMID- 30864899 OWN - NLM STAT- MEDLINE DCOM- 20200313 LR - 20211204 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 35 IP - sup1 DP - 2019 Mar TI - Management of a patient with heart failure by sacubitril/valsartan: improvement of functional capacity. PG - 7-8 LID - 10.1080/03007995.2019.1576482 [doi] AB - The main objectives of the treatment of heart failure (HF) are to improve patient clinical status, functional capacity and quality of life, as well as reducing re-hospitalization rate and mortality. A new compound, consisting of an angiotensin-receptor blocker (ARB) (valsartan) and a neprilysin (NEP) inhibitor (sacubitril), belonging to the newly established class of angiotensin receptor-neprilysin inhibitors (ARNIs) showed marked efficacy, without any relevant safety issue, in the treatment of patients with HF. We report a case of a 48 year old male with HF with reduced ejection fraction (HFrEF) due to hypertensive cardiomyopathy (New York Heart Association [NYHA] class III). Therapy with sacubitril/valsartan was initiated after some years of other treatments, which did not lead to any positive outcome in HF, quality of life and clinical functions. After only 1 month of sacubitril/valsartan therapy, the patient reported a significant improvement in quality of life, and in 6 months his NYHA class switched from III to I. FAU - Paolini, Carla AU - Paolini C AD - a Division of Cardiology , West Vicenza General Hospitals , Vicenza , Italy. FAU - Perrone, Cosimo AU - Perrone C AD - a Division of Cardiology , West Vicenza General Hospitals , Vicenza , Italy. FAU - Pellizzari, Cristina Ada AU - Pellizzari CA AD - a Division of Cardiology , West Vicenza General Hospitals , Vicenza , Italy. FAU - Randon, Maria Luisa AU - Randon ML AD - a Division of Cardiology , West Vicenza General Hospitals , Vicenza , Italy. FAU - Bilato, Claudio AU - Bilato C AD - a Division of Cardiology , West Vicenza General Hospitals , Vicenza , Italy. LA - eng PT - Case Reports PT - Journal Article PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (Aminobutyrates) RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Biphenyl Compounds) RN - 0 (Drug Combinations) RN - 0 (Tetrazoles) RN - 80M03YXJ7I (Valsartan) RN - WB8FT61183 (sacubitril and valsartan sodium hydrate drug combination) SB - IM MH - Aminobutyrates/*therapeutic use MH - Angiotensin Receptor Antagonists/*therapeutic use MH - Biphenyl Compounds MH - Drug Combinations MH - Heart Failure/*drug therapy/physiopathology/psychology MH - Humans MH - Male MH - Middle Aged MH - Quality of Life MH - Stroke Volume MH - Tetrazoles/*therapeutic use MH - Valsartan OTO - NOTNLM OT - Heart failure OT - angiotensin receptor-neprilysin inhibitors OT - functional capacity EDAT- 2019/03/14 06:00 MHDA- 2020/03/14 06:00 CRDT- 2019/03/14 06:00 PHST- 2019/03/14 06:00 [entrez] PHST- 2019/03/14 06:00 [pubmed] PHST- 2020/03/14 06:00 [medline] AID - 10.1080/03007995.2019.1576482 [doi] PST - ppublish SO - Curr Med Res Opin. 2019 Mar;35(sup1):7-8. doi: 10.1080/03007995.2019.1576482.