Page last updated: 2024-10-24

candesartan and Cardiac Output, Low

candesartan has been researched along with Cardiac Output, Low in 13 studies

candesartan: a nonpeptide angiotensin II receptor antagonist
candesartan : A benzimidazolecarboxylic acid that is 1H-benzimidazole-7-carboxylic acid substituted by an ethoxy group at position 2 and a ({2'-(1H-tetrazol-5-yl)[1,1'-biphenyl]-4-yl}methyl) group at position 1. It is a angiotensin receptor antagonist used for the treatment of hypertension.

Cardiac Output, Low: A state of subnormal or depressed cardiac output at rest or during stress. It is a characteristic of CARDIOVASCULAR DISEASES, including congenital, valvular, rheumatic, hypertensive, coronary, and cardiomyopathic. The serious form of low cardiac output is characterized by marked reduction in STROKE VOLUME, and systemic vasoconstriction resulting in cold, pale, and sometimes cyanotic extremities.

Research Excerpts

ExcerptRelevanceReference
"Candesartan was generally well tolerated and significantly reduced cardiovascular deaths and hospital admissions for heart failure."9.10Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme. ( Granger, CB; Held, P; McMurray, JJ; Michelson, EL; Olofsson, B; Ostergren, J; Pfeffer, MA; Pocock, S; Swedberg, K; Yusuf, S, 2003)
"Candesartan was generally well tolerated and reduced cardiovascular mortality and morbidity in patients with symptomatic chronic heart failure and intolerance to ACE inhibitors."9.10Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial. ( Granger, CB; Held, P; McMurray, JJ; Michelson, EL; Olofsson, B; Ostergren, J; Pfeffer, MA; Swedberg, K; Yusuf, S, 2003)
"Candesartan was generally well tolerated and significantly reduced cardiovascular deaths and hospital admissions for heart failure."5.10Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme. ( Granger, CB; Held, P; McMurray, JJ; Michelson, EL; Olofsson, B; Ostergren, J; Pfeffer, MA; Pocock, S; Swedberg, K; Yusuf, S, 2003)
"Candesartan was generally well tolerated and reduced cardiovascular mortality and morbidity in patients with symptomatic chronic heart failure and intolerance to ACE inhibitors."5.10Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial. ( Granger, CB; Held, P; McMurray, JJ; Michelson, EL; Olofsson, B; Ostergren, J; Pfeffer, MA; Swedberg, K; Yusuf, S, 2003)
"Candesartan induced an increase in plasma renin activity and plasma angiotensin II associated with a reduction in arterial pressure without affecting heart rate."2.70Candesartan and arterial baroreflex sensitivity and sympathetic nerve activity in patients with mild heart failure. ( Hikosaka, M; Iwasaka, T; Iwasaki, M; Kawamura, A; Mimura, J; Motohiro, M; Sugiura, T; Yuasa, F; Yuyama, R, 2002)
"Candesartan treatment of DS rats with established diastolic heart failure reversed cardiac remodeling, improved cardiac relaxation abnormality, and prolonged survival, being accompanied by the attenuation of the increase in cardiac superoxide, reduced nicotinamide-adenine dinucleotide phosphate oxidase, and xanthine oxidoreductase activities."1.34Role of xanthine oxidoreductase in the reversal of diastolic heart failure by candesartan in the salt-sensitive hypertensive rat. ( Dong, YF; Kataoka, K; Kim-Mitsuyama, S; Matsuba, S; Ogawa, H; Tokutomi, Y; Yamamoto, E; Yamashita, T, 2007)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's13 (100.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hikosaka, M1
Yuasa, F1
Yuyama, R1
Mimura, J1
Kawamura, A1
Motohiro, M1
Iwasaki, M1
Sugiura, T1
Iwasaka, T1
Pfeffer, MA6
Swedberg, K7
Granger, CB5
Held, P4
McMurray, JJ6
Michelson, EL5
Olofsson, B5
Ostergren, J4
Yusuf, S5
Pocock, S1
Kochsiek, K1
Young, JB1
Dunlap, ME1
Probstfield, JL1
Cohen-Solal, A1
Dietz, R1
Hradec, J1
Kuch, J1
McKelvie, RS1
Solomon, SD1
White, HD1
Granger, BB1
Ekman, I1
Hennekens, CH1
Yamamoto, E1
Kataoka, K1
Yamashita, T1
Tokutomi, Y1
Dong, YF1
Matsuba, S1
Ogawa, H1
Kim-Mitsuyama, S1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 2/3 Study of Effect of AT1RB Versus ACE Inhibitor in Addition to XO Inhibitor on Progression of LV Remodeling and Dysfunction in Diabetic Patients With Acute MI.[NCT01052272]Phase 2/Phase 372 participants (Actual)Interventional2005-07-31Completed
A Randomized Study of the MitraClip Device in Heart Failure Patients With Clinically Significant Functional Mitral Regurgitation[NCT01772108]42 participants (Actual)Interventional2013-04-30Terminated (stopped due to As recruitment rate was lower than anticipated)
Mechanisms and Management of Exercise Intolerance in Older Heart Failure Patients With Preserved Ejection Fraction[NCT03111017]12 participants (Actual)Interventional2017-04-17Completed
ODYSSEE-vCHAT Pilot Trial: A Virtual Community Promoting Health Literacy, Self-Care, and Peer Support for Heart Failure[NCT04966104]162 participants (Anticipated)Interventional2021-10-25Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Left Ventricular Ejection Fraction (LVEF)

LVEF is a calculation of heart pump function determined from the volume after complete filling minus the volume after complete contraction divided by the volume after complete filling. A value of 55% or greater is normal. This is a measure of LV Systolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionpercent (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil56.3656.8242.6252.3739.8856.33NA51.7054.17
Candesartan Cilexetil and Allopurinol52.6857.28NA56.1154.4657.8256.1755.7954.40
Ramipril52.1954.2064.9852.7652.1355.0251.2757.1850.73
Ramipril and Allopurinol53.3752.80NA51.7434.8954.05NA55.59NA

Left Ventricular End Diastolic Volume Indexed to Body Surface Area (LVEDV/BSA)

LVEDV/BSA: As an indicator of heart size, the blood volume of the heart is related to the body size. The relation of heart blood volume to body size is more accurate in determining pathology because larger people require a larger heart blood volume. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Diastolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionml/m^2 (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil78.0678.6093.5785.4490.2082.74NA84.2876.65
Candesartan Cilexetil and Allopurinol79.0378.01NA79.7563.184.9575.2779.7275.05
Ramipril73.0374.1073.2375.3481.1975.2871.9970.4648.68
Ramipril and Allopurinol78.5286.13NA83.95108.2567.96NA71.63NA

Left Ventricular End Systolic Volume Indexed to Body Surface Area (LVESV/BSA)

LVESV/BSA: The end systolic volume is the blood volume of the heart at the end of contraction and is an index of the pump function of the heart. This relation to body size is more accurate in determining pathology because larger people require a larger heart blood volume. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Systolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionml/m^2 (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil35.2635.2653.8742.2754.0437.76NA41.7235.13
Candesartan Cilexetil and Allopurinol39.4934.15NA36.0728.7437.1832.9935.9934.22
Ramipril36.2034.7725.6436.8239.4235.3035.2331.1723.98
Ramipril and Allopurinol37.9142.88NA42.3470.4830.39NA31.56NA

Left Ventricular End-diastolic Mass Indexed to Left Ventricular End-diastolic Volume (LVED Mass/LVEDV)

LVED Mass/LVEDV: As an indicator of heart muscle mass and heart blood volume, the mass indexed to end diastolic volume determines whether there is an adequate amount of heart muscle to pump the heart blood volume obtained from a three-dimensional analysis. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Geometry. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventiong/ml (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil0.950.830.670.780.700.79NA0.800.64
Candesartan Cilexetil and Allopurinol0.870.82NA0.860.680.800.690.820.69
Ramipril0.920.870.750.840.810.790.950.840.93
Ramipril and Allopurinol0.860.71NA0.720.570.83NA0.80NA

Left Ventricular End-Diastolic Radius to Wall Thickness (LVED Radius/Wall Thickness)

LVED Radius/Wall thickness As an indicator of heart muscle mass and heart volume chamber diameter, the end-diastolic radius indexed to end diastolic wall thickness determines whether there is an adequate amount of heart muscle to pump the heart blood volume obtained from a two-dimensional analysis. The values that are too high or too low indicate a diseased myocardium. This is a measure of LV Geometry. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionunitless (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil3.143.394.143.684.103.71NA3.584.04
Candesartan Cilexetil and Allopurinol3.453.63NA3.423.903.564.243.564.29
Ramipril3.233.323.423.433.443.602.923.463.12
Ramipril and Allopurinol3.574.04NA4.014.573.60NA3.61NA

LV End Systolic Maximum Shortening (LVES Max Shortening)

By identifying three points in three different planes in the heart muscle, the maximum shortening is the average of the difference between the distance between these three points at the end of filling of the heart and the end of contraction divided by the length at the end of filling times 100. The maximum shortening is a three dimensional analysis. The higher values indicate a healthy heart. This is a measure of LV Systolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Interventionpercent of length at end of filling (Mean)
Month 0 (n=17,17,17,18)Month 6(n=14,11,10,12)Month 9(n=1,2,0,0)Month 12(n=11,11,10,10)Month 15(n=3,2,1,1)Month 18(n=10,12,7,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil16.6817.5019.0817.1316.2817.55NA16.6220.38
Candesartan Cilexetil and Allopurinol16.0018.50NA18.5116.3617.5217.8917.8516.59
Ramipril15.8116.8818.4314.5717.0617.2616.6815.6713.70
Ramipril and Allopurinol15.8418.72NA17.9614.2217.46NA17.52NA

Peak Early Filling Rate Normalized to EDV

The Peak Early Filling Rate Normalized to EDV is calculated from the slope of the volume during the early filling of the heart with respect to time. The higher values indicate a very healthy heart muscle and lower values are indicative of a very stiff muscle. This is a measure of LV Diastolic Function. Since some visits did not occur at the scheduled 6 month intervals, the results have been divided into 3-month visit intervals for reporting purposes. (NCT01052272)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,,,
Intervention1/sec (Mean)
Month 0 (n=17,17,18,18)Month 6(n=14,11,11,12)Month 9(n=1,2,0,0)Month 12(n=12,11,11,11)Month 15(n=3,2,1,1)Month 18(n=10,12,8,8)Month 21(n=3,0,0,1)Month 24 (n=11,9,8,10)Month 27 (n=1,1,0,1)
Candesartan Cilexetil2.012.021.131.901.481.93NA1.651.10
Candesartan Cilexetil and Allopurinol2.01.98NA1.772.282.052.501.822.15
Ramipril1.931.742.501.802.021.911.692.051.34
Ramipril and Allopurinol2.112.03NA1.931.561.89NA1.88NA

Reviews

1 review available for candesartan and Cardiac Output, Low

ArticleYear
Angiotensin inhibition in heart failure.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2004, Volume: 5 Suppl 1

    Topics: Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Cardiac Output, Low; Hu

2004

Trials

7 trials available for candesartan and Cardiac Output, Low

ArticleYear
Candesartan and arterial baroreflex sensitivity and sympathetic nerve activity in patients with mild heart failure.
    Journal of cardiovascular pharmacology, 2002, Volume: 40, Issue:6

    Topics: Antihypertensive Agents; Baroreflex; Benzimidazoles; Biphenyl Compounds; Cardiac Output, Low; Electr

2002
Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Adolescent; Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antih

2003
Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Adolescent; Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antih

2003
Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Adolescent; Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antih

2003
Effects of candesartan on mortality and morbidity in patients with chronic heart failure: the CHARM-Overall programme.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Adolescent; Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antih

2003
Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function taking angiotensin-converting-enzyme inhibitors: the CHARM-Added trial.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Adolescent; Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antih

2003
Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Aged; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive A

2003
Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Aged; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive A

2003
Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Aged; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive A

2003
Effects of candesartan in patients with chronic heart failure and reduced left-ventricular systolic function intolerant to angiotensin-converting-enzyme inhibitors: the CHARM-Alternative trial.
    Lancet (London, England), 2003, Sep-06, Volume: 362, Issue:9386

    Topics: Aged; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive A

2003
[Angiotensin receptor blockers in heart failure. CHARM Study].
    Der Internist, 2004, Volume: 45, Issue:9

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme

2004
Mortality and morbidity reduction with Candesartan in patients with chronic heart failure and left ventricular systolic dysfunction: results of the CHARM low-left ventricular ejection fraction trials.
    Circulation, 2004, Oct-26, Volume: 110, Issue:17

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Cardiac Output, L

2004
Adherence to candesartan and placebo and outcomes in chronic heart failure in the CHARM programme: double-blind, randomised, controlled clinical trial.
    Lancet (London, England), 2005, Dec-10, Volume: 366, Issue:9502

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds; Cardiac Output, L

2005

Other Studies

5 other studies available for candesartan and Cardiac Output, Low

ArticleYear
These drugs are an ACE in the hole. Angiotensin receptor blockers prove okay when an ACE inhibitor causes problems.
    Harvard heart letter : from Harvard Medical School, 2004, Volume: 14, Issue:6

    Topics: Angiotensin-Converting Enzyme Inhibitors; Benzimidazoles; Biphenyl Compounds; Captopril; Cardiac Out

2004
Adherence and outcomes: it's more than taking the pills.
    Lancet (London, England), 2005, Dec-10, Volume: 366, Issue:9502

    Topics: Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds; Cardiac Output, Low; Female; Humans; Li

2005
Heart failure management. Interview with Karl Swedberg.
    Timely topics in medicine. Cardiovascular diseases, 2007, Jan-09, Volume: 11

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme

2007
The CHARM program: study design leads to findings of clinical and public health importance.
    Journal of cardiovascular pharmacology and therapeutics, 2007, Volume: 12, Issue:2

    Topics: Adrenergic beta-Antagonists; Aged; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting E

2007
Role of xanthine oxidoreductase in the reversal of diastolic heart failure by candesartan in the salt-sensitive hypertensive rat.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 50, Issue:4

    Topics: Acetophenones; Angiotensin II Type 1 Receptor Blockers; Animals; Benzimidazoles; Biphenyl Compounds;

2007