Table 3.
Effect of sacubitril/valsartan on serum potassium in patients with HF.
| Study | Comparator | Patient population, ARNI/comparator ( n ) | Median duration of follow-up | Incidence of moderate to severe hyperkalemia | p value | |
|---|---|---|---|---|---|---|
| ARNI | Comparator | |||||
| PARAMOUNT, Solomon et al. [57] | Valsartan | Patients with HFpEF, 149/152 | 36 weeks | 24 (16%) | 16 (11%) | 0.21 |
| PARADIGM-HF, McMurray et al. [49] | Enalapril | Patients with HFrEF, 4187/4212 | 27 months | 674 (16.1) | 727 (17.3) | 0.15 |
| PARAGON-HF, Solomon et al. [53] | Valsartan | Patients with HFpEF, 2407/2389 | 35 months | 316 (13.1) | 361/2367 (15.1) | 0.048 |
| PIONEER-HF, Velazquez et al. [54] | Enalapril | HFrEF patients hospitalized for ADHF, 440/441 | 8 weeks | 51 (11.6) | 41 (9.3) | > 0.05 |
Note: Moderate to severe hyperkalemia was defined as serum potassium > 5.5 mmol/L.