The aim of this study is to evaluate the real-world effectiveness of ARNi (sacubitril/valsartan) therapy and antihypertensive monotherapy in reducing blood pressure in hypertensive patients residing in the United Arab Emirates. Antihypertensive monotherapies will include angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), and calcium channel blockers (CCBs).
Adult male or female patients (≥18 years).
Patients with physician-diagnosed hypertension (as defined by international guidelines including the American Heart Association/American College of Cardiology [AHA/ACC] guidelines and/or the 2024 European Society of Cardiology [ESC] guidelines).
Patients with documented office blood pressure ≥130/80 mmHg prior to initiating treatment (ARNi or monotherapy) or transitioning from monotherapy to ARNi.
Patients who are either antihypertensive therapy naïve or currently receiving antihypertensive monotherapy (ACE inhibitor/ARB/CCB) with a physician-directed requirement to transition to ARNi.
Patients with malignant or severe hypertension (systolic blood pressure [SBP] ≥180 mmHg, diastolic blood pressure [DBP] ≥110 mmHg) at baseline.
Patients with secondary causes of hypertension, as determined by the treating physician.
Patients with a history of, or at risk of developing, angioedema.
Patients with evidence of severe renal impairment (e.g., estimated glomerular filtration rate [eGFR] <30 mL/min/1.73 m²).
Adult patients with a clinical diagnosis of hypertension from hospitals across the United Arab Emirates.
Cohort
Prospective
Not listed
Change From Baseline to Week 4 in Mean Sitting SBP
Change From Baseline to Week 4 in Mean Sitting DBP
Change From Baseline to Week 4 in Mean Sitting Pulse Pressure
Proportion of Patients Achieving Target Office Blood Pressure at Weeks 4 and 12
Target office blood pressure is defined as SBP \<130 mmHg and DBP \<80 mmHg.
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