Comparative dose titration responses to the introduction of bisoprolol or carvedilol in stable chronic systolic heart failure.

Author: HamaadAli, LipGregory Y H, MacFadyenRobert J, NichollsDeborah

Paper Details 
Original Abstract of the Article :
INTRODUCTION: Several beta blocking drugs (BB) reduce mortality in systolic heart failure (LVSD). We have compared the initial response to introduction of carvedilol and bisoprolol during the standard dose titration protocols for each drug. METHODS: Approximately 31 unselected patients with stable ...See full text at original site
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引用元:
https://doi.org/10.1007/s10557-007-6055-x

データ提供:米国国立医学図書館(NLM)

Comparing Bisoprolol and Carvedilol in Systolic Heart Failure: A Dose Titration Study

This study delves into the world of heart failure treatment, specifically comparing the initial response to bisoprolol and carvedilol in patients with stable chronic systolic heart failure. The research utilizes a randomized controlled trial to assess the effects of these two beta-blockers during standard dose titration protocols. The authors found that both bisoprolol and carvedilol achieved similar maximal heart rate reduction and comparable reductions in blood pressure. However, carvedilol demonstrated greater (but non-significant) rises in heart rate variability compared to bisoprolol. The study concludes that both medications are effective in treating systolic heart failure, with carvedilol potentially showing a greater benefit in heart rate variability over a longer treatment period.

Heart Failure Treatment: A Tailored Approach

The study's findings highlight the importance of considering individual patient needs and responses when selecting a beta-blocker for heart failure treatment. The researchers suggest that while both bisoprolol and carvedilol are effective, carvedilol may offer a greater benefit in terms of heart rate variability. Further research is needed to investigate the long-term effects of both medications and their impact on heart rate variability.

Living with Heart Failure: Maintaining a Healthy Lifestyle

Heart failure is a serious condition, but with proper management, individuals can live fulfilling lives. It is crucial to follow your doctor's recommendations for medication and lifestyle changes. This may include: Adhering to a healthy diet, exercising regularly, managing stress, and avoiding smoking and excessive alcohol consumption. Regular checkups with your doctor are also important to monitor your condition and make adjustments to your treatment plan as needed.

Dr.Camel's Conclusion

The study offers valuable insights into the nuances of beta-blocker treatment for heart failure. It emphasizes that while both bisoprolol and carvedilol can be effective, there may be subtle differences in their impact on heart rate variability, warranting further investigation. Ultimately, finding the right treatment plan that aligns with individual needs and preferences is key to managing heart failure effectively.

Date :
  1. Date Completed 2008-02-15
  2. Date Revised 2018-12-01
Further Info :

Pubmed ID

17896170

DOI: Digital Object Identifier

10.1007/s10557-007-6055-x

Related Literature

SNS
PICO Info
in preparation
Languages

English

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