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Dapagliflozin and sacubitril on myocardial microperfusion in patients with post-acute myocardial infarction heart failure and type 2 diabetes

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World Journal of Clinical Cases 2024年第22期12卷 5008-5015页

作者： Yuan Lv Wei-Jun Luo Department of Cardiology Lishui People's HospitalLishui 323000Zhejiang ProvinceChina

BACKGROUND Coronary heart disease and type 2 diabetes mellitus(T2DM)frequently coexist,creating a complex and challenging clinical scenario,particularly when complicated with acute myocardial infarction(AMI).AIM To examine the effects of dapagliflozin combined with sakubactrovalsartan sodium tablets on myocardial *** In total,98 patients were categorized into control(n=47)and observation(n=51)*** control group received noxital,while the observation group was treated with dapagliflozin combined with noxital for 6 *** in myocardial microperfusion,blood glucose level,cardiac function,N-terminal prohormone of brain natriuretic peptide(NT-proBNP)level,growth differentiation factor-15(GDF-15)level,and other related factors were compared between the two ***,the incidence of major adverse cardiovascular events(MACE)and adverse reactions were *** After treatment,in the observation and control groups,the corrected thrombolysis in myocardial infarction frame counts were 37.12±5.02 and 48.23±4.66,*** NT-proBNP levels were 1502.65±255.87 and 2015.23±286.31 pg/mL,the N-terminal pro-atrial natriuretic peptide(NT-proANP)levels were 1415.69±213.05 and 1875.52±241.02 ng/mL,the GDF-15 levels were 0.87±0.43 and 1.21±0.56 g/L,and the high-sensitivity C-reactive protein(hs-CRP)levels were 6.54±1.56 and 8.77±1.94 mg/L,respectively,with statistically significant differences(P0.05).CONCLUSION Dapagliflozin combined with nocinto can improve myocardial microperfusion and left ventricular remodeling and reduce MACE incidence in patients with post-AMI heart failure and *** underlying mechanism may be related to the reduction i

关键词： dagelin Nocinto Acute myocardial infarction Type 2 diabetes Heart failure Myocardial microperfusion

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