The two primary goals of it's management are preventing further disease progression(mortality,hospitalizations and deterioration of left ventricular function)and alleviating patient suffering
Heart failure (HF) is emerging as an epidemic in 3rd world countries. Despite significant therapeutic advances, patients with chronic heart failure remain at high risk for HF progression and death. The two primary goals of its management are preventing further disease progression(mortality, hospitalizations and deterioration of left ventricular function)and alleviating patient suffering.Sacubitril /valsartan (previously known as LCZ696) is a first-in-class medicine that contains a neprilysin (NEP )inhibitor(sacubitril) and an angiotensin II receptor blocker (valsartan). NEP is an endopeptidase that metabolizes different vasoactive peptides including natriuretic peptides, bradykinin and Ang -II. In consequence, its inhibition increases mainly the levels of both natriuretic peptides (promoting diuresis, natriuresis and vasodilation) and Ang- II whose effects are blocked by the angiotensin receptor blocker, valsartan (reducing vasoconstriction and aldosterone release).
Study Type
OBSERVATIONAL
Enrollment
200
Sacubitril/Valsartan is indicated to reduce the risk of cardiovascular death and hospitalization for heart failure in patients with chronic heart failure (NYHA Class II-IV) and reduced ejection fraction. Sacubitril/Valsartan is usually administered in conjunction with another heart failure therapies, in place of an ACE inhibitor or other ARB.
Doctors hospital and medical center
Lahore, Punjab Province, Pakistan
Assess the result on the quality of life through Kansas city cardiomyopathy Questionnaire
comparison of the quality of life questionnaire before and after the treatment of sacubitril/ valsartan
Time frame: 1 year
Analyze the result on mortality of heart failure patients through Kansas city cardiomyopathy Questionnaire
Improvement in mortality of heart failure patients after taking treatment of sacubitril/ valsartan.
Time frame: 1 year
Incidence of acute kidney injury after taking angiotensin receptor neprilysin inhibitor
changes in the baseline of acute kidney injury, electrolyte imbalance and hemodynamic instability before and after taking treatment of sacubitril valsartan
Time frame: 1 year
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