Cardiothoracic & vascular anesthesia

Postoperative hemodynamic stability of patients treated with the sacubritil-valsartan combination in cardiac surgery

Anaesth Crit Care Pain MedPublished Retrospective cohort study

Authors' conclusion

In this exploratory study in cardiac surgery, preoperative treatment with SVC was not associated with increased vasoplegia and vasoactive drug consumption.

Study context

Population
Patients undergoing elective cardiac surgery, January 2022 to March 2024matched cohort
Participants
28 vs 56
Exposure
Preoperative Sacubitril-Valsartan combination (SVC) treatment vs no SVC exposure
  • Exposedn = 28
  • Non-exposedn = 56reference
Outcome
Vasoactive-Inotropic Score (VIS)
Follow-up
First 24 h postoperatively
Methodological detailssingle-centre, propensity-score matched (1:2), exploratory
  • Single-centre
  • Propensity-score matched (1:2)
  • Exploratory

Main finding

As reported in the abstract

Exposed

21.5

± 15

Non-exposed

21.4

± 18

P = 0.86

Observational data: associations, not effects.

Further findings

Vasoactive-Inotropic Score (VIS) during first 5 days, norepinephrine and dobutamine duration, lactate change, vascular filling, fluid balance, mechanical ventilation duration, ICU LOS

No significant difference

Off-pump coronary artery bypass surgery (subgroup)

Results similar

Safety

Acute renal failure

No significant difference

Original publication

Postoperative hemodynamic stability of patients treated with the sacubritil-valsartan combination in cardiac surgery. Anaesth Crit Care Pain Med. Published 26 November 2025. doi:10.1016/j.accpm.2025.101711

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