PhD Scientific Days 2024

Poster Session M - Cardiovascular Medicine and Research 1.

Sacubitril/Valsartan Has Superior Antiremodeling Effect Compared to Angiotensin-Converting Enzyme Inhibition in Myocardial Samples of Advanced Heart Failure Patients Undergoing Heart Transplantation

Előadó neve

Dr. Nagy, Dávid

Neptun code

IJRXHI

Előadó munkahelye

Heart and Vascular Center, Semmelweis University

Előadó telefonszáma

06307149197

Előadó e-mail címe

nagyd1996@gmail.com

Az előadás címe

Sacubitril/Valsartan Has Superior Antiremodeling Effect Compared to Angiotensin-Converting Enzyme Inhibition in Myocardial Samples of Advanced Heart Failure Patients Undergoing Heart Transplantation

Szerző(k) neve és munkahelye

Dávid Nagy¹, Tímea Bálint¹, Petra Kocsis-Balogh¹, Zoltán Horváth¹, Attila Oláh¹, Alex Ali Sayour¹, Bálint András Barta¹, Béla Merkely¹, Tamás Radovits¹, Mihály Ruppert¹

1: Heart and Vascular Center, Semmelweis University

Bemutatás módja

Poszter

Szekció

Poster Session M - Cardiovascular Medicine and Research 1.

Language of the presentation

Hungarian

Preferred session

Cardiovascular Medicine and Research

Összefoglaló szövege

Background: The superiority of Sacubitril/Valsartan (SAC/VAL) treatment over angiotensin-converting enzyme inhibition (ACEi) in heart failure (HF) patients with reduced ejection fraction (HFrEF) could be attributed to a more robust direct cardioprotective effect. While this theory is supported by numerous experimental findings utilizing animal models of HF, human evidence remains restricted to echocardiography and circulating biomarkers.
Aims: We aimed to compare the anti-remodeling properties of SAC/VAL to ACEi on myocardial samples of HFrEF patients undergoing heart transplantation (HTX).
Method: Seventy advanced HF patients who underwent heart transplantation (HTX) and received either SAC/VAL (SAC/VAL group, N=32) or ACEi treatment (ACEi group, N=38) along with optimal HF medical therapy ( including a beta-blocker and mineralocorticoid receptor antagonist) for at least three months prior to HTX were enrolled in our analysis. The groups were matched for age, sex, ejection fraction and other basic clinical parameters. Left ventricular (LV) myocardial samples from the explanted heart of these patients were harvested during HTX. Myocardial B-type natriuretic peptide (BNP) expression was assessed by qRT-PCR. Interstitial fibrosis area was measured by histological analysis.
Results: The preoperative circulating N-terminal pro-BNP levels showed no difference between the study groups (SAC/VAL: 4363±752 pg/mL vs. ACEi: 4616±1020 pg/mL; p=0.911). However, LV myocardial BNP mRNA expression decreased in the SAC/VAL group (SAC/VAL: 2.3 ± 1.08 vs. ACEi: 5.3 ± 1.80; p=0.006) compared to the ACEi group. Furthermore, SAC/VAL treatment resulted in a lower interstitial myocardial fibrosis area, when compared to ACEi (SAC/VAL: 7.2±0.4% vs. ACEi: 8.6±0.5%; p=0.031).
Conclusion: SAC/VAL might exert a greater anti-remodeling effect on the myocardium of advanced HF patients undergoing HTX compared to ACEi treatment.
Funding: ÚNKP-23-3-I-SE-29 (D.N.), K134939 (T.R.), RRF-2.3.1-21-2022-00003, TKP2021-EGA-23

University

Semmelweis University

Supervisor

Dr. Ruppert Mihály PhD., Prof. Radovits Tamás

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

7419

Start

16:30

End

16:33