Sacubitril/Valsartan: Trending Toward PARADISE Post MI?

An Interview With PARADISE-MI PI Marc Pfeffer

Sacubitril/Valsartan: Trending Toward PARADISE Post MI?

Ileana L. Piña, MD, MPH; Marc A. Pfeffer, MD, PhD

Disclosures

May 19, 2021

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This transcript has been edited for clarity.

Ileana L. Piña, MD, MPH: Hello. This is Ileana Piña from Central Michigan University with a special blog, because we're coming to you during the American College of Cardiology 2021 scientific sessions. This meeting is completely virtual for the second year in a row.

Early on Saturday, we attended the first set of late-breaker trials, and the very first presenter is with me today: my good friend, Marc Pfeffer, from the Brigham and Women's Hospital and Harvard Medical School. Marc has been a leader in clinical trials for many, many moons. Marc, as usual you continue to present wonderful work. I'm having a déjà vu of the SAVE and VALIANT trials, and I imagine you feel the same. Tell us about the trial you presented today, PARADISE-MI.

Marc A. Pfeffer, MD, PhD: For 30 years, patients who have had a myocardial infarction (MI) have benefited from drugs that inhibit the renin-angiotensin system. Angiotensin-converting enzyme (ACE) inhibitors reduce death and the development of heart failure. When angiotensin receptor blockers (ARBs) came out, there was a vigorous effort to see if these could do better than the ACE inhibitors, and they did. Valsartan was at least as good

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