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BB and ACEi/ARB use during the late period was associated with a reduction in HF recurrence in LVAD patients — Neurohormonal Blockade During Left Ventricular Assist Device... : ASAIO Journal pdfs.journals.lww.com/asaiojou

Neurohormonal Blockade During Left Ventricular Assist... : ASAIO Journal

he early period (6 months after index discharge), and 98 were followed during the late period (6–12 months following index discharge). Of them, 46% were on beta-blocker (BB), 49% on angiotensin-converting enzyme inhibitor (ACEi) and/or angiotensin II receptor blocker (ARB), and 51% on aldosterone antagonist at baseline. Prevalence of BB and ACEi/ARB use increased during the study period. During the early period, similar event rates were found irrespective of the NHB uses. During the late period, BB was associated with reduced HF readmission, and ACEi/ARB was associated with reduced HF readmission and gastrointestinal bleeding (p < 0.05 for all). In conclusion, BB and ACEi/ARB use during the late period was associated with a reduction in HF recurrence in LVAD patients. Further prospective randomized control trials are warranted to clarify the utility of NHB therapy in LVAD patients. Submitted for consideration July 2019; accepted for publication in revised form October 2019. T.I. receives financial funding from Postdoctoral Fellowship for Research Abroad of Japan Society for the Promotion of Science. N.U. receives consultant fee and grants support from Abbott and Medtronic. G.S. receives consultant fees from Medtronic. V.J. receives consultant fee from Abbott. The other authors have no conflicts of interest to report. Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML and PDF versions of this article on the journal’s Web site (www.asaiojournal.com). This study was presented at the 2018 ISHLT Annual Meeting as a full oral presentation. Correspondence: Nir Uriel, MD, MSc, Department of Medicine, University of Chicago Medical Center, 5841 S. Maryland Avenue, Chicago, IL 60637.Email: nuriel@medicine.bsd.uchicago.edu. Copyright © 2020 by the American Society for Artificial Internal Organs...

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