Evidence mapPaperPMID 41848029Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2026

Efficacy and Safety of Sacubitril/Valsartan After Switching From Azilsartan in Essential Hypertensive Patients: Based on Home Blood Pressure Monitoring.

Yoshio Iwashima, Masato Sugiura, Takeshi Horio, Koichi Yamamoto, Nobuyuki Takahashi

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Yoshio IwashimaDepartment of Geriatric and General Medicine, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan.
Masato SugiuraDepartment of Clinical Engineering, Kansai Medical University Kori Hospital, Neyagawa, Osaka, Japan.
Takeshi HorioDepartment of Cardiovascular Medicine, Ishikiri Seiki Hospital, Higashiosaka, Osaka, Japan.
Koichi YamamotoDepartment of Geriatric and General Medicine, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan.
Nobuyuki TakahashiDepartment of Internal Medicine, Kansai Medical University Kori Hospital, Neyagawa, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study assessed the efficacy and safety of sacubitril/valsartan in 27 essential hypertensive patients (mean age 74 years; male 48.1%) after switching from azilsartan, an angiotensin receptor blocker. At baseline and 3 and 6 months after the start of sacubitril/valsartan treatment, home blood pressure (HBP) and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels were measured. The mean dosage of azilsartan was 27±10 mg/day at baseline and that of sacubitril/valsartan after 6 months of treatment was 170±47 mg/day. After 6 months, significant reductions in mean morning HBP (144 ± 13/77 ± 13 to 128 ± 10/71 ± 9 mmHg) and median (IQR) NT-proBNP level (188.2 [85.3-887.3] to 124.0 [83.6-696.2] pg/mL) were observed. Twenty-one out of 27 patients accomplished recording of their nighttime HBP, and the morning-nighttime difference in systolic HBP was decreased (8.8 ± 13.5 to 3.9 ± 8.5 mmHg)(all p < 0.05 by repeated-measures ANOVA). In hypertensive patients, sacubitril/valsartan was generally well tolerated, except for causing hypotension, effectively controlled out-of-office BP, and decreased NT-proBNP.

Indexed as

AminobutyratesBenzimidazolesEssential HypertensionHypertensionOxadiazolesTetrazolesAgedAged, 80 and overAngiotensin Receptor AntagonistsAntihypertensive AgentsBiphenyl CompoundsBlood PressureBlood Pressure Monitoring, AmbulatoryDrug CombinationsDrug SubstitutionFemaleAminobutyratesAngiotensin Receptor AntagonistsAntihypertensive AgentsazilsartanBenzimidazolesBiphenyl CompoundsDrug CombinationsNatriuretic Peptide, BrainOxadiazolesPeptide Fragmentspro-brain natriuretic peptide (1-76)sacubitril and valsartan sodium hydrate drug combinationTetrazolesValsartanhome blood pressureN‐terminal pro‐brain natriuretic peptidesacubitril/valsartan

Identifiers

PMID41848029
PMCPMC13097345

What Socratic holds

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LicenceCC BY-NC
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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.