Evidence map›Paper›PMID 40235086›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2025

The Effect of Sacubitril/Valsartan on Supraventricular and Ventricular Arrhythmias in Patients With Heart Failure.

Alireza Arzhangzadeh, Mohammad Hossein Nikoo, Majid Haghjoo, Fatemeh Rasekh, Shayan Shojaei, Asma Mousavi, Salma Nozhat, Roozbeh Narimani-Javid, Helia Bazroodi, Sana Neisi and 5 more

Abstract read
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

15 authors.

Alireza ArzhangzadehDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Hossein NikooCardiovascular Research Center, Department of Cardiovascular Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Majid HaghjooRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-9963-6628
Fatemeh RasekhStudent Research Committee, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Shayan ShojaeiCardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2614-2467
Asma MousaviCardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Salma NozhatDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Roozbeh Narimani-JavidTehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-9134-8787
Helia BazroodiStudent Research Committee, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Sana NeisiStudent Research Committee, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Mitra MojibpourStudent Research Committee, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Mohammad AbediniStudent Research Committee, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Saghi EslamzadehStudent Research Committee, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Hamed Bazrafshan DrissiDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-5705-3504
Sasan ShafieiDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with heart failure with reduced ejection fraction (HFrEF) frequently experience electrical disturbances, such as ventricular or atrial fibrillation (AF). Sacubitril/Valsartan (SV) therapy has been linked to lower rates of mortality, ventricular tachycardia (VT), and ventricular fibrillation (VF), with decreased reliance on implantable cardioverter-defibrillator (ICD) therapy. However, studies on the antiarrhythmic effects of SV in patients with ICD or cardiac resynchronization therapy defibrillator (CRT-D) devices are limited. This study aimed to evaluate the impact of SV therapy on antiarrhythmic pacing, defibrillation shock occurrences, and the burden of ventricular arrhythmias in patients with HFrEF who have ICD or CRT-D devices.

methodThis study was conducted at a HF outpatient clinic involving patients with HFrEF treated with SV. Primary outcomes included the incidence of VT, VF, non-sustained VT (NsVT), supraventricular tachycardia (SVT), and related interventions such as antiarrhythmic pacing (ATP) and defibrillation shocks.

resultA total of 181 HFrEF patients completed at least 12 months of follow-up, with a mean age of 63.39 ± 12 years; 36.5% were male, and 60.8% had an ICD. Device interrogation revealed a significant reduction in VF incidents (7 vs. 15, p = 0.025) and a decrease in the combined outcome of VT and VF (17 vs. 24, p = 0.047). The need for ICD interventions such as ATP and shocks also significantly decreased following the initiation of SV therapy (10 vs. 24, p = 0.012).

conclusionSV therapy significantly reduces the incidence of cardiac arrhythmias, particularly VT and VF, while decreasing the need for clinical interventions related to implanted devices.

Indexed as

AminobutyratesAngiotensin Receptor AntagonistsHeart FailureTachycardia, SupraventricularTachycardia, VentricularTetrazolesValsartanVentricular FibrillationAgedArrhythmias, CardiacBiphenyl CompoundsDefibrillators, ImplantableDrug CombinationsElectrocardiographyFemaleHumansAminobutyratesAngiotensin Receptor AntagonistsBiphenyl CompoundsDrug Combinationssacubitril and valsartan sodium hydrate drug combinationTetrazolesValsartanarrhythmiasCRT‐Dheart failureICDSacubitril/Valsartan

Identifiers

PMID40235086
PMCPMC12000223

What OpenQuestion holds

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Registered trials

None linked

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.