维利西呱治疗射血分数减低型心力衰竭的临床进展

    Research progress of Vericiguat in management of congestive heart failure with reduced ejection fraction

    • 摘要: 射血分数减低型心力衰竭是一种慢性进展性综合征,给全球经济社会带来巨大负担。尽管近年来指南推荐的“金三角”“新四联”等药物的规范临床应用和包括心脏再同步化治疗等新器械的应用使相关心衰的临床诊疗取得了很大进展,但心衰相关不良事件仍有很高残余风险。特别是心衰恶化期往往代表心血管事件发生率高,患者短期和长期预后极差。近来一种可溶性鸟苷酸环化酶激活剂维利西呱,作为新药已被证实可减少心衰相关的住院,有望提升射血分数减低心衰的治疗效果。在此,结合最新研究进展,我们对维利西呱的药理作用机制、最新临床证据和临床注意事项作以综述。

       

      Abstract: Congestive heart failure with reduced ejection fraction is still a chronic and progressive syndrome that brings huge burden for the whole economic and health systems. Despite remarkable advances in guideline-directed medical therapy and device-based treatment over the last few years, patients in such scenarios have a high residual risk of cardiovascular adverse events, especially during worsening heart failure. As a novel soluble guanylate cyclase stimulator, Vericiguat may play a role in management of congestive heart failure. Herein, we summarized the research progress of Vericiguat in management of congestive heart failure with reduced ejection fraction.

       

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