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Effect of Sakubatrevalsartan in the treatment of heart failure in the elderly with left ventricular ejection fraction reduction |
QI Jie ZHUO Liu′an WU Feixue WEI Wenwen |
Department of Cardiology, Liuzhou People′s Hospital, Guangxi Zhuang Autonomous Region, Liuzhou 545001, China |
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Abstract Objective To observe the effect of Sakubatrevalsartan in the treatment of heart failure in the elderly with left ventricular ejection fraction (LVEF) reduction. Methods 89 elderly patients with heart failure were selected from Liuzhou People′s Hospital from June 2017 to December 2018, they were divided into control group (n = 44) and study group (n = 45) by random number table method. Control group was treated with routine Western medicine, and study group was treated with Sakubatrevalsartan on the basis of control group. Clinical efficacy, cardiac function, renal function and adverse reactions were compared between two groups. Results After treatment, total effective rate of study group was significantly higher than that of control group (P < 0.05). The walking distance of 6 minutes after treatment in two groups was longer than that before treatment, left ventricular end diastolic dimension was shorter than that before treatment, LVEF was higher than that before treatment, heart rate was slower than that before treatment, and the improvement in study group was significantly better than that in control group (P < 0.05). After treatment, blood urea nitrogen and serum creatinine of two groups were lower than before treatment, estimated glomerular filtration rate was higher than before treatment, and the improvement of study group was significantly better than that of control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between two groups (P > 0.05). Conclusion Sakubatrevalsartan can effectively improve the cardiac and renal function of elderly patients with heart failure due to the reduction of LVEF, with definite curative effect and good safety, and has certain clinical application value.
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