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:3/24/2017)... ... March 24, 2017 , ... ... Arizona’s Premier Center for Shamanic Healing and Spiritual Awakening, proudly presents her ... 9--24, 2017. This sacred and spiritual journey during the Summer Solstice will ...
(Date:3/24/2017)... ... March 24, 2017 , ... On June ... ERISA Benefit Claims Litigation seminar in Chicago, Illinois. She will present on: ... of cases litigated under ERISA involve claims for long-term disability benefits. This ...
(Date:3/24/2017)... ... March 24, 2017 , ... Empower ... upgrading their training and leads programs. , In February, 2017, Empower Brokerage introduced ... agents, Performance Partners is designed to teach how to maximize their sales efforts, ...
(Date:3/24/2017)... ... March 24, 2017 , ... “Vintage and Harvest A Cultivation of Christian ... Bible teacher residing in North Carolina with his wife, Anna Marie. He and his ... six grandchildren. David is also the author of “Shadow and Substance.” , “Love, the ...
(Date:3/23/2017)... ... ... A recent report from the National Council on Teacher Quality (NCTQ) advocates ... based on a review of GPA and SAT/ACT requirements at 221 institutions in 25 ... argues that this higher bar should be set by states, by the Council for ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... GENEVA , March 24, 2017 ... revitalizes efforts to develop sutezolid as effective response to ... Day, TB Alliance and the Medicines Patent Pool (MPP) ... sutezolid, an antibiotic drug candidate which demonstrated encouraging results ... of sutezolid in combination with other TB drugs and ...
(Date:3/23/2017)... Research and Markets has announced the addition of the "Global ... Repair Procedure By Technique, By Region, By Country (2016-2021)" report ... ... a CAGR of 13.35% during 2016-2021 The strong growth ... in population with heart disease and rising advances in minimally invasive ...
(Date:3/23/2017)... March 23, 2017  The U.S. Food and Drug ... the treatment of adults and pediatric patients 12 years ... those who have not received prior chemotherapy. This is ... aggressive form of skin cancer. "While skin ... with a rare form called Merkel cell cancer have ...
Breaking Medicine Technology: