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Table 1 Baseline characteristics of patients in the ARNI-continue and ARB switch-groups

From: Effects of switching from sacubitril/valsartan to valsartan alone on plasma levels of natriuretic peptides and myocardial remodeling in heart failure with reduced ejection fraction

Variables

Total (n = 11)

ARNI-continue group (n = 5)

ARB-switch group (n = 6)

p-value

Age, year

68.1 ± 10.9

76.6 ± 5.1

61.0 ± 9.3

0.028

Male gender, n (%)

8 (73)

3 (60)

5 (83)

0.333

Weight, kg

67.3 ± 10.1

66.7 ± 3.3

67.8 ± 13.9

0.624

Body mass index, kg/m2

25.1 ± 3.8

25.0 ± 2.9

25.2 ± 4.7

1.000

Body surface area, m2

1.73 ± 0.12

1.73 ± 0.05

1.73 ± 0.17

0.621

Heart rate, beats/min

69 ± 11

73 ± 12

66 ± 10

0.409

 Heart rhythm disorder

 Atrial fibrillation, n (%)

3 (27)

1 (20)

2 (33)

0.576

 Pacing, n (%)

1 (9)

1 (20)

0 (0)

0.455

 Systolic BP, mmHg

123 ± 16

117 ± 18

128 ± 14

0.325

 Diastolic BP, mmHg

77 ± 14

66 ± 14

83 ± 7

0.045

Risk factor

 Previous or current hypertension, n (%)

6 (55)

2 (40)

4 (67)

0.392

 Previous or current DM, n (%)

5 (45)

4 (80)

1 (17)

0.067

 Previous or current dyslipidemia, n (%)

6 (55)

3 (60)

3 (50)

0.608

 Previous or current smoking, n (%)

6 (55)

2 (40)

4 (67)

0.392

 NYHA class ≥ III, n (%)

3 (27)

1 (20)

2 (33)

0.576

 Ischemic heart failure etiology, n (%)

5 (45)

3 (60)

2 (33)

0.392

Biochemical data

 Serum creatinine, mg/dL

1.1 ± 0.4

1.1 ± 0.4

1.2 ± 0.4

0.855

 eGFR, mL/min/1.73 m2

54.7 ± 19.9

54.0 ± 25.2

55.4 ± 15.9

0.754

 ANP (pg/mL)

908.4 ± 635.6

611.6 ± 474.6

1155.7 ± 592.6

0.144

 BNP (pg/mL)

375.2 ± 296.7

195.4 ± 141.5

524.9 ± 311.1

0.100

 NT-proBNP (pg/mL)

1003.7 ± 753.2

785.8 ± 457.9

1185.3 ± 835.6

0.584

 ARNI administration period before enrollment, months

40 ± 17

29 ± 16

48 ± 13

0.062

Medications at enrollment

 β-blockers, n (%)

11 (100)

5 (100)

6 (100)

1.000

 Loop diuretics, n (%)

9 (82)

4 (80)

5 (83)

0.727

 Aldosterone antagonists, n (%)

5 (45)

2 (40)

3 (50)

0.608

 Calcium sensitizers, n (%)

2 (18)

2 (40)

0 (0)

0.182

 SGLT-2 inhibitors, n (%)

1 (9)

0 (0)

1 (17)

0.546

 Statins, n (%)

7 (64)

3 (60)

4 (67)

0.500

 Antiarrhythmic drugs, n (%)

1 (9)

0 (0)

1 (17)

0.546

Echocardiographic data

 LVEDV index, mL/m2

67.2 ± 29.2

62.3 ± 24.2

71.2 ± 35.0

0.806

 LVESV index, mL/m2

39.6 ± 21.5

37.5 ± 21.2

41.3 ± 24.1

0.806

 LVEF, %

43.2 ± 11.1

42.8 ± 11.4

43.6 ± 12.2

1.000

 PWTd, mm

11.3 ± 1.5

11.8 ± 1.5

11.0 ± 1.6

0.451

 PWTs, mm

13.8 ± 2.2

14.5 ± 2.6

13.2 ± 1.8

0.451

 IVSTd, mm

10.7 ± 1.4

11.3 ± 1.5

10.2 ± 1.3

0.447

 IVSTs, mm

13.1 ± 2.0

13.3 ± 2.1

13.0 ± 2.1

0.898

 LVM index, g/m2

139.6 ± 27.7

138.7 ± 35.1

140.0 ± 24.7

0.624

  1. Values are mean ± standard deviation or number (%)
  2. ARNI angiotensin receptor-neprilysin inhibitor; ARB angiotensin II receptor blocker; BP blood pressure; DM diabetes mellitus; NYHA New York Heart Association; eGFR estimated glomerular filtration rate; ANP A-type natriuretic peptide; BNP B-type natriuretic peptide; NT-proBNP N-terminal pro-B-type natriuretic peptide; SGLT-2 sodium-glucose cotransporter 2; LVEDV left ventricular end-diastolic volume; LVESV left ventricular end-diastolic volume; LVEF left ventricular ejection fraction; LVM left ventricular mass, PWTd posterior wall thickness at end-diastole; PWTs posterior wall thickness at end-systole; IVSd interventricular septal thickness at end-diastole; IVSs interventricular septal thickness at end-systole; WS wall stress; ESWS end-systolic wall stress; PSWS peak-systolic wall stress