Navigation Links
Beta Blockers Help Hospitalized Heart Failure Patients
Date:7/11/2008

Continuing treatment reduces death risk, rehospitalization rates, study finds

FRIDAY, July 11 (HealthDay News) -- People who are hospitalized for severe heart failure and have been taking beta blockers should be kept on those medications while in the hospital, a new study finds.

And if they weren't taking beta blockers already, most of them should be started on the medications when they leave, according to a report in the July 15 issue of the Journal of the American College of Cardiology.

The multi-center study of 2,373 people with heart failure severe enough for them to suffer decompensated heart failure, in which they suffer fluid retention, shortness of breath and other complications, is the latest in the back-and-forth story about the role of beta blockers in heart failure, which is the progressive loss of the heart's ability to pump blood.

Beta blockers reduce the activity of adrenaline, and so make the heart beat slower. It was first thought that they were no help against heart failure, said Dr. James B. Young, chairman of the department of medicine at the Cleveland Clinic Lerner College of Medicine and a member of the research team, but experience has shown otherwise. They now are widely prescribed for the condition.

"But many questions abound, including the best treatment strategy in the hospital," Young said. "The best treatment strategy has been hard to define for hospitalized patients. These are tough questions we haven't had a lot of evidence about."

The new study shows a clear benefit for continuing the drug. More than half of the people hospitalized for heart failure were already taking beta blockers. Continuing that drug therapy reduced the risk of death by 40 percent and of going back into the hospital by 31 percent. Discontinuing beta blocker therapy more than doubled the risk of death.

"This is a very important message that beta blockers are an important therapy for heart failure," said Dr. Mihai Gheorghiade, a professor of medicine at Northwestern University Feinberg School of Medicine and a member of the research group.

Gheorghiade was a leader of a study several years ago which showed that hospitalized heart failure patients who were not taking beta blockers benefited from having the therapy started before they left the hospital. The new study supports the view that "it is safe and effective to start beta blockers before discharge," at least in most cases, he said.

"If there are severe signs and symptoms before discharge, you have to think twice," Gheorghiade said. "A patient who is not severely decompensated, with a heart rate below 40 or 50, you can start the drug before discharge."

The new study could have a wide application, Young noted. About 1 million Americans are hospitalized each year because of heart failure, he said. And it marks a complete reversal in what was once the common belief, that beta blockers would harm people with heart failure.

"If you are on a beta blocker and are admitted with decompensated heart failure, it is best not to stop the drug, as had been commonly thought recently," Young said.

More information

Learn about beta blockers and other drugs for heart failure from the American Heart Association.



SOURCES: James B. Young, M.D., chairman, department of medicine, Cleveland Clinic Lerner College of Medicine, Ohio; Mihai Gheorghiade, M.D., professor, medicine, Feinberg School of medicine, Northwestern University, Chicago; July, 15, 2008, Journal of the American College of Cardiology


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Scripps scientists find calcium channel blockers help normalize lysosomal storage disease cells
2. Women are treated less frequently than men with statins, aspirin and beta-blockers
3. Beta Blockers Raise Stroke, Death Risk After Surgery
4. Chicago Bears Players Visit Hospitalized Veterans
5. Antivirals reduce deaths from flu in hospitalized patients
6. Rapid Response Teams Can Save Hospitalized Kids
7. Drug Mix-Ups Harm Hospitalized Kids
8. Los Angeles Ronald McDonald House Doubles Lodging Capacity for Families of Hospitalized Children
9. JCSM: A high frequency of sleep-related breathing disorders in hospitalized patients
10. Young Children Hospitalized for Flu Associated With Higher Costs and Higher Risk Illness
11. Young children hospitalized for flu associated with higher costs and higher risk illness
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Beta Blockers Help Hospitalized Heart Failure Patients 
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, ... lowdown on sciatica in a new episode of "Success Files," which is an ... and innovation and investigates each subject in-depth with passion and integrity. , Sciatica ...
(Date:10/12/2017)... WILMINGTON, Del. (PRWEB) , ... October 12, 2017 ... ... technology and advisory services for healthcare compliance program management, will showcase a range ... and National Association for Assisted Living (NCAL) Convention and Expo to be held ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... IsoComforter, Inc. ... products, announced today the introduction of an innovative new design of the shoulder pad. ... so you get maximum comfort while controlling your pain while using cold therapy. By ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... Hair Restoration, has recently contributed a medical article to the newly revamped ... Dr. Mohebi’s article spotlights the hair transplant procedure known as Follicular Unit ...
(Date:10/12/2017)... ... October 12, 2017 , ... Women-owned and ... 2017 Best and Brightest in Wellness® by Best and Brightest. OnSite Wellness will ... Friday, Oct. 20 from 7:30 a.m. to 2 p.m. at the Henry Autograph ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... Hill-Rom Holdings, Inc. (NYSE: HRC), will host ... webcast on Friday, November 3, 2017, beginning at 7:00 ... approximately 8:30 a.m. (CDT) / 9:30 a.m. (EDT). ... performance and guidance for 2018, Hill-Rom executives will also ... performance, and long-range financial outlook through 2020. ...
(Date:9/25/2017)... 2017   Montrium , an industry leader ... the IQPC Trial Master Files & Inspection Readiness ... EastHORN Clinical Services has selected eTMF Connect ... management. EastHORN, a leading European contract research organization ... transparency to enable greater collaboration with sponsors, improve ...
(Date:9/22/2017)... -- AVACEN Medical (AVACEN) announced that its CE-Marked AVACEN ... with the widespread pain associated with fibromyalgia in the ... Essex, England commented, "I had difficulty ... sleep at all, tremendous pain, with every movement sending ... AVACEN 100] enough, how this has and is helping ...
Breaking Medicine Technology: