Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift

Heart failure is a clinical syndrome responsible for at least one-third of hospitalisations amongst cardiac patients, with escalating mortality and healthcare costs on both public and private health care. Both prevalence and incidence of heart failure increase steeply with advancing age, making it a...

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Main Authors: M. O.E. Irhuma, M. Vally
Format: Article
Language:English
Published: AOSIS 2016-11-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/4524
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author M. O.E. Irhuma
M. Vally
author_facet M. O.E. Irhuma
M. Vally
author_sort M. O.E. Irhuma
collection DOAJ
description Heart failure is a clinical syndrome responsible for at least one-third of hospitalisations amongst cardiac patients, with escalating mortality and healthcare costs on both public and private health care. Both prevalence and incidence of heart failure increase steeply with advancing age, making it a growing public health problem. Pathophysiologically, heart failure clinically presents in two common forms: heart failure with preserved ejection fraction and heart failure with reduced ejection fraction. The cornerstone of heart failure management includes the use of angiotensin-converting enzyme inhibitors. A recently developed pharmacotherapy that inhibits both the angiotensin receptor and the enzyme neprilysin has shown promise in the management of heart failure with reduced ejection fraction. This article will highlight the impact of this new therapy and its potential use in heart failure with reduced ejection fraction.
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spelling doaj.art-801839061dbb4212a01f2e4dfd12d1842022-12-21T21:18:50ZengAOSISSouth African Family Practice2078-61902078-62042016-11-01585606310.4102/safp.v58i5.45243671Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shiftM. O.E. Irhuma0M. Vally1Division of Clinical and Experimental Pharmacology, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand, JohannesburgDivision of Clinical and Experimental Pharmacology, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand, JohannesburgHeart failure is a clinical syndrome responsible for at least one-third of hospitalisations amongst cardiac patients, with escalating mortality and healthcare costs on both public and private health care. Both prevalence and incidence of heart failure increase steeply with advancing age, making it a growing public health problem. Pathophysiologically, heart failure clinically presents in two common forms: heart failure with preserved ejection fraction and heart failure with reduced ejection fraction. The cornerstone of heart failure management includes the use of angiotensin-converting enzyme inhibitors. A recently developed pharmacotherapy that inhibits both the angiotensin receptor and the enzyme neprilysin has shown promise in the management of heart failure with reduced ejection fraction. This article will highlight the impact of this new therapy and its potential use in heart failure with reduced ejection fraction.https://safpj.co.za/index.php/safpj/article/view/4524ace-inhibitorsangiotensin receptor blockersarbsenalaprilheart failurehfref managementneprilysin inhibitorssacubitrilvalsartan
spellingShingle M. O.E. Irhuma
M. Vally
Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift
South African Family Practice
ace-inhibitors
angiotensin receptor blockers
arbs
enalapril
heart failure
hfref management
neprilysin inhibitors
sacubitril
valsartan
title Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift
title_full Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift
title_fullStr Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift
title_full_unstemmed Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift
title_short Use of angiotensin receptor – neprilysin inhibitors in heart failure: a paradigm shift
title_sort use of angiotensin receptor neprilysin inhibitors in heart failure a paradigm shift
topic ace-inhibitors
angiotensin receptor blockers
arbs
enalapril
heart failure
hfref management
neprilysin inhibitors
sacubitril
valsartan
url https://safpj.co.za/index.php/safpj/article/view/4524
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