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. 2021 Jan 28;18(1):47–66. doi: 10.11909/j.issn.1671-5411.2021.01.007

1. Drug regimens for heart failure and their effect on various circulating biomarkers.

Drug Biomarker MRAs ACEi ARB DRI ARNI BB LD
ACEi: angiotensin converting enzyme inhibitors; ARB: angiotensin receptor blockers; ARNI: angiotensin receptor neprilysin inhibitor; BB: beta-blockers; BNP: brain natriuretic peptide; DRI: direct renin inhibitor; hs-CRP: high-sensitive C-reactive protein; LD: loop diuretics; MRAs: mineralocorticoid receptor antagonists; NT-proBNP: Amino-terminal fragment of proBNP.
BNP ↓ ↓ ↓ ↓ ↑ ↑>↓ ↓
NT-proBNP ↓ ↓ ↓ ↓ ↓ ↑>↓ ↓
Aldosterone ↕ ↕ ↕ ↓/= ↓ ↓ ↑
Plasma renin activity ↑ ↑ ↑ ↓ ↑ ↓ ↑
Plasma renin concentration ? ↑ ↑ ↑ ↑ ↓ ↑
Angiotensin I ? ↑ ↑ ↓ ? ↓ ↑
Angiotensin II ↑ ↓ ↑ ↓ ↑ ↓ ↑
hs-CRP = ↓ ↓ ? = ↓ =
Copeptin ↓ ↓ ↓ ↓ ? ↑>↓ ↓
Galectin-3 = = = ? = = =
Soluble suppression of tumorigenicity protein-2 ? ↓ ↓/= ? = ↓ ?
Growth differentiation factor-15 ? ↓ = ? ? ↓? ?
Adrenomedullin ↓ ↓? ↓? ↓? ? ↑>↓ ↓