Are β-blockers as efficacious in patients with diabetes mellitus as in patients without diabetes mellitus who have chronic heart failure? A meta-analysis of large-scale clinical trials

2003 ◽  
Vol 146 (5) ◽  
pp. 848-853 ◽  
Author(s):  
Steven Joseph Haas ◽  
Theo Vos ◽  
Richard E Gilbert ◽  
Henry Krum
2005 ◽  
Vol 10 (4_suppl) ◽  
pp. S59-S68 ◽  
Author(s):  
Peter R. Kowey

β-Blockers are currently being evaluated more intensively to define their role in clinical use as antiarrhythmic agents. β-Adrenergic blockade has been studied in relation to atrial fibrillation, ventricular arrhythmias, and sudden death; however, it is apparent from a number of studies that not all β-blockers are equally effective. Randomized clinical trial data, both in heart failure and post-myocardial infarction (MI) patients, have shown differences in mortality benefits in addition to a variable effect on arrhythmias and sudden death. Carvedilol, a third-generation β-blocker with proven clinical benefit in the management of heart failure and post-MI patients, has properties that may make it an effective antiarrhythmic agent. This paper reviews the current clinical arrhythmia data available for carvedilol from large-scale clinical trials and small studies. The trial evidence demonstrates that carvedilol therapy can be an effective adjunctive rate-control therapy in patients with atrial fibrillation, prevent mortality in patients with heart failure or post-MI with left ventricular dysfunction, with or without atrial fibrillation, and reduce its onset and the incidence of ventricular arrhythmia and sudden death.


Global Heart ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e33
Author(s):  
N. Jankovic ◽  
D.V. Simic ◽  
S. Radovanovic ◽  
O. Gudelj ◽  
S. Suvakov ◽  
...  

Heart ◽  
2010 ◽  
Vol 96 (Suppl 3) ◽  
pp. A188-A188
Author(s):  
Q. Peng ◽  
H. Su ◽  
T. Xie ◽  
D.-z. Hong ◽  
Q.-h. Wu ◽  
...  

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