Title |
Controlled-release carvedilol in the management of systemic hypertension and myocardial dysfunction
|
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Published in |
Vascular Health and Risk Management, December 2008
|
DOI | 10.2147/vhrm.s3148 |
Pubmed ID | |
Authors |
William H Frishman, Linda S Henderson, Mary Ann Lukas |
Abstract |
Cardiovascular disease is the leading cause of death worldwide. Within the treatment armamentarium, beta-blockers have demonstrated efficacy across the spectrum of cardiovascular disease--from modification of a risk factor (ie, hypertension) to treatment after an acute event (ie, myocardial infarction). Recently, the use of beta-blockers as a first-line therapy in hypertension has been called into question. Moreover, beta-blockers as a class are saddled with a misperception of having poor tolerability. However, vasodilatory beta-blockers such as carvedilol have a different hemodynamic action that provides the benefits of beta-blockade with the addition of vasodilation resulting from alpha 1-adrenergic receptor blockade. Vasodilation reduces total peripheral resistance, which may produce an overall positive effect on tolerability. Recently, a new, controlled-release carvedilol formulation has been developed that provides the clinical efficacy of carvedilol but is indicated for once-daily dosing. This review presents an overview of the clinical and pharmacologic carvedilol controlled-release data. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 2% |
Unknown | 55 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 13% |
Student > Bachelor | 6 | 11% |
Researcher | 5 | 9% |
Student > Ph. D. Student | 5 | 9% |
Student > Doctoral Student | 4 | 7% |
Other | 13 | 23% |
Unknown | 16 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 19 | 34% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 11% |
Agricultural and Biological Sciences | 4 | 7% |
Nursing and Health Professions | 3 | 5% |
Chemistry | 3 | 5% |
Other | 4 | 7% |
Unknown | 17 | 30% |