Efficacy and safety of a 60-week treatment with candesartan in Japanese patients with mild to moderate chronic heart failure

Masunori Matsuzaki, Kazuhiro Yamamoto, Masafumi Yano, Koki Nakamura, Yuko Miyata, Kenkichi Sugiura, Emi Nakata, Hiroyuki Tsutsui

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Chronic heart failure (CHF) is an increasingly common cardiovascular disease despite recent advances in its diagnosis and management. Methods and results: A multicenter, open-label study was designed to assess the efficacy and safety of 60-week treatment with candesartan in Japanese patients with mild to moderate CHF. Primary efficacy endpoints were changes from baseline in plasma brain natriuretic peptide (BNP), left ventricular ejection fraction (LVEF), end-diastolic dimension, and New York Heart Association (NYHA) functional class. Two hundred and eighty-nine eligible patients were divided into 2 groups based on the daily dose at the end of treatment: high-dose (HD, 8. mg, N=. 170) and low-dose (LD, 2 or 4. mg, N=. 119). Neither plasma BNP levels nor LVEF changed from the baseline to the end of treatment in the LD group, whereas BNP significantly improved from 61.6 to 50.1. pg/mL (. p=. 0.0005) and LVEF from 57.2 to 60.1% (. p=. 0.0005) in the HD group. The changes in NYHA functional class were comparable between groups: 21.2% improved and 76.3% unchanged in the LD group and 20.6% improved and 79.4% unchanged in the HD group. No safety concerns were observed in either group. Conclusions: HD candesartan was more effective in improving plasma BNP levels and cardiac function than LD in Japanese CHF patients. Both LD and HD candesartan were well tolerated in CHF patients.

Original languageEnglish
Pages (from-to)267-274
Number of pages8
JournalJournal of Cardiology
Volume61
Issue number4
DOIs
Publication statusPublished - Apr 1 2013

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Efficacy and safety of a 60-week treatment with candesartan in Japanese patients with mild to moderate chronic heart failure'. Together they form a unique fingerprint.

  • Cite this