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Giofrè F, Ventura M, Sacchetta L, Arturi F, Clausi C, Pelle M, Zaffina I, Lucà S, Sciacqua A, De Rosa F, Cloro C. C77 EFFECT OF SACUBITRIL/VALSARTAN ON BOTH METABOLIC PARAMETER AND INSULIN RESISTANCE IN NON OBESE NON DIABETIC PATIENTS WITH HEART FAILURE. Eur Heart J Suppl 2022. [DOI: 10.1093/eurheartj/suac011.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Background
Sacubitril/Valsartan has been shown to improve mortality and reduce hospitalizations in patients with heart failure with reduced ejection fraction (HFrEF). Moreover Sacubitril/Valsartan showed a significantly reduction in the HbA1c in diabetic patients. The effect of Sacubitril/Valsartan on metabolic parameter and insulin resistence in both, non obese and non diabetic patients, have not been previously described.
Aim
We evaluated the effects of the Sacubitril/Valsartan on both glycaemic and metabolic parameter, on HOMA–IR and on echocardiographic parameters in patients with HFrEF.
Methods
A total of 59 non obese and non diabetic patients with a diagnosis of HFrEF (EF < 35%) have been enrolled. All the patients underwent a complete anthropometrical evaluation, laboratory determinations (including fasting glucose, fasting insulin, HbA1c) and echocardiogram evaluation. Data analysis was made after 24 weeks of treatment. The insulin resistance has been assessed by HOMA–IR.
Results
Data analysis demostrated a significant reduction in fasting plasma glucose (111.4 + 11.5 vs 106 + 10 mg/dl, P = 0.03), fasting plasma insulin (13.6 + 5.9 vs 10.5 + 4.4 µUI/ml), HbA1c value (6.14 + 0.5% vs 5.9 + 0.3%, P < 0.01) and insulin resistance (HOMA–IR, 3.74 + 2.2 vs 2.7 + 2.1, P = 0.03). The echocardiogram evaluation showed a significant reduction of the end–diastolic left ventricular volume (168 + 44 vs 150 + 38 ml, P < 0.05), a no significant reduction of the end–systolic left ventricular volume (98 + 26 vs 88 + 22 ml, P = 0.07), a significant reduction of E/e1 ratio and an average 7.8% increase in ejection fraction (EF), from a mean baseline of 32.3 + 2.4 to 40.1 + 3.8% (P < 0.0001). No differences in interventricular septal (IVS) thickness, posterior wall (PW) thickness, A–wave, E–wave and E/A ratio have been observed. No differences in anthropometrical parameters (weight, body mass index, waist circumference) and blood pressure were observed.
Conclusions
Our data, even if preliminary, seem to indicate that sacubitril/valsartan might enhance glycaemic control and improve insulin resistance in non obese/non diabetic patients with HFrEF. Also, our data confirm that sacubitril/valsartan treatment is able to improve ejection fraction in HFrEF patients.
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Affiliation(s)
- F Giofrè
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - M Ventura
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - L Sacchetta
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - F Arturi
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - C Clausi
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - M Pelle
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - I Zaffina
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - S Lucà
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - A Sciacqua
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - F De Rosa
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
| | - C Cloro
- UNIVERSITÀ DEGLI STUDI MAGNA GRAECIA, CATANZARO; AO “SS ANNUNZIATA” COSENZA
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Pessôa SB, Sacchetta L, Cavalheiro J. [Note on haemogregarines from Brazilian snakes. On a new species of the genus Haemogregarina (S.S.), parasite of Thamnodynayes pallidus nattereri (Thumberg) and its development in mosquitoes]. Rev Latinoam Microbiol 1971; 13:29-32. [PMID: 4397231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Pessôa SB, Paulo S, Sacchetta L, Cavalheiro J. [Notes on hemogregarines of Brazilian snakes. X. Hemogregarines of Hydrogynastes gigas (Duméril and Bibron) and its development]. Rev Latinoam Microbiol 1970; 12:197-200. [PMID: 4993219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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