Nebivolol Versus Carvedilol in Patients With Heart Failure
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Purpose
BACKGROUND Beta-blockers improve left ventricular (LV) systolic function and prognosis in patients with chronic heart failure. Both carvedilol and nebivolol have hemodynamic and clinical benefits in chronic heart failure (CHF), but it is unknown whether their pleiotropic properties may play a role in different subgroups of patients with CHF.
OBJECTIVE: To compare the effects of nebivolol and carvedilol on LV function and clinical outcome in patients with chronic heart failure and reduced LV systolic function.
METHODS: 160 hypertensive CHF patients, LV ejection fraction (EF) 40% and in New York Heart Association (NYHA) functional class II or III were randomly assigned to receive carvedilol or nebivolol therapy for 24 months. At baseline and after 24 months of treatment, all patients underwent clinical evaluation: echocardiogram and 6-minute walking test.
| Condition |
|---|
|
Chronic Heart Failure Hypertension |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Effects of Nebivolol Versus Carvedilol in Hypertensive Patients With Chronic Heart Failure |
Eligibility| Ages Eligible for Study: | 53 Years to 76 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- left ventricular ejection fraction (LVEF) < 40%;
- symptomatic heart failure with functional New York Heart Association (NYHA) class II or III;
- arterial hypertension with systolic blood pressure >140 mmHg and diastolic blood pressure >85 mmHg;
- clinical stability without hospital admission for heart failure in the previous 3 months.
Exclusion Criteria:
- history of asthma or severe chronic obstructive pulmonary disease;
- severe liver or kidney diseases;
- second-degree or third degree heart block without a permanent pacemaker,
- sick sinus syndrome, heart rate <60 beat/min, systolic blood pressure <90 mmHg.
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00511888 History of Changes |
| Other Study ID Numbers: | 001-07 |
| Study First Received: | August 3, 2007 |
| Last Updated: | October 16, 2008 |
| Health Authority: | Italy: Ethics Committee |
Keywords provided by IRCCS San Raffaele:
|
chronic heart failure hypertension beta blockers |
Additional relevant MeSH terms:
|
Heart Failure Hypertension Heart Diseases Cardiovascular Diseases Vascular Diseases Carvedilol Nebivolol Adrenergic beta-Antagonists Adrenergic Antagonists Adrenergic Agents Neurotransmitter Agents |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs Antihypertensive Agents Cardiovascular Agents Therapeutic Uses Vasodilator Agents Adrenergic alpha-1 Receptor Antagonists Adrenergic alpha-Antagonists Adrenergic beta-1 Receptor Antagonists |
ClinicalTrials.gov processed this record on June 18, 2013