AUTHOR=Zhao Di , Zhang Yanjuan , Yong Yonghong , Wang Liansheng , Liu Jiabao 

TITLE=Vericiguat combined with “new quadruple” therapy enhances cardiac function and life quality in patients with heart failure: a single-center prospective study

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 11 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1476976

DOI=10.3389/fcvm.2024.1476976

ISSN=2297-055X

ABSTRACT=Objective: To investigate the therapeutic effect of vericiguat combined with "new quadruple" drugs on patients with heart failure. Methods: From December 1, 2022 to February 1, 2024, 103 patients with heart failure were consecutively enrolled from the cardiology clinic or ward of the First Affiliated Hospital of Nanjing Medical University. Before enrollment, the patients' LVEF, LVEDD, NT-proBNP, liver and kidney function electrolytes, and MLHFQ and other indicators were measured. Patients diagnosed with HFrEF and with HFmrEF were treated with vericiguat combined with "ARNI, BB, MRA, SGLT2i" therapy. Patients diagnosed with HFpEF were treated with vericiguat combined with "ARNI, BB, SGLT2i" therapy. The above indicators were rechecked after one month of treatment. Results: For all patients, comparison after treatment: LVEF (38.1±8.5% vs. 43.1±8.5%, p<0.01), LVEDD (60.5±8.1mm vs. 58.2±7.3mm, p<0.01), NT-proBNP (4567.8±5163.9ng/L vs. 1895.6±2702.1ng/L, p<0.01), MLHFQ (45.72±11.09±11.09 vs. 32.29±9.41, p<0.01). Further subgroup analysis showed that Vericiguat combined with "ARNI, BB, SGLT2i or MRA" improved the LVEF and reduced NT-proBNP levels in patients with HFrEF, HFmrEF or HFpEF. and improved patients' quality of life scores. The intergroup comparison showed the therapeutic effect of the combination was equivalent in HF caused by MI, DCM or VHD. Conclusion: Vericiguat combined with the "new quadruple" therapy has a significant therapeutic effect on patients with heart failure caused by MI, DCM or VHD.