Dosing challenges and benefits of vericiguat in a patient with decompensated heart failure: a case report

 

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Авторы: Speranza Sánchez, Mario, Zavaleta Monestel, Esteban, Sancho Zumbado, Sonia, Elizondo Urrutia, Juan Carlos, Quirós Romero, Alonso Joel, Chaverri Fernández, José Miguel, García Montero, Jonathan Jesús, Arguedas Chacón, Sebastián
Формат: artículo original
Дата публикации:2023
Описание:Vericiguat has emerged as a promising add-on therapy for decompensated heart failure with reduced ejection fraction (HFrEF) patients requiring hospitalization or IV diuretic administration. In the VICTORIA trial (Vericiguat Global Study in Subjects with Heart Failure with Reduced Ejection Fraction), vericiguat was demonstrated to significantly reduce mortality and hospitalization rates. However, the effect of vericiguat on patients receiving SGLT2 inhibitors remains uncertain. In this report, we present a complicated case of dilated heart failure receiving low doses of foundational therapy due to a patient's intolerance but still experiencing recurrent hospital readmissions. Following six months of low-dose vericiguat as an add-on therapy, the patient exhibited important improvements in various clinical parameters, including cardiac and renal function. Nonetheless, further investigation is crucial to substantiate the additional benefits of combination therapy. These findings provide further evidence for the potential benefits of vericiguat when treating HFrEF.
Страна:Kérwá
Институт:Universidad de Costa Rica
Repositorio:Kérwá
Язык:Inglés
OAI Identifier:oai:kerwa.ucr.ac.cr:10669/104622
Online-ссылка:https://hdl.handle.net/10669/104622
https://www.doi.org/10.7759/cureus.48065
Ключевое слово:hypotension
cyclic gmp
soluble guanylyl cyclase
heart failure
vericiguat
Hypotension
Cyclic Gmp
Soluble Guanylyl Cyclase
Heart Failure
Vericiguat
Pharmacology
Drugs
Medical treatment
Medical research
Therapy