Combo therapy lowers natriuretic peptide, study shows

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Results of a trial of sacubitril and valsartan in patients with heart failure with preserved ejection fraction (HFpEF) show a reduction in N-terminal pro-b-type natriuretic peptide ( NT-proBNP), researchers report.
In the PARALLAX study, reported at the European Society of Cardiology’s virtual congress (ESC 2020) this week, patients with HFpEF were randomised to titrated dosing of sacubitril/valsartan or individualised care.
The individualised care aimed to continue their current therapy drug class: either the angiotensin receptor blocker, valsartan, the ACE-inhibitor, enalapril, or placebo, for patients not on a renin angiotensin system inhibitor, with titrated dosing.