Ventricular remodeling in heart failure and the effect of β-blockade

作者: James E Udelson

DOI: 10.1016/J.AMJCARD.2004.01.025

关键词:

摘要: Left ventricular (LV) remodeling has an important role in the progression of cardiovascular disease. An understanding process LV led to greater knowledge pathophysiology heart failure. Drug therapies that slow or reverse seem have favorable natural history effects short-term and long-term therapy. Angiotensin-converting enzyme (ACE) inhibitors been associated with a significant reduction mortality, effect beta-blockers on now studied across much spectrum severity patients beta-Blockade seems add independent post-myocardial infarction over above those ACE inhibitors. A combination both drugs shows greatest mortality (ie, most remodeling). Differences their recently shown among beta-blockers. Several studies meta-analysis suggest carvedilol may be more outcome, having remodeling.

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