Dual 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)
Identifieur interne : 000693 ( Main/Exploration ); précédent : 000692; suivant : 000694Dual 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)
Auteurs : John J. V. Mcmurray [Royaume-Uni] ; Milton Packer [États-Unis] ; Akshay S. Desai [États-Unis] ; Jim Gong [États-Unis] ; Martin P. Lefkowitz [États-Unis] ; Adel R. Rizkala [États-Unis] ; Jean Rouleau [Canada] ; Victor C. Shi [États-Unis] ; Scott D. Solomon [États-Unis] ; Karl Swedberg [Suède] ; Michael R. Zile [États-Unis]Source :
- European Journal of Heart Failure [ 1388-9842 ] ; 2013-09.
Abstract
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 parasympathetic activity. The best understood of these mediators are the natriuretic peptides which are metabolized by the enzyme neprilysin. LCZ696 belongs to a new class of drugs, the angiotensin receptor neprilysin inhibitors (ARNIs), which both block the RAAS and augment natriuretic peptides.
Url:
DOI: 10.1093/eurjhf/hft052
Affiliations:
- Canada, Royaume-Uni, Suède, États-Unis
- Massachusetts, Québec, Écosse
- Glasgow, Montréal
- Université de Glasgow
Links toward previous steps (curation, corpus...)
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- to stream Istex, to step Curation: 001598
- to stream Istex, to step Checkpoint: 000350
- to stream Main, to step Merge: 000694
- to stream Main, to step Curation: 000693
Le document en format XML
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<front><div type="abstract">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 parasympathetic activity. The best understood of these mediators are the natriuretic peptides which are metabolized by the enzyme neprilysin. LCZ696 belongs to a new class of drugs, the angiotensin receptor neprilysin inhibitors (ARNIs), which both block the RAAS and augment natriuretic peptides.</div>
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