Document Detail


Can beta-blocker therapy be withdrawn from patients with dilated cardiomyopathy?
MedLine Citation:
PMID:  10467195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It has yet to be determined whether withdrawing beta-blocker therapy from patients with dilated cardiomyopathy (DCM) is safe. METHODS: The influence of tapering and then stopping metoprolol was clarified in 13 patients with DCM who had been receiving this agent for >/=30 months. RESULTS: Seven of the 13 patients deteriorated, including 4 who died suddenly or of congestive heart failure during the 4-month period after metoprolol cessation. CONCLUSION: In patients with DCM in whom beta-blocker therapy is effective, withdrawal of these agents may lead to death. We conclude that beta-blockers should not be stopped in this patient group.
Authors:
S Morimoto; K Shimizu; K Yamada; S Hiramitsu; H Hishida
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  138     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-09-22     Completed Date:  1999-09-22     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  456-9     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / administration & dosage*,  adverse effects,  therapeutic use
Adult
Aged
Cardiomyopathy, Dilated / drug therapy*,  pathology
Death, Sudden, Cardiac
Female
Follow-Up Studies
Humans
Male
Middle Aged
Substance Withdrawal Syndrome*
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists
Comments/Corrections
Comment In:
Am Heart J. 1999 Sep;138(3 Pt 1):387-9   [PMID:  10467182 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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