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:4/25/2017)... , ... April 25, 2017 , ... ... have signed an agreement to be the preferred physical therapy provider for Derby ... returning them to Derby City CrossFit as quickly and effectively as possible, ProRehab’s ...
(Date:4/25/2017)... ... April 25, 2017 , ... The doctors at Wall ... who live with dental fear and require sedation to receive dental care. The doctors ... during various procedures, from hygienic cleanings to oral surgery, at their dental office in ...
(Date:4/25/2017)... (PRWEB) , ... April 25, 2017 , ... Back ... neck and back pain with a reputable physician in their area, announces the launch ... protects patient information for patients who are looking for reputable physicians to help them ...
(Date:4/25/2017)... ... April 25, 2017 , ... There is no better place in South ... special report in the May issue of Consumer Reports focused on heart health. ... results achieved during and after coronary bypass and aortic valve replacement procedures. , ...
(Date:4/24/2017)... ... , ... Michael Vick announced his retirement earlier this year from the NFL ... one pick in the 2001 NFL Draft, to the Atlanta Falcons, made four Pro ... career rushing yards by a quarterback (6,109) and the most rushing yards by a ...
Breaking Medicine News(10 mins):
(Date:4/19/2017)... April 19, 2017 The Global Effective ... to 2022 report has covered and analysed the potential of ... on market size, shares and growth factors. The report identifies ... and opportunities in the global market. ... Browse 152 Tables and Figures, 6 Major Company ...
(Date:4/19/2017)... 2017  SARES•REGIS Group leased the first of ... Conejo Spectrum Business Park in Thousand ... Inc. , a biopharmaceutical company developing meaningful therapies ... have been underserved by scientific innovation, with an ... autoimmune and infectious disease. Before commencement ...
(Date:4/18/2017)... -- Astute Medical, Inc., developer of biomarkers for better healthcare, ... the 2017 National Kidney Foundation (NKF) Spring Clinical ... 22. Physicians will present data on two biomarkers, ... acute kidney injury (AKI) during the management of patients ... Elevated levels of TIMP-2 and IGFBP-7 have been shown ...
Breaking Medicine Technology: