{"id":2586,"date":"2021-01-27T22:12:30","date_gmt":"2021-01-27T22:12:30","guid":{"rendered":"http:\/\/heartfailurematters.local:8888\/arni-angiotensinreceptorneprilysinhammare\/"},"modified":"2026-02-10T13:20:07","modified_gmt":"2026-02-10T13:20:07","slug":"arni-angiotensinreceptorneprilysinhammare","status":"publish","type":"page","link":"https:\/\/www.heartfailurematters.org\/sv\/vad-din-lakare-eller-sjukskoterska-kan-gora\/arni-angiotensinreceptorneprilysinhammare\/","title":{"rendered":"Angiotensinreceptorneprilysinh\u00e4mmare (ARNi) \u2013 sacubitril\/valsartan"},"content":{"rendered":"<p><strong>Angiotensinreceptor\u2013neprilysinh\u00e4mmare (ARNi)<\/strong> har utvecklats specifikt f\u00f6r att behandla hj\u00e4rtsvikt. L\u00e4kemedlet best\u00e5r av tv\u00e5 komponenter som samverkar: en angiotensin II-receptorblockerare och en neprilysinh\u00e4mmare.<\/p>\n<p>Studier har visat att ARNi kan f\u00f6rl\u00e4nga livsl\u00e4ngden och minska risken f\u00f6r \u00e5terinl\u00e4ggning p\u00e5 sjukhus p\u00e5 grund av hj\u00e4rtsvikt. ARNi anv\u00e4nds f\u00f6r n\u00e4rvarande f\u00f6r behandling av patienter med hj\u00e4rtsvikt med reducerad ejektionsfraktion, vilket inneb\u00e4r f\u00f6rs\u00e4mrad funktion i v\u00e4nsterkammaren.<\/p>\n<p><strong>L\u00e4kemedlets verkan:<\/strong> De tv\u00e5 aktiva substanserna sacubitril och valsartan verkar p\u00e5 olika s\u00e4tt. Valsartan blockerar effekten av ett hormon fr\u00e5n njurarna som kallas angiotensin II, vilket kan vara skadligt hos patienter med hj\u00e4rtsvikt. P\u00e5 s\u00e5 s\u00e4tt stoppas hormonets skadliga effekter p\u00e5 hj\u00e4rtat och det g\u00f6r det m\u00f6jligt f\u00f6r blodk\u00e4rlen att utvidgas.<\/p>\n<p>Sakubitril blockerar nedbrytningen av natriuretiska peptider som produceras i kroppen. Natriuretiska peptider g\u00f6r att natrium och vatten passerar ut i urinen. Det minskar belastningen p\u00e5 hj\u00e4rtat och s\u00e4nker blodtrycket. Den kombinerade effekten av de tv\u00e5 l\u00e4kemedlen minskar belastningen p\u00e5 det sviktande hj\u00e4rtat.<\/p>\n<p><strong>Vilka \u00e4r de f\u00f6rv\u00e4ntade f\u00f6rdelarna?<\/strong> Sacubitril\/valsartan har visat sig bidra till att m\u00e4nniskor lever l\u00e4ngre, minskar sjukhusinl\u00e4ggningar p\u00e5 grund av hj\u00e4rtsvikt samt f\u00f6rb\u00e4ttrar symtom och livskvalitet.<\/p>\n<p><strong>Biverkningar:<\/strong> Behandling med ARNi tolereras v\u00e4l. Lindrig yrsel kan f\u00f6rekomma, s\u00e4rskilt i b\u00f6rjan av behandlingen. L\u00e5gt blodtryck kan ocks\u00e5 f\u00f6rekomma. Du kan undvika att blodtrycket blir f\u00f6r l\u00e5gt genom att ta andra blodtrycksmediciner vid andra tidpunkter \u00e4n din ARNi-dos. Prata med din v\u00e5rdgivare om att sprida ut tidpunkterna f\u00f6r dina blodtrycksmediciner. Denna biverkning f\u00f6rsvinner normalt inom 14 dagar. I annat fall kan din v\u00e5rdgivare rekommendera att du tar en l\u00e4gre dos av ARNi.<\/p>\n<p><strong>Tips:<\/strong> De senaste ESC-riktlinjerna rekommenderar f\u00f6rskrivning av sakubitril\/valsartan till hj\u00e4rtsviktspatienter som fortfarande \u00e4r symtomatiska trots behandling med ACE-h\u00e4mmare eller ARB vid full dos. ARNi kan dock ocks\u00e5 \u00f6verv\u00e4gas hos symtomatiska patienter med nedsatt ejektionsfraktion som inte tidigare har behandlats med ACE-h\u00e4mmare eller ARB. Det f\u00e5r inte tas av patienter som f\u00f6r n\u00e4rvarande tar ACE-h\u00e4mmare eller angiotensinreceptorblockerare (ARB).<\/p>\n<p><a href=\"https:\/\/www.heartfailurematters.org\/what-your-doctor-can-do\/heart-failure-medicines\/\">\u00c5terg\u00e5 till Hj\u00e4rtsviktsl\u00e4kemedel<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Angiotensinreceptor\u2013neprilysinh\u00e4mmare (ARNi) har utvecklats specifikt f\u00f6r att behandla hj\u00e4rtsvikt. L\u00e4kemedlet best\u00e5r av tv\u00e5 komponenter som samverkar: en angiotensin II-receptorblockerare och en neprilysinh\u00e4mmare. Studier har visat att ARNi kan f\u00f6rl\u00e4nga livsl\u00e4ngden och minska risken f\u00f6r \u00e5terinl\u00e4ggning p\u00e5 sjukhus p\u00e5 grund av hj\u00e4rtsvikt. ARNi anv\u00e4nds f\u00f6r n\u00e4rvarande f\u00f6r behandling av patienter med hj\u00e4rtsvikt med reducerad ejektionsfraktion, vilket [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":10874,"parent":2685,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-2586","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ARNI (Angiotensinreceptorneprilysinh\u00e4mmare)<\/title>\n<meta name=\"description\" content=\"Angiotensinreceptorblockerare (ARB) blockerar verkningarna av angiotensin II, ett hormon som produceras naturligt i njurarna. 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