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      • Recent large scale randomized clinical trials (RCTs) have provided compelling evidence that sacubitril-valsartan, an angiotensin receptor-neprilysin inhibitor (ARNI), is superior to an ACEI in reducing mortality and HF hospitalization and in improving quality of life in patients with stage C HFrEF.
      www.ncbi.nlm.nih.gov/pmc/articles/PMC9536660/
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  2. Oct 19, 2021 · This study aimed to compare the efficacy of angiotensin receptor‐neprilysin inhibitor (ARNI) therapy with angiotensin converting enzyme inhibitor or angiotensin receptor blocker (ACEI/ARB) therapy for cardiovascular outcomes in patients with acute myocardial infarction (AMI).

  3. Nov 29, 2022 · In this nationwide real-world study including a population of patients with HF with reduced or mildly reduced EF, ARNI as part of guideline-led Swedish clinical practice was associated with a statistically significant relative risk reduction in all-cause mortality compared with ACEi/ARB. Supplementary Information.

    • 10.1007/s00392-022-02124-w
    • 2023
    • Clin Res Cardiol. 2023; 112(1): 167-174.
  4. We assessed the real-world effectiveness of ARNI versus angiotensin-converting enzyme inhibitor/angiotensin receptor blocker (ACEi/ARB) on all-cause and cardiovascular (CV)-related mortality and hospitalizations in heart failure (HF) with reduced or mildly reduced ejection fraction (EF).

    • What Is An Arni Drug?
    • Who Can Take An Arni medication?
    • What Dose of Arni Do I take?
    • Why Is Arni used?
    • Who Shouldn’T Take Arni Drugs?
    • What Does Arni Treat?
    • How Common Are Arni Drugs?

    ARNI, or an angiotensin receptor/neprilysin inhibitor, is made up of two drugs put together to treat heart failure. It contains an ARB (angiotensin II receptor blocker) and a neprilysin inhibitor. Sacubitril/valsartanis the only ARNI drug available now. The Food and Drug Administration approved the drug in 2015.

    You can take an ARNI drug if you just got a diagnosis of heart failure with a reduced ejection fraction(a measure of your heart’s pumping function) of 40% or less. A normal ejection fraction is 55% to 65%. Also, you can switch to an ARNI drug if you were taking an ACE inhibitoror ARB for heart failure. However, if you’re switching from an ACE inhib...

    Most people start with a dose of 49/51 mg (milligrams) sacubitril/valsartan twice a day. After the first two to four weeks, they gradually increase their dose to 97/103 mg sacubitril/valsartan twice a day. Your provider will give you guidance in figuring out your doses. If your kidneys aren’t working well or you have low blood pressure, you may tak...

    Many people start taking an ARNI drug because they want to stop taking an ACE inhibitor that makes them cough. Also, an ARNI medication helps your left ventricle work better. This is important because your left ventricle pumps oxygen-rich blood to your whole body. One study showed that after taking ARNI medication for a year, people increased their...

    You shouldn’t take ARNI drugs if you: 1. Got angioedema (facial swelling) when you took an ACE inhibitor or ARB drug. 2. Are pregnant or nursing. 3. Are still taking an ACE inhibitor or ARB drug. 4. Have a serious liver problem. 5. Are taking aliskiren. 6. Are overly sensitive to ARBs or ARNIs.

    ARNI drugs treat heart failure with reduced ejection fraction (Stage C). During Stage C of heart failure, you have structural heart disease and heart failure symptoms. Also, ARNI medication can help people who have heart failure with preserved ejection fraction (normal pumping function but your heart is stiff and can’t hold as much blood). This is ...

    Only about 10% of the more than 2 million people who could benefit from an ARNI drug are using it. Possible reasons for this low usage of ARNI drugs include: 1. Providers aren’t familiar with ARNI medication. 2. Providers don’t want to change medications for people who are stable on other drugs. 3. Insurers won’t pay for ARNI drugs. 4. People aren’...

  5. ARB is an acceptable alternative when ACE inhibitor is not tolerated (principally due to cough), and MRA should be added to the ACE inhibitor/ARB. ARNI represents a new and more effective alternative to ACE inhibitor for patients with HFrEF.

    • Darryl P. Leong, Darryl P. Leong, John J.V. McMurray, Philip G. Joseph, Salim Yusuf
    • 2019
  6. Mar 24, 2020 · Recent large scale randomized clinical trials (RCTs) have provided compelling evidence that sacubitril-valsartan, an angiotensin receptor-neprilysin inhibitor (ARNI), is superior to an ACEI in reducing mortality and HF hospitalization and in improving quality of life in patients with stage C HFrEF.

  7. Aims: This study aimed to compare the efficacy of angiotensin receptor-neprilysin inhibitor (ARNI) therapy with angiotensin converting enzyme inhibitor or angiotensin receptor blocker (ACEI/ARB) therapy for cardiovascular outcomes in patients with acute myocardial infarction (AMI).

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