Therapy of idiopathic dilated cardiomyopathy with chronic β-adrenergic blockade

Springer Science and Business Media LLC - Tập 6 - Trang 29-39 - 1991
Edward M. Gilbert1, John B. O'Connell1, Michael R. Bristow1
1Division of Cardiology, University of Utah School of Medicine, Salt Lake City, USA

Tóm tắt

Conventional therapy of patients with idiopathic dilated cardiomyopathy is currently directed at the control of heart failure. However, the morbidity and mortality of idiopathic dilated cardiomyopathy remains very high despite such interventions. One promising new approach to therapy of idiopathic dilated cardiomyopathy is β-blockade. The potential mechanisms for benefit from β-blockade include protection from catecholamine cardiotoxicity, upregulation of myocardial β-adrenergic receptors, reduction in sudden death, reduction in heart rate, improved ventricular diastolic function, and reduction in afterload. Several reports have suggested that longterm β-blockade may improve hemodynamic function, clinical symptoms, and survival in patients with idiopathic dilated cardiomyopathy. However, data from controlled trials are limited and some reports have been negative. This paper will summarize the rationale for the use of β-blocker therapy in idiopathic dilated cardiomyopathy and review the clinical experience with this therapy.

Tài liệu tham khảo

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