Journal of Capital Medical University ›› 2020, Vol. 41 ›› Issue (1): 113-118.doi: 10.3969/j.issn.1006-7795.2020.01.022

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Effects of combined sacubitril/valsartan and metoprolol succinate sustained release tablets on patients who suffer from the coronary heart disease with chronic heart failure

Xia Yong1, Zhang Jianqing2, Wang Shaoxia1, Chen Dan1, Ji Jianmin2   

  1. 1. Department of Cardiology, The Third Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, Henan Province, China;
    2. Department of Cardiovascular Surgery, Zhengzhou Cardiovascular Hospital, Zhengzhou 465150, China
  • Received:2019-06-12 Online:2020-02-21 Published:2020-02-13
  • Supported by:
    This study was supported by Henan Medical Science and Technology Research Project (201403246).

Abstract: Objective This paper was to explored the clinical efficacy of combined sacubitril/valsartan and metoprolol succinate sustained release tablets on patients who had the coronary heart disease with chronic heart failure. Methods This paper selected patients who suffered from the coronary heart disease with chronic heart failure in The Third Affiliated Hospital of Henan University of Science and Technology and Zhengzhou Cardiovascular Hospital from September 2017 to September 2018 as the samples. Based on intergroup equilibrium, the samples were divided into treatment group (n=94) and control group (n=93) uniformly by hospitalization date, age, disease course, and gender. Metoprolol succinate sustained release tablets were applied in control group, while sacubitril/valsartan and metoprolol succinate sustained release tablets were combined in treatment group. The therapy for patients in both group lasted for 6 months. This paper compared the clinical efficacy and cardiac function index:maximum early filling speed (E), left ventricular ejection fraction (EF), maximum filling speed in late diastole (A), E/A, vascular endothelial function[plasma endothelin (ET), calcitonin gene-related peptide (CGRP), nitric oxide (NO)], between two groups before and after the therapy. Results The clinical efficacy in treatment group was 93.62% which was significantly 78.49% higher than that in control group. After the therapy, E, EF, E/A, CGRP, NO in treatment group were higher than those in control group, while A and ET were lower in treatment group (P<0.05). Conclusion The therapy of combined sacubitril/valsartan and metoprolol succinate sustained release tablets had significant efficacy on coronary heart disease and heart failure by improving the cardiac function.

Key words: sacubitril /valsartan, metoprolol succinate sustained release tablets, coronary heart disease with chronic heart failure, cardiac function

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