Separately, DRAFT NICE Guidance recommends sacubitril valsartan as an option for treating people with heart failure with reduced ejection fraction, only in people:
• with New York Heart Association (NYHA) class II to III chronic heart failure and
• who are already taking a stable dose of angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor-blockers (ARBs) and
• with a left ventricular ejection fraction of 35% or less.