Natriuretic peptides, heart failure and LCZ696 (Entresto®)
نویسنده
چکیده
Both BNP and NT-proBNP are considered to be gold standard biomarkers of HF. Both of these are also incorporated into the majority of the national and international cardiovascular therapy guidelines. However, despite this, our understanding of their very complex nature is still far from being complete and comprehensive. Moreover, the constant development of new approaches in patient care and the implementation of new therapeutic agents generate new questions and challenges for the use of NPs for HF diagnostics and the monitoring of HF therapy.
منابع مشابه
Combined Angiotensin Receptor Antagonism and Neprilysin Inhibition.
Heart failure affects ≈5.7 million people in the United States alone. Angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, β-blockers, and aldosterone antagonists have improved mortality in patients with heart failure and reduced ejection fraction, but mortality remains high. In July 2015, the US Food and Drug Administration approved the first of a new class of drugs for the...
متن کاملThe evolution of natriuretic peptide augmentation in management of heart failure and the role of sacubitril/valsartan
Heart failure (HF) is one of the leading causes of morbidity, mortality, and health care expenditures in the US and worldwide. For three decades, the pillars of treatment of HF with reduced ejection fraction (HFrEF) were medications that targeted the sympathetic nervous system (SNS) and the renin-angiotensin-aldosterone system (RAAS). Prior attempts to augment the natriuretic peptide system (NP...
متن کاملDual angiotensin receptor and neprilysin inhibition as an alternative to angiotensin-converting enzyme inhibition in patients with chronic systolic heart failure: rationale for and design of the Prospective comparison of ARNI with ACEI to Determine Impact on Global Mortality and morbidity in Heart Failure trial (PARADIGM-HF)
AIMS Although the focus of therapeutic intervention has been on neurohormonal pathways thought to be harmful in heart failure (HF), such as the renin-angiotensin-aldosterone system (RAAS), potentially beneficial counter-regulatory systems are also active in HF. These promote vasodilatation and natriuresis, inhibit abnormal growth, suppress the RAAS and sympathetic nervous system, and augment pa...
متن کاملCombined neprilysin and renin-angiotensin system inhibition for the treatment of heart failure.
Neprilysin is an enzyme that contributes to the breakdown of the biologically active natriuretic peptides and several other vasoactive compounds. Inhibiting neprilysin has been a therapeutic target for several compounds that have been tested in cardiovascular disease, including ecadotril, candoxatril, omapatrilat, and LCZ696. Although ecadotril, candoxatril, and omapatrilat were initially teste...
متن کاملLCZ696, an angiotensin receptor neprilysin inhibitor (ARNI): clinical development in heart failure and hypertension
Background Natriuretic peptides have potent natriuretic and vasodilator properties, reduce sympathetic drive, inhibit aldosterone secretion and have antiproliferative and antihypertrophic properties [1]. Increasing the concentration of natriuretic peptides through neprilysin (NEP) inhibition thus represents a therapeutic approach with the potential to confer cardiac, vascular and renal protecti...
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تاریخ انتشار 2015