Evidence map›Paper›PMID 35222898›Full record

Trial reportJournal of healthcare engineering2022

The Difference between Sacubitril Valsartan and Valsartan on Vascular Endothelial Function, APN, MMP-9, and BNP Levels in Patients with Hypertension and Chronic Heart Failure.

Haiping Du, Xiao Li, Weifang Zhao, Ning Jiang

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of healthcare engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Haiping DuDepartment of Cardiology (I), East Hospital, Yantaishan Hospital, Yantai 264000, Shandong, China.ORCID 0000-0001-7230-268X
Xiao LiDepartment of Cardiology (II), The Third People's Hospital of Qingdao, Qingdao University, Qingdao 266041, Shandong, China.ORCID 0000-0001-5739-1872
Weifang ZhaoCardiac Function Examination Room, Affiliated Qingdao Central Hospital, Qingdao University, Qingdao 266042, Shandong, China.ORCID 0000-0001-7941-3411
Ning JiangDepartment of Hypertension, Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan 250012, Shandong, China.ORCID 0000-0002-9038-9667
Qingdao University · CNYantaishan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacubitril valsartan and valsartan are the first new drugs approved for angiotensin receptor neprilysin lysine inhibitors (ARNIs) in outpatients with chronic heart failure (CHF) and hypertension. Compared with enalapril, sacubitril valsartan and valsartan have been shown to reduce the mortality and morbidity of cardiovascular diseases. However, there is little actual evidence regarding the efficacy of ARNIs in hypertensive patients with CHF.

methodsFrom January 2019 to January 2021, 60 patients with hypertension and chronic heart failure were diagnosed and treated in our hospital. The patients were randomly divided into an observation group and a control group, with 30 cases in each group. The control group was given valsartan, the observation group was given sacubitril valsartan, and both groups were treated for six months. The endothelium-dependent vasodilation (EDD) function of the brachial artery and serum nitric oxide (NO), endothelin-1 (ET-1), carotid artery intima-media thickness, and glomerular filtration, excess rate (eGFR), and left ventricular ejection fraction (LVEF) were compared between the two groups of patients before and after treatment. The serum adiponectin (APN), matrix metalloproteinase-9 (MMP-9), and brain natriuretic peptide (BNP) levels were compared before and after treatment.

resultsThe total effective rate of treatment in the research group was higher than that in the control group (

conclusionIn the treatment of hypertension and chronic heart failure, sacubitril valsartan can improve the clinical symptoms of patients to the greatest extent and can significantly improve the levels of LVEF, LVEDD, NT-proBNP, heart function, and other indicators. Sacubitril valsartan can increase serum APN levels, reduce MMP-9 and BNP levels, and have good clinical effects. Sacubitril valsartan has a protective effect on the vascular endothelial function of patients with hypertension and CHF. However, these results need to be confirmed in studies involving more subjects and require longer follow-up times.

Indexed as

Heart FailureHypertensionAdiponectinAminobutyratesAngiotensin Receptor AntagonistsBiphenyl CompoundsCarotid Intima-Media ThicknessDrug CombinationsEndotheliumHumansMatrix Metalloproteinase 9Natriuretic Peptide, BrainStroke VolumeTreatment OutcomeValsartanVentricular Function, LeftAdiponectinAminobutyratesAngiotensin Receptor AntagonistsBiphenyl CompoundsDrug CombinationsMatrix Metalloproteinase 9Natriuretic Peptide, BrainsacubitrilValsartan

Identifiers

PMID35222898
PMCPMC8881145
OpenAlexW4212860749

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.