PMID- 34240468 OWN - NLM STAT- MEDLINE DCOM- 20220411 LR - 20220411 IS - 1365-2125 (Electronic) IS - 0306-5251 (Linking) VI - 88 IP - 2 DP - 2022 Feb TI - Clinical and echocardiographic characteristics after six months of sacubitril/valsartan in Chagas heart disease - A case series. PG - 429-436 LID - 10.1111/bcp.14978 [doi] AB - Chagas cardiomyopathy is the most prevalent non-ischaemic cardiomyopathy in Latin America, with high morbidity and mortality even today. Treatment of these patients is based on the use of medications for heart failure. This study evaluated a case series of patients with Chagas heart disease who used sacubitril/valsartan at a referral hospital for this disease in Brazil. After 6 months, there was a symptomatic improvement in these individuals assessed by the New York Heart Association (NYHA) functional class, with a 44.3% reduction in the absolute number of patients classified as III-IV in the period (P = 0.035), but without changes in the parameters on the echocardiogram for reverse ventricular remodelling. There was a high mortality rate and number of hospitalizations. These results emphasize the importance of studying the use of sacubitril/valsartan in Chagas heart disease to better describe its effectiveness considering the particularities of these individuals. CI - (c) 2021 British Pharmacological Society. FAU - Figueiredo, Clara Salles AU - Figueiredo CS AUID- ORCID: 0000-0002-7722-9087 AD - Federal University of Bahia, Rua Augusto Viana, s/n, Salvador, Bahia, 40110-909, Brazil. FAU - de Melo, Rodrigo Morel Vieira AU - de Melo RMV AD - Federal University of Bahia, Rua Augusto Viana, s/n, Salvador, Bahia, 40110-909, Brazil. FAU - Viana, Taina Teixeira AU - Viana TT AD - Federal University of Bahia, Rua Augusto Viana, s/n, Salvador, Bahia, 40110-909, Brazil. FAU - de Jesus, Aline Grimaldi Queiroz AU - de Jesus AGQ AD - Ana Nery Hospital, R. Saldanha Marinho, s/n - Caixa D'agua, Salvador, Bahia, 40301-155, Brazil. FAU - da Silva, Tainara Cerqueira AU - da Silva TC AD - Ana Nery Hospital, R. Saldanha Marinho, s/n - Caixa D'agua, Salvador, Bahia, 40301-155, Brazil. FAU - da Silva, Vitor Mamedio AU - da Silva VM AD - Ana Nery Hospital, R. Saldanha Marinho, s/n - Caixa D'agua, Salvador, Bahia, 40301-155, Brazil. FAU - de Carvalho, William Neves AU - de Carvalho WN AD - Federal University of Bahia, Rua Augusto Viana, s/n, Salvador, Bahia, 40110-909, Brazil. FAU - da Silva, Daniela Nascimento Valame AU - da Silva DNV AD - Ana Nery Hospital, R. Saldanha Marinho, s/n - Caixa D'agua, Salvador, Bahia, 40301-155, Brazil. FAU - Passos, Luiz Carlos Santana AU - Passos LCS AD - Federal University of Bahia, Rua Augusto Viana, s/n, Salvador, Bahia, 40110-909, Brazil. LA - eng PT - Journal Article DEP - 20210731 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Aminobutyrates) RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Biphenyl Compounds) RN - 0 (Drug Combinations) RN - 0 (Tetrazoles) RN - 17ERJ0MKGI (sacubitril) RN - 80M03YXJ7I (Valsartan) SB - IM MH - Aminobutyrates/therapeutic use MH - Angiotensin Receptor Antagonists/therapeutic use MH - Biphenyl Compounds/therapeutic use MH - Drug Combinations MH - Echocardiography MH - *Heart Failure/chemically induced/diagnostic imaging/drug therapy MH - Humans MH - Stroke Volume MH - *Tetrazoles/therapeutic use MH - Treatment Outcome MH - Valsartan OTO - NOTNLM OT - Chagas cardiomyopathy OT - Chagas disease OT - heart failure OT - sacubitril/valsartan EDAT- 2021/07/10 06:00 MHDA- 2022/04/12 06:00 CRDT- 2021/07/09 07:19 PHST- 2021/06/29 00:00 [revised] PHST- 2021/04/20 00:00 [received] PHST- 2021/06/30 00:00 [accepted] PHST- 2021/07/10 06:00 [pubmed] PHST- 2022/04/12 06:00 [medline] PHST- 2021/07/09 07:19 [entrez] AID - 10.1111/bcp.14978 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2022 Feb;88(2):429-436. doi: 10.1111/bcp.14978. Epub 2021 Jul 31.