Evidence map›Paper›PMID 37733084›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2024

Effect of sacubitril/valsartan on cardiac remodeling compared with other renin-angiotensin system inhibitors: a difference-in-difference analysis of propensity-score matched samples.

Erberto Carluccio, Frank L Dini, Michele Correale, Giuseppe Dattilo, Michele Ciccarelli, Francesca Vannuccini, Stefano Sforna, Giuseppe Pacileo, Daniele Masarone, Laura Scelsi and 8 more

Abstract readComparative Study
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  4. Review
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  7. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Erberto CarluccioCardiology and Cardiovascular Pathophysiology, S. Maria Della Misericordia Hospital, University of Perugia, Perugia, Italy. erberto.carluccio@unipg.it.ORCID http://orcid.org/0000-0002-9296-4397
Frank L DiniThoracic and Vascular Department, University of Pisa, Pisa, Italy.
Michele CorrealeDepartment of Cardiology, University Hospital Foggia, Foggia, Italy.
Giuseppe DattiloDepartment of Biomedical, Dental Sciences, and Morphofunctional Imaging, University of Messina, Messina, Italy.
Michele CiccarelliChair of Cardiology, Department of Medicine, Surgery and Dentistry, University of Salerno, Fisciano, Italy.
Francesca VannucciniCardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department, Le Scotte Hospital, University of Siena, Siena, Italy.
Stefano SfornaCardiology and Cardiovascular Pathophysiology, S. Maria Della Misericordia Hospital, University of Perugia, Perugia, Italy.
Giuseppe PacileoHeart Failure Unit, AORN Dei Colli, Monaldi Hospital, Naples, Italy.
Daniele MasaroneHeart Failure Unit, AORN Dei Colli, Monaldi Hospital, Naples, Italy.
Laura ScelsiDivision of Cardiology, Fondazione I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
Stefano GhioDivision of Cardiology, Fondazione I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
Carlo Gabriele TocchettiDepartment of Translational Medical Sciences, Federico II University, Naples, Italy.
Valentina MercurioDepartment of Translational Medical Sciences, Federico II University, Naples, Italy.
Natale Daniele BrunettiDepartment of Cardiology, University Hospital Foggia, Foggia, Italy.
Savina NodariDepartment of Cardiology, University of Brescia and ASST Spedali Civili Di Brescia, Brescia, Italy.
Giuseppe AmbrosioCardiology and Cardiovascular Pathophysiology, S. Maria Della Misericordia Hospital, University of Perugia, Perugia, Italy.
Alberto PalazzuoliCardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department, Le Scotte Hospital, University of Siena, Siena, Italy.
Working Group on Heart Failure of the Italian Society of Cardiology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with heart failure with reduced ejection fraction (HFrEF), treatment with sacubitril-valsartan (S/V) may reverse left ventricular remodeling (rLVR). Whether this effect is superior to that induced by other renin-angiotensin system (RAS) inhibitors is not well known.

methodsHFrEF patients treated with S/V (n = 795) were compared, by propensity score matching, with a historical cohort of 831 HFrEF patients (non-S/V group) treated with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (RAS inhibitors). All patients were also treated with beta-blockers and shared the same protocol with repeat echocardiogram 8-12 months after starting therapy. The difference-in-difference (DiD) analysis was used to evaluate the impact of S/V on CR indices between the two groups.

resultsAfter propensity score matching, compared to non-S/V group (n = 354), S/V group (n = 354) showed a relative greater reduction in end-diastolic and end-systolic volume index (ESVI), and greater increase in ejection fraction (DiD estimator =  + 5.42 mL/m

conclusionIn HFrEF patients treated with beta-blockers, sacubitril/valsartan is associated with a relative greater benefit in LV reverse remodeling indices than other RAS inhibitors.

Indexed as

AminobutyratesAngiotensin Receptor AntagonistsBiphenyl CompoundsDrug CombinationsHeart FailurePropensity ScoreStroke VolumeTetrazolesValsartanVentricular RemodelingAngiotensin-Converting Enzyme InhibitorsEchocardiographyFemaleHumansMaleRenin-Angiotensin SystemAminobutyratesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsBiphenyl CompoundsDrug Combinationssacubitrilsacubitril and valsartan sodium hydrate drug combinationTetrazolesValsartanARNICardiac remodelingHeart failure, RAS inhibitorsNeprilysin inhibitorsSacubitril/valsartan

Identifiers

PMID37733084
PMCPMC11108945

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.