Vericiguat: A New Hope for Heart Failure Patients

Heart failure with reduced ejection fraction (HFrEF) is the inability of the heart to adequately contract or eject blood. This heart is unable to produce adequate cardiac output to perfuse vital tissues. At a fundamental level, it is known that the cardioprotective pathway of nitric oxide-soluble gu...

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Main Authors: Raquel Chiles, Rami A. Al-Horani
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Cardiovascular Therapeutics
Online Access:http://dx.doi.org/10.1155/2022/1554875
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author Raquel Chiles
Rami A. Al-Horani
author_facet Raquel Chiles
Rami A. Al-Horani
author_sort Raquel Chiles
collection DOAJ
description Heart failure with reduced ejection fraction (HFrEF) is the inability of the heart to adequately contract or eject blood. This heart is unable to produce adequate cardiac output to perfuse vital tissues. At a fundamental level, it is known that the cardioprotective pathway of nitric oxide-soluble guanylate cyclase-cyclic guanosine monophosphate is impaired in heart failure patients. Vericiguat is a novel, orally used, small molecule, and direct stimulator of the soluble guanylate cyclase, and thus, it enhances the production of cyclic guanosine monophosphate. Vericiguat was approved by the FDA in January of 2021 to reduce the risk of cardiovascular death and heart failure hospitalization following a hospitalization for heart failure or need for outpatient IV diuretics, in adults with symptomatic chronic heart failure and ejection fraction less than 45%. In this review, we describe the chemical and mechanistic aspects, pharmacokinetics, adverse effects, and contraindications of vericiguat so as to facilitate its optimal therapeutic use.
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spelling doaj-art-a88cd3a5cac244d79aeebe90245d8f602025-02-03T00:59:38ZengWileyCardiovascular Therapeutics1755-59222022-01-01202210.1155/2022/1554875Vericiguat: A New Hope for Heart Failure PatientsRaquel Chiles0Rami A. Al-Horani1Division of Basic Pharmaceutical SciencesDivision of Basic Pharmaceutical SciencesHeart failure with reduced ejection fraction (HFrEF) is the inability of the heart to adequately contract or eject blood. This heart is unable to produce adequate cardiac output to perfuse vital tissues. At a fundamental level, it is known that the cardioprotective pathway of nitric oxide-soluble guanylate cyclase-cyclic guanosine monophosphate is impaired in heart failure patients. Vericiguat is a novel, orally used, small molecule, and direct stimulator of the soluble guanylate cyclase, and thus, it enhances the production of cyclic guanosine monophosphate. Vericiguat was approved by the FDA in January of 2021 to reduce the risk of cardiovascular death and heart failure hospitalization following a hospitalization for heart failure or need for outpatient IV diuretics, in adults with symptomatic chronic heart failure and ejection fraction less than 45%. In this review, we describe the chemical and mechanistic aspects, pharmacokinetics, adverse effects, and contraindications of vericiguat so as to facilitate its optimal therapeutic use.http://dx.doi.org/10.1155/2022/1554875
spellingShingle Raquel Chiles
Rami A. Al-Horani
Vericiguat: A New Hope for Heart Failure Patients
Cardiovascular Therapeutics
title Vericiguat: A New Hope for Heart Failure Patients
title_full Vericiguat: A New Hope for Heart Failure Patients
title_fullStr Vericiguat: A New Hope for Heart Failure Patients
title_full_unstemmed Vericiguat: A New Hope for Heart Failure Patients
title_short Vericiguat: A New Hope for Heart Failure Patients
title_sort vericiguat a new hope for heart failure patients
url http://dx.doi.org/10.1155/2022/1554875
work_keys_str_mv AT raquelchiles vericiguatanewhopeforheartfailurepatients
AT ramiaalhorani vericiguatanewhopeforheartfailurepatients