The role of third‐generation beta‐blocking agents in chronic heart failure
| Autor: | Michael R. Bristow, Brian D. Lowes, Robert L. Roden, Edward M. Gilbert, Eric J. Eichhorn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Heart disease Original Contributions Vasodilator Agents Adrenergic beta-Antagonists Carbazoles Propanolamines chemistry.chemical_compound Internal medicine medicine Humans Beta (finance) Carvedilol Heart Failure business.industry Bucindolol Adrenergic nervous system General Medicine medicine.disease Blockade Tolerability chemistry Heart failure Anesthesia Cardiology Cardiology and Cardiovascular Medicine business medicine.drug |
| Popis: | Third-generation beta-blocking agents developed for the hypertension market are proving useful in the treatment of chronic heart failure (HF). These compounds share the ancillary property of vasodilation, which improves acute tolerability by unloading the failing left ventricle at a time when beta-adrenergic withdrawal produces myocardial depression. In the case of carvedilol and bucindolol, this allows for the administration of nonselective beta blockade. Because of blockade of both beta 1 and beta 2 adrenergic receptors as well as other properties, these compounds possess a more comprehensive antiadrenergic profile than second-generation, beta 1-selective compounds. For this and potentially other reasons, third-generation beta-blocking agents have theoretical efficacy advantages that have yet to be demonstrated in large-scale trials. Ongoing trials with either second- or third-generation compounds and one trial directly comparing a compound from each class will provide the answer as to whether third-generation compounds have an advantage in the treatment of chronic HF. |
| Databáze: | OpenAIRE |
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