Bisoprolol improves echocardiographic parameters of left ventricular diastolic function in patients with systemic

T Fikret Ilgenli1, Fethi Kilicaslan, Ata Kirilmaz

  • 1Golcuk Army Hospital, Department of Cardiology, Golcuk, Kocaeli, Turkey. fikretilgenli@yahoo.com

Cardiology
|April 26, 2006
PubMed

Insights

Bisoprolol treatment improved left ventricular (LV) diastolic function in hypertensive patients. Echocardiography showed better diastolic parameters after three months, indicating bisoprolol

Area of Science:

  • Cardiology
  • Pharmacology

Background:

  • Hypertension frequently causes left ventricular (LV) diastolic dysfunction (LVD).
  • Bisoprolol is known to reduce blood pressure and offer cardiac benefits in hypertensive individuals.
  • The specific impact of bisoprolol on LV diastolic function requires further detailed investigation.

Purpose of the Study:

  • To investigate the effects of bisoprolol on left ventricular diastolic function in hypertensive patients.

Main Methods:

  • A study involving 25 patients was conducted.
  • Echocardiography was used to measure key diastolic parameters: Peak E and A waves, E/A ratio, isovolumetric relaxation time, and E wave deceleration time.
  • Statistical analysis was performed on the collected data.

Main Results:

  • Doppler echocardiography revealed significant improvements in LV diastolic function post-bisoprolol treatment.
  • Specific echocardiographic parameters associated with diastolic function showed enhancement.

Conclusions:

  • Bisoprolol treatment demonstrates a positive effect on LV diastolic function.
  • A three-month course of bisoprolol improves echocardiographic indicators of diastolic function in hypertensive patients.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Adrenergic Antagonists: ɑ and β-Receptor Blockers01:31

Adrenergic Antagonists: ɑ and β-Receptor Blockers

Third-generation β-blockers, such as labetalol and carvedilol, represent a significant advancement in managing cardiovascular conditions. Unlike conventional β-blockers, which can induce peripheral vasoconstriction, third-generation drugs block α1 adrenoceptors. This promotes vasodilation through several mechanisms, such as increased nitric oxide production, inhibition of calcium ion entry, opening of potassium ion channels, and antioxidant action. Labetalol, for instance, is clinically...
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.
Antihypertensive Drugs: Action of β1 Blockers01:17

Antihypertensive Drugs: Action of β1 Blockers

β1-receptors are primarily located in the heart and kidneys. In cardiac myocytes, these receptors interact with neurotransmitters released by the sympathetic nervous system during heightened activity or danger. As a result, β1-receptors get activated, initiating a series of biochemical processes. Excessive activation of beta receptors due to chronic stress can abnormally increase heart rate and contractility, resulting in high blood pressure or hypertension. To counteract this, β1-blockers...
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation, vasodilation, and...