American Journal of Medical Case Reports. 2023, 11(2), 14-15
DOI: 10.12691/AJMCR-11-2-1
Sacubtril/valsartan in HFpEF and Maintenance Hemodialysis
Noriko Kuwae1, and Masahiro Yamasato1
1Department of Hemodialysis, Yonabaru Central Hospital, Yonabaru, Okinawa Prefecture, Japan
Pub. Date: February 02, 2023
Cite this paper
Noriko Kuwae and Masahiro Yamasato. Sacubtril/valsartan in HFpEF and Maintenance Hemodialysis.
American Journal of Medical Case Reports. 2023; 11(2):14-15. doi: 10.12691/AJMCR-11-2-1
Abstract
The purpose of this report is to describe effectiveness and tolerability of medical treatment with sacubitril/valsartan in a patient treated with hemodialysis. We describe the case of a 68-year-old man with heart failure with ejection fraction more than 60%, that is HFpEF undergoing hemodialysis. He had several times heart failure due to diastolic dysfunction, he could tolerate a dose of 50/50mg, total 100mg daily. After initiation of sacubitril/valsartan, there was a symptomatic improvement with clear reduction NT-proBNP, left atrial dimension, E/e’ as well as EF. In conclusion, in this patient with diastoric dysfunction undergoing hemodialysis, treatment with sacubitril/valsartan was effective, safe, and improved heart failure symptoms.
Keywords
Sacubitril/valsartan, ARNI, heart failure, HFpEF, hemodialysis
Copyright
This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit
http://creativecommons.org/licenses/by/4.0/
References
[1] | Bozukurt B, Coats AJ, Tsutsui H, et al: Universal definition and classification of heart failure. J Card Fail S, 2021. |
|
[2] | Solomon SD et al: Angiotensin-Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction. N Eng J Med 381: 1609-1620, 2019. |
|
[3] | Tsutui H et al: Acute and Chronic Heart Failure Treatment Japanese Guideline. 2021. [https://www.j-circ.or.jp/cms/wpcontent/uploads/2021/03/JCS2021_Tsutsui.pdf]. |
|
[4] | Alex Heyse: Sacubitril/Valsartan in heart failure and end-stage renal insufficiency. European Society of Cardiology Heart Failure: 1331-1333, 2019. |
|
[5] | Seonhwa Lee: Sacubtril/Valsartan in patients with heart failure with reduced ejection fraction with end-stage of renal disease: ESC Heart Fail: 7(3):1125-1129, 2020. |
|
[6] | Feng Z. Pharmacokinetics and pharmacodynamics and pharmacodynamics of Sacubtril/Valsartan in maintenance hemodialysis patients with heart failure. Blood Purification: 51: 270-279, 2021. |
|
[7] | Lihua Wang: Use of angiotensin receptor Neprilysin Inhibitor in patients on maintenance hemodialysis with reduced cardiac ejection fraction. IJKD: 15: 288-299, 2021. |
|
[8] | Pingping Kong: The effect of Sacubitril/Valsartan in a dialysis patient with severe heart failure. Case Reports in Clinical Medicine: 10(7): 197-202, 2021. |
|
[9] | Daimon Shoichiro: Effect of Saucbtril/Valsartan on cardiac function in hemodialysis patients, Letter to the editor. The Apher Dial: 1-2. 2021. |
|