SynthesisScientific reports2025
Impact of sacubitril/valsartan on chronic heart failure patients with sleep-disordered breathing: a systematic review and meta-analysis.
Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
8 authors.
Funding
Abstract
Chronic heart failure (CHF) affects 1-2% of adults in developed countries, with up to 50% experiencing sleep-disordered breathing (SDB). Sacubitril/valsartan (sac/val) has shown potential benefits on respiratory function, but its effect on SDB remains uncertain. This study aims to evaluates the effectiveness of sac/val on SDB and respiratory function in CHF patients. Electronic searches were conducted based on MEDLINE, EMBASE, Cochrane Library, and Web of Science using MeSH terms and relevant keywords. Apnea-hypopnea index (AHI) and central apnea index (CAI) were used as primary outcome. Statistical analysis was performed using Stata 15.1 SE, with Cochrane Q and I² statistics used for heterogeneity assessment. Publication bias and sensitivity analyses were conducted using various methods. Risk of bias was assessed using the MINORS and ROB 2.0 tools. Seven studies met inclusion criteria. Results indicated that sac/val significantly reduced AHI (mean difference [MD], -3.56; P < 0.001) and increased mean oxygen saturation (MD = 0.61; P < 0.001), although there was a modest rise in CAI (MD = 0.30; P = 0.049). The pooled analysis indicated a 22% reduction in CSA patients. The analysis demonstrated a statistically significant reduction in AHI and an improvement in SpO2 during sleep after using sac/val. While these findings suggest improvements in SDB, further high-quality research is needed to confirm these results and explore underlying mechanisms.
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