Beta blockers as anti-arrhythmic agents

被引:13
作者
Anh, D [1 ]
Marine, JE [1 ]
机构
[1] Henry Ford Hosp, Henry Ford Heart & Vasc Inst, Sect Cardiac Electrophysiol, Detroit, MI 48202 USA
关键词
adrenergic beta-antagonists; death; sudden; cardiac; anti-arrhythmia agents; ventricular fibrillation; tachycardia; ventricular;
D O I
10.1023/B:HREV.0000046369.90417.db
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although beta-adrenergic blocking agents are not always considered anti-arrhythmic drugs, the results of several recent trials have suggested an anti-arrhythmic mechanism for at least part of their mortality benefit in the treatment of chronic congestive heart failure. We review background experimental and clinical evidence for the antiarrhythmic actions of beta-blockers and then review the results of published beta-blocker heart failure trials. A majority of trials showed improvement in overall survival as well as reduction in sudden death and ventricular arrhythmias with beta-blocker treatment. Although different effects were seen with different specific agents, these trials overall support a clinically significant anti-arrhythmic effect of several beta-blockers.
引用
收藏
页码:139 / 147
页数:9
相关论文
共 66 条
[1]   COMPARATIVE EFFECTS OF BETA-ADRENERGIC BLOCKING-DRUGS ON EXPERIMENTAL VENTRICULAR-FIBRILLATION THRESHOLD [J].
ANDERSON, JL ;
RODIER, HE ;
GREEN, LS .
AMERICAN JOURNAL OF CARDIOLOGY, 1983, 51 (07) :1196-1202
[2]   Bucindolol displays intrinsic sympathomimetic activity in human myocardium [J].
Andreka, P ;
Aiyar, N ;
Olson, LC ;
Wei, JQ ;
Turner, MS ;
Webster, KA ;
Ohlstein, EH ;
Bishopric, NH .
CIRCULATION, 2002, 105 (20) :2429-2434
[3]   Nonselective versus selective β-adrenergic receptor blockade in congestive heart failure -: Differential effects on sympathetic activity [J].
Azevedo, ER ;
Kubo, T ;
Mak, S ;
Al-Hesayen, A ;
Schofield, A ;
Allan, R ;
Kelly, S ;
Newton, GE ;
Floras, JS ;
Parker, JD .
CIRCULATION, 2001, 104 (18) :2194-2199
[4]   TRANSMURAL MYOCARDIAL-INFARCTION IN THE DOG PRODUCES SYMPATHECTOMY IN NON-INFARCTED MYOCARDIUM [J].
BARBER, MJ ;
MUELLER, TM ;
HENRY, DP ;
FELTEN, SY ;
ZIPES, DP .
CIRCULATION, 1983, 67 (04) :787-796
[5]   INTRACELLULAR CALCIUM HANDLING IN ISOLATED VENTRICULAR MYOCYTES FROM PATIENTS WITH TERMINAL HEART-FAILURE [J].
BEUCKELMANN, DJ ;
NABAUER, M ;
ERDMANN, E .
CIRCULATION, 1992, 85 (03) :1046-1055
[6]   beta(2)-Adrenergic receptor antagonists protect against ventricular fibrillation - In vivo and in vitro evidence for enhanced sensitivity to beta(2)-adrenergic stimulation in animals susceptible to sudden death [J].
Billman, GE ;
Castillo, LC ;
Hensley, J ;
Hohl, CM ;
Altschuld, RA .
CIRCULATION, 1997, 96 (06) :1914-1922
[7]   Antiadrenergic therapy of chronic heart failure - Surprises and new opportunities [J].
Bristow, M .
CIRCULATION, 2003, 107 (08) :1100-1102
[8]   Selective versus nonselective β-blockade for heart failure therapy:: Are there lessons to be learned from the COMET trial? [J].
Bristow, MR ;
Feldman, AM ;
Adams, KF ;
Goldstein, S .
JOURNAL OF CARDIAC FAILURE, 2003, 9 (06) :444-453
[9]   Relationship between regional cardiac hyperinnervation and ventricular arrhythmia [J].
Cao, JM ;
Fishbein, MC ;
Han, JB ;
Lai, WW ;
Lai, AC ;
Wu, TJ ;
Czer, L ;
Wolf, PL ;
Denton, TA ;
Shintaku, IP ;
Chen, PS ;
Chen, LS .
CIRCULATION, 2000, 101 (16) :1960-1969
[10]   Role of nonglycosidic inotropic agents: indications, ethics, and limitations [J].
Chatterjee, K ;
De Marco, T .
MEDICAL CLINICS OF NORTH AMERICA, 2003, 87 (02) :391-+