| Effect of carvedilol on diastolic function in patients with diastolic heart failure and preserved systolic function. Results of the Swedish Doppler-echocardiographic study (SWEDIC). | |
| | |
MedLine Citation:
|
PMID: 15182771 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: The purpose of this study was to investigate the effects of carvedilol on diastolic function (DF) in heart failure patients with preserved left ventricular (LV) systolic function and abnormal DF. PATIENTS AND METHODS: We randomised 113 patients with diastolic heart failure (DHF) (symptomatic, with normal systolic LV function and abnormal DF) into a double blind multi-centre study. The patients received either carvedilol or matching placebo in addition to conventional treatment. After uptitration, treatment was continued for 6 months. Two-dimensional and Doppler echocardiography were used for quantification of LV function at baseline and at follow-up. Four different DF variables were evaluated by Doppler echocardiography: mitral flow E:A ratio, deceleration time (DT), isovolumic relaxation time (IVRT) and the ratio of systolic/diastolic pulmonary venous flow velocity (pv-S/D). Primary endpoint was change in the integrated quantitative assessment of all four variables during the study. RESULTS: Ninety-seven patients completed the study. A mitral flow pattern reflecting a relaxation abnormality was recorded in 95 patients. There was no effect on the primary endpoint, although a trend towards a better effect in carvedilol treated patients was noticed in patients with heart rates above 71 beats per minute. At the end of the study, there was a statistically significant improvement in E:A ratio in patients treated with carvedilol (0.72 to 0.83) vs. placebo (0.71 to 0.76), P<0.05. CONCLUSIONS: Treatment with carvedilol resulted in a significant improvement in E:A ratio in patients with heart failure due to a LV relaxation abnormality. E:A ratio was found to be the most useful variable to identify diastolic dysfunction in this patient population. This effect was observed particularly in patients with higher heart rates at baseline. |
| | |
Authors:
|
A Bergström; B Andersson; M Edner; E Nylander; H Persson; U Dahlström |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: European journal of heart failure Volume: 6 ISSN: 1388-9842 ISO Abbreviation: Eur. J. Heart Fail. Publication Date: 2004 Jun |
Date Detail:
|
Created Date: 2004-06-08 Completed Date: 2004-11-08 Revised Date: 2011-06-08 |
Medline Journal Info:
|
Nlm Unique ID: 100887595 Medline TA: Eur J Heart Fail Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 453-61 Citation Subset: IM |
Affiliation:
|
Department of Cardiology and Physiology, University Hospital Linköping, SE-58185 Linköping, Sweden. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adrenergic beta-Antagonists
/
adverse effects,
therapeutic use* Aged Aged, 80 and over Blood Flow Velocity / drug effects Blood Pressure / drug effects Carbazoles / adverse effects, therapeutic use* Diastole / drug effects Double-Blind Method Echocardiography, Doppler* Female Follow-Up Studies Heart Failure / drug therapy*, physiopathology*, ultrasonography Heart Rate / drug effects Heart Ventricles / physiopathology, ultrasonography Humans Male Middle Aged Propanolamines / adverse effects, therapeutic use* Prospective Studies Pulmonary Veins / physiopathology, ultrasonography Stroke Volume / drug effects Sweden / epidemiology Systole / drug effects Treatment Outcome Ventricular Dysfunction, Left / drug therapy*, physiopathology*, ultrasonography Ventricular Remodeling / drug effects |
| Chemical | |
Reg. No./Substance:
|
0/Adrenergic beta-Antagonists; 0/Carbazoles; 0/Propanolamines; 72956-09-3/carvedilol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Echocardiographic indices of left ventricular diastolic dysfunction in 647 individuals with preserve...
Next Document: Beneficial effects of carvedilol on angiotensin-converting enzyme activity and renin plasma levels i...