Page last updated: 2024-10-24

carvedilol and Cardiac Output, Low

carvedilol has been researched along with Cardiac Output, Low in 49 studies

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
"Although the benefits of carvedilol in patients with heart failure and depressed ejection fraction (EF) have been elucidated, those in patients with preserved EF are not understood."9.11Effects of carvedilol on plasma B-type natriuretic peptide concentration and symptoms in patients with heart failure and preserved ejection fraction. ( Fukutomi, T; Itoh, M; Kondo, H; Ogata, M; Shigeyama, J; Sugiura, M; Suzuki, S; Takeda, Y; Yamamoto, K, 2004)
"The third generation beta-blocker (carvedilol) is effective in reduction of hypertension, and of mortality and morbidity as a supplement to conventional drugs of heart failure therapies (diuretics, ACE inhibitors), based on randomized controlled trials and retrospective analysis."8.83[The effectiveness of carvedilol in heart failure]. ( Brodszky, V; Farsang, C; Gulácsi, L; Jermendy, G; Kárpáti, K; Vándorfi, G; Zámolyi, K, 2006)
"To evaluate carvedilol effect on clinical state, norepinephrine (NE) and epinephrine (E) plasma concentration and lymphocyte beta 2-adrenoreceptor dependent cAMP synthesis in patients with primary pulmonary hypertension (PPH)."7.71[Carvedilol in treating primary pulmonary hypertension patients: effect on severity of cardiac failure, degree of pulmonary hypertension, concentration of catecholamines in blood plasma and dependence of cyclic AMP synthesis in lymphocytes on beta-adrener ( Chazova, IE; Irodova, NL; Kochetov, AG; Krasnikova, TL; Masenko, VP, 2002)
"The effect of the beta-blocker, carvedilol, and/or ACEI on ventricular function in patients with muscular dystrophy was studied."5.12Beta-blocker therapy for cardiac dysfunction in patients with muscular dystrophy. ( Ishigaki, K; Kajimoto, H; Nakanishi, T; Nakazawa, M; Okumura, K; Osawa, M; Saito, K; Tomimatsu, H, 2006)
"The purpose of the study was to evaluate the influence of metoprolol succinate and carvedilol on the physical ability (FA) of patients with chronic heart failure (CHF) of different etiologies."5.12[The effects of beta-adrenoblocker therapy on the physical working capacity of patients with chronic heart failure of various origin]. ( Andreev, DA; Kalashnikov, VIu; Poltavskaia, MG; Sarkisova, EA; Svet, AV; Syrkin, AL, 2007)
"Although the benefits of carvedilol in patients with heart failure and depressed ejection fraction (EF) have been elucidated, those in patients with preserved EF are not understood."5.11Effects of carvedilol on plasma B-type natriuretic peptide concentration and symptoms in patients with heart failure and preserved ejection fraction. ( Fukutomi, T; Itoh, M; Kondo, H; Ogata, M; Shigeyama, J; Sugiura, M; Suzuki, S; Takeda, Y; Yamamoto, K, 2004)
"The third generation beta-blocker (carvedilol) is effective in reduction of hypertension, and of mortality and morbidity as a supplement to conventional drugs of heart failure therapies (diuretics, ACE inhibitors), based on randomized controlled trials and retrospective analysis."4.83[The effectiveness of carvedilol in heart failure]. ( Brodszky, V; Farsang, C; Gulácsi, L; Jermendy, G; Kárpáti, K; Vándorfi, G; Zámolyi, K, 2006)
"To evaluate carvedilol effect on clinical state, norepinephrine (NE) and epinephrine (E) plasma concentration and lymphocyte beta 2-adrenoreceptor dependent cAMP synthesis in patients with primary pulmonary hypertension (PPH)."3.71[Carvedilol in treating primary pulmonary hypertension patients: effect on severity of cardiac failure, degree of pulmonary hypertension, concentration of catecholamines in blood plasma and dependence of cyclic AMP synthesis in lymphocytes on beta-adrener ( Chazova, IE; Irodova, NL; Kochetov, AG; Krasnikova, TL; Masenko, VP, 2002)
"The CAPRICORN and COPERNICUS studies have confirmed the significance of betablocker treatment with carvedilol for indications which this medication did not yet possess: post-infarction with left ventricular dysfunction with or without clinical signs, and stable severe cardiac insufficiency."3.71[CAPRICORN and COPERINUS studies]. ( Juillière, Y, 2002)
"Patients were randomized in a 1:1:1 ratio to twice-daily dosing with placebo, low-dose carvedilol (0."2.73Carvedilol for children and adolescents with heart failure: a randomized controlled trial. ( Blume, ED; Boucek, MM; Boucek, RJ; Burr, J; Canter, CE; Dodd, DA; Holubkov, R; Hsu, DT; LaSalle, B; Lukas, MA; Mahony, L; Pahl, E; Rosenthal, DN; Ross, RD; Shaddy, RE; Tani, LY, 2007)
"Treatment with carvedilol might be effective for decreasing the oxidative DNA damage."2.72Elevated levels of oxidative DNA damage in serum and myocardium of patients with heart failure. ( Banba, K; Kimura, H; Kono, Y; Kusano, KF; Matsubara, H; Miura, A; Nagase, S; Nakamura, K; Nishii, N; Ohe, T; Sakuragi, S; Watanabe, A, 2006)
"With carvedilol, there was a parallel decline from 4."2.69Prospective, randomized comparison of effect of long-term treatment with metoprolol or carvedilol on symptoms, exercise, ejection fraction, and oxidative stress in heart failure. ( Buchholz-Varley, C; Charney, RH; Eng, C; Kalman, J; Kukin, ML; Levy, DK; Ocampo, ON, 1999)
"Carvedilol was added to the usual therapy of 20 patients; placebo was added to the usual therapy of 10 patients."2.69Effects of carvedilol in heart failure due to dilated cardiomyopathy. Results of a double-blind randomized placebo-controlled study (CARIBE study). ( Bocchi, EA; Caldas, MA; Chizzola, PR; da Costa, JM; Freitas, HF; Mansur, AJ; Marinho, NV; Meneghetti, C; Ramires, JA, 2000)
"Carvedilol has improved the symptomatic status of patients with moderate to severe heart failure in single-center studies, but its clinical effects have not been evaluated in large, multicenter trials."2.68Double-blind, placebo-controlled study of the effects of carvedilol in patients with moderate to severe heart failure. The PRECISE Trial. Prospective Randomized Evaluation of Carvedilol on Symptoms and Exercise. ( Cody, RJ; Colucci, WS; Freeman, I; Goldscher, DA; Gottlieb, SS; Gregory, JJ; Kantrowitz, NE; Kinhal, V; Klapholz, M; Kukin, ML; LeJemtel, TH; Liang, CS; Lukas, MA; Packer, M; Pearle, D; Sackner-Bernstein, JD; Shusterman, NH; Udelson, JE; Young, ST, 1996)
"Carvedilol reduced all-cause mortality but had no effects on the Minnesota Living With Heart Failure scale, the distance walked in 9 minutes on a self-powered treadmill, or cardiothoracic index."2.68Carvedilol inhibits clinical progression in patients with mild symptoms of heart failure. US Carvedilol Heart Failure Study Group. ( Bowers, JA; Bristow, MR; Cohn, JN; Colucci, WS; Fowler, MB; Gilbert, EM; Hershberger, R; Holcslaw, TL; Krueger, SK; Lukas, MA; Packer, M; Sackner-Bernstein, JD; Uretsky, BF; Young, ST, 1996)
"Carvedilol is a multiple action, non-specific, adrenergic beta-blocker, licensed for the treatment of mild, moderate and severe chronic heart failure."2.42Use of carvedilol in the treatment of heart failure. ( Coats, A, 2003)
"Carvedilol was begun 2 weeks after initiation of pacing and continued for 2 weeks."1.34Carvedilol restore cardiac calcium release channel structure and function in heart failure. ( Xue, R; Xue, SR; Xue, Y, 2007)
"Fifty consecutive patients with dilated cardiomyopathy in NYHA class II-IV with a left ventricular ejection fraction (LVEF) of 35% or below were studied with full polysomnography over one night."1.34Does beta-blocker treatment influence central sleep apnoea? ( Köhnlein, T; Welte, T, 2007)
" Beta-blocker dosages were titrated, and three patients achieved the target beta-blocker dosage established for stage A-C heart failure."1.34Tolerability of beta-blockers in outpatients with refractory heart failure who were receiving continuous milrinone. ( Earl, GL; Fitzpatrick, JM; Narula, J; Verbos-Kazanas, MA, 2007)
"Carvedilol was started in 3721 patients with CHF (median age 65 years, 60% men)."1.34Treatment of chronic heart failure with carvedilol in daily practice: the SATELLITE survey experience. ( Lainscak, M; Moullet, C; Schön, N; Tendera, M, 2007)
" All centres were provided with carvedilol, metoprolol, and bisoprolol at appropriate doses; the choice of the drug and dosage was left to the responsible clinician."1.32Treatment of chronic heart failure with beta adrenergic blockade beyond controlled clinical trials: the BRING-UP experience. ( Balli, E; Geraci, E; Gorini, M; Gronda, E; Lucci, D; Maggioni, AP; Opasich, C; Sinagra, G; Tavazzi, L; Tognoni, G, 2003)
"Treatment with carvedilol was associated with a significant decrease in the risk of any hospitalization (adjusted odds ratio 0."1.31Reimbursement claims analysis of outcomes with carvedilol and metoprolol. ( Antell, LA; Chang, LL; Luzier, AB; Roth, DA; Xuan, J, 2002)

Research

Studies (49)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's11 (22.45)18.2507
2000's38 (77.55)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Irodova, NL1
Krasnikova, TL1
Masenko, VP1
Kochetov, AG1
Chazova, IE1
Maltsev, VA1
Sabbab, HN1
Undrovinas, AI1
Arnold, RH1
Kotlyar, E1
Hayward, C1
Keogh, AM1
Macdonald, PS1
Maggioni, AP2
Sinagra, G1
Opasich, C2
Geraci, E1
Gorini, M1
Gronda, E1
Lucci, D2
Tognoni, G1
Balli, E1
Tavazzi, L3
Coats, A1
Malfatto, G1
Facchini, M1
Branzi, G1
Riva, B1
Sala, L1
Perego, GB1
Drent, M1
Gorgels, AP1
Bast, A1
Syrkin, AL2
Kukes, VG1
Poltavskaia, MG2
Andreev, DA2
Aref'eva, AB1
Teplonogova, EV1
Konova, IA1
Rykova, MS1
Bellenger, NG1
Rajappan, K1
Rahman, SL1
Lahiri, A1
Raval, U1
Webster, J1
Murray, GD1
Coats, AJ1
Cleland, JG3
Pennell, DJ1
Wang, JK1
Cui, CC1
Zhang, H1
Yao, QH1
Yao, XW1
Chen, XY1
Takeda, Y1
Fukutomi, T1
Suzuki, S1
Yamamoto, K1
Ogata, M1
Kondo, H1
Sugiura, M1
Shigeyama, J1
Itoh, M1
Naccarelli, GV1
Bell, DS1
Lukas, MA4
Holdbrook, FK1
Fowler, MB4
Boccanelli, A1
Cafiero, M1
Cirrincione, V1
Sindaco, DD1
Lenarda, AD1
Luzio, SD1
Faggiano, P1
Frigerio, M1
Porcu, M1
Pulignano, G1
Scherillo, M1
Charlesworth, A1
Lubsen, J1
Swedberg, K1
Remme, WJ1
Erhardt, L1
Di Lenarda, A1
Komajda, M1
Metra, M1
Torp-Pedersen, C1
Poole-Wilson, PA1
Stevenson, LW1
Lewis, E1
Wagoner, LE1
Starling, RC1
O'Connor, CM1
Xue, SR1
Xue, Y1
Xue, R1
Kajimoto, H1
Ishigaki, K1
Okumura, K1
Tomimatsu, H1
Nakazawa, M1
Saito, K1
Osawa, M1
Nakanishi, T1
Kono, Y1
Nakamura, K1
Kimura, H1
Nishii, N1
Watanabe, A1
Banba, K1
Miura, A1
Nagase, S1
Sakuragi, S1
Kusano, KF1
Matsubara, H1
Ohe, T1
Kárpáti, K1
Brodszky, V1
Farsang, C1
Jermendy, G1
Vándorfi, G1
Zámolyi, K1
Gulácsi, L1
Köhnlein, T1
Welte, T1
Mezzani, A1
Corrà, U1
Giordano, A1
Cafagna, M1
Adriano, EP1
Giannuzzi, P1
Mochizuki, M1
Yano, M1
Oda, T1
Tateishi, H1
Kobayashi, S1
Yamamoto, T1
Ikeda, Y1
Ohkusa, T1
Ikemoto, N1
Matsuzaki, M1
Earl, GL1
Verbos-Kazanas, MA1
Fitzpatrick, JM1
Narula, J1
Lee, T1
Svet, AV1
Sarkisova, EA1
Kalashnikov, VIu1
Fox, K1
Borer, JS1
Camm, AJ1
Danchin, N1
Ferrari, R1
Lopez Sendon, JL1
Steg, PG1
Tardif, JC1
Tendera, M2
Lainscak, M1
Moullet, C1
Schön, N1
Shaddy, RE1
Boucek, MM1
Hsu, DT1
Boucek, RJ1
Canter, CE1
Mahony, L1
Ross, RD1
Pahl, E1
Blume, ED1
Dodd, DA1
Rosenthal, DN1
Burr, J1
LaSalle, B1
Holubkov, R1
Tani, LY1
Bloomenthal, R1
Chatterjee, K1
Packer, M2
Colucci, WS2
Sackner-Bernstein, JD2
Liang, CS1
Goldscher, DA1
Freeman, I1
Kukin, ML2
Kinhal, V1
Udelson, JE1
Klapholz, M1
Gottlieb, SS1
Pearle, D1
Cody, RJ1
Gregory, JJ1
Kantrowitz, NE1
LeJemtel, TH1
Young, ST2
Shusterman, NH1
Bristow, MR4
Gilbert, EM4
Cohn, JN1
Krueger, SK1
Hershberger, R1
Uretsky, BF1
Bowers, JA1
Holcslaw, TL1
Abraham, WT3
Adams, KF1
Hershberger, RE1
Kubo, SH1
Narahara, KA1
Ingersoll, H1
Krueger, S1
Young, S1
Shusterman, N1
Olsen, S1
Hattler, B1
White, M2
Mealy, P1
Larrabee, P2
Yoshikawa, T1
Hattler, BG1
Crisman, TS1
Lowes, BD1
Robertson, AD1
Sharpe, N1
Doughty, RN1
Kalman, J1
Charney, RH1
Levy, DK1
Buchholz-Varley, C1
Ocampo, ON1
Eng, C1
Cleophas, TJ1
van der Meulen, J1
van de Luit, L1
Zwinderman, AH1
Hjalmarson, A1
Chizzola, PR1
Freitas, HF1
Caldas, MA1
da Costa, JM1
Meneghetti, C1
Marinho, NV1
Mansur, AJ1
Ramires, JA1
Bocchi, EA1
Martínez Martínez, JA1
Luzier, AB1
Antell, LA1
Chang, LL1
Xuan, J1
Roth, DA1
Juillière, Y1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Surveillance and Alert-based Multiparameter Monitoring to Reduce Worsening Heart Failure Events - SCALE-HF 1[NCT04882449]300 participants (Anticipated)Interventional2021-07-08Active, not recruiting
A Single Centre, Retrospective Cohort Study on Post Analysis on the Link Between the Clinical Heart Rate and Outcomes During PCI[NCT02351674]15,000 participants (Anticipated)Observational2015-01-31Not yet recruiting
Heart Rate Lowering Efficacy and Respiratory Safety of Ivabradine in Patients With Obstructive Airway Disease[NCT01365286]Phase 440 participants (Actual)Interventional2009-05-31Completed
A Multicenter, Placebo-Controlled, 8-Month Study of the Effect of Twice Daily Carvedilol in Children With Congestive Heart Failure Due to Systemic Ventricular Systolic Dysfunction[NCT00052026]Phase 3161 participants (Actual)Interventional2000-05-31Completed
A Multicenter,Randomized, Double Blind, Double Dummy, Parallel Group Study to Compare Effects of Coreg CR and Coreg IR on Left Ventricular End Systolic Volume Index in Subjects With Stable Chronic Heart Failure[NCT00323037]Phase 3318 participants (Actual)Interventional2006-03-31Completed
Randomized Clinical Trial of Radiofrequency Ablation for Atrial Fibrillation in Patients With Heart Failure With Preserved Ejection Fraction for Reduced Healthcare Utilization[NCT04327596]2 participants (Actual)Interventional2021-01-25Terminated (stopped due to lack of enrollment)
Molecular Mechanisms of Volume Overload-Aim 1(SCCOR in Cardiac Dysfunction and Disease)[NCT01052428]Phase 2/Phase 338 participants (Actual)Interventional2004-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in BNP Levels

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-0.88
Carvedilol Controlled Release-0.86

Change From Baseline in Deceleration Time

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release24.00
Carvedilol Controlled Release53.37

Change From Baseline in Early to Late Atrial Ratio (E:A Ratio)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-0.20
Carvedilol Controlled Release-0.45

Change From Baseline in End Diastolic Dimension (EDD)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-0.33
Carvedilol Controlled Release-0.36

Change From Baseline in End Systolic Dimension (ESD)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-0.76
Carvedilol Controlled Release-0.83

Change From Baseline in Intraventricular Septal Thickness (IVST)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release.08
Carvedilol Controlled Release.05

Change From Baseline in Left Ventricular Ejection Fraction (LVEF)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release.08
Carvedilol Controlled Release.08

Change From Baseline in Left Ventricular End Diastolic Volume (LVEDV)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-36.61
Carvedilol Controlled Release-42.22

Change From Baseline in Left Ventricular End Diastolic Volume Index (LVEDVI)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-18.29
Carvedilol Controlled Release-20.57

Change From Baseline in Left Ventricular End Systolic Volume (LVESV)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release-36.61
Carvedilol Controlled Release-43.00

Change From Baseline in Left Ventricular End Systolic Volume Index (LVESVI) Characterized by 2-D Echocardiography

Maintenance Visit 3 minus Baseline. Maintenance Visit 3 occurred 24 weeks after entry into the maintenance period. The maintenance period started after completion of a titration period of variable duration. (NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

InterventionmL/m^2 (Mean)
Coreg Immediate Release-18.36
Coreg Controlled Release-20.81

Change From Baseline in Left Ventricular Mass (LVM)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release9.5
Carvedilol Controlled Release-9.29

Change From Baseline in Posterior Wall Thickness (PWT)

(NCT00323037)
Timeframe: 24 weeks after entry into the maintenance period

Interventionpercentage of change (Mean)
Carvedilol Immediate Release.07
Carvedilol Controlled Release.05

Safety and Tolerability of Coreg CR

SAEs experienced (NCT00323037)
Timeframe: 24 weeks after entry into the maintenance phase (after unblinding)

Interventionnumber of SAEs (Number)
Carvedilol Immediate Release40
Carvedilol Controlled Release35

Drug Dose Tolerability

(NCT00323037)
Timeframe: Up to 32 weeks (titration and maintenance phases)

,
Interventionsubjects in each treatment group (Number)
Study Entry (10mg Coreg CR, 3.125mg Coreg IR)Maintenance Entry (10mg Coreg CR, 3.125mg Coreg IR)End of Study (10mg Coreg CR, 3.125mg Coreg IR)Study Entry (20mg Coreg CR, 6.25mg Coreg IR)Maintenance Entry (20mg Coreg CR, 6.25mg Coreg IR)End of Study (20mg Coreg CR, 6.25mg Coreg IR)Study Entry (40mg Coreg CR, 12.5mg Coreg IR)Maintenance Entry (40mg Coreg CR, 12.5mg Coreg IR)End of Study (40mg Coreg CR, 12.5mg Coreg IR)Study Entry (80mg Coreg CR, 25mg Coreg IR)Maintenance Entry (80mg Coreg CR, 25mg Coreg IR)End of Study (80mg Coreg CR, 25mg Coreg IR)
Carvedilol Controlled Release8304399162716224114111
Carvedilol Immediate Release79076113162112214116121

Incidence of Hospitalizations

(NCT00323037)
Timeframe: Up to 32 weeks (titration and maintenance phases)

,
Interventionparticipants in each treatment group (Number)
Hospitalization for Heart FailureHospitalization Due to Any CauseHospitalization or Death
Carvedilol Controlled Release62929
Carvedilol Immediate Release63132

Left Ventricular Ejection Fraction

Left Ventricular Ejection Fraction 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. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
Interventionpercent (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,1)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo62.6263.9063.8041.9061.7044.7060.9553.7959.95
Toprol XL62.09NA61.2954.8162.7768.4762.05NA63.02

Left Ventricular End Diastolic Volume Indexed to Body Surface Area

Left Ventricular End Diastolic Volume Indexed to Body Surface Area: As an indicator of heart size, the blood volume of the heart is related to the body size. The end diastolic volume is the blood volume of the heart at the end of filling, just before contraction. 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. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
Interventionml/m^2 (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,0)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo91.6690.9390.8470.5688.9982.7390.1685.7587.31
Toprol XL95.74NA95.24NA95.7198.1697.6NA95.16

Left Ventricular End Systolic Volume Indexed to Body Surface Area

Left Ventricular End Systolic Volume Indexed to Body Surface Area As an indicator of heart size, the blood volume of the heart is related to the body size. 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. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
Interventionml/m^2 (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,0)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo34.0132.8332.5340.9933.7047.2534.9939.9734.47
Toprol XL35.98NA36.53NA35.8930.9736.72NA35.13

Left Ventricular End-diastolic Mass Indexed to Left Ventricular End-diastolic Volume

Left Ventricular End-diastolic Mass Indexed to Left Ventricular End-diastolic Volume 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. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
Interventiong/ml (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,1)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo0.610.530.620.670.650.650.650.610.64
Toprol XL0.61NA0.60.530.600.550.59NA0.62

Left Ventricular End-Diastolic Radius to Wall Thickness

Left Ventricular End-Diastolic Radius to 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. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
Interventionunitless (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,1)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo4.765.024.514.154.464.614.434.724.52
Toprol XL4.69NA4.855.744.795.024.77NA4.59

Peak Early Filling Rate: Rate of Change Over Time

Peak Early Filling Rate The peak early filling rate of change 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. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
InterventionEDV/sec (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,0)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo2.272.582.381.562.261.831.951.732.17
Toprol XL2.12NA2.08NA2.242.282.26NA2.25

Systolic Longitudinal Strain

Systolic Longitudinal Strain. By identifying two points on the heart, the strain is the difference between the distance between these two points at the end of filling of the heart and the end of contraction divided by the length at the end of filling. Thus, the measure is like the ejection fraction, however the strain is more localized to a specified segment in the heart muscle. The higher values indicate a healthy heart. (NCT01052428)
Timeframe: 5 visits per Participant over 2 years (about every 6 months)

,
Interventionpercent/%Systolic interval (Mean)
Month 0 (n=19,19)Month 3 (n=1,0)Month 6 (n=17,19)Month 9 (n=1,0)Month 12 (n=14,15)Month 15 (n=3,2)Month 18 (n=14,18)Month 21 (n=5,0)Month 24 (n=16,18)
Placebo87.94115.0745.9037.287.8552.9588.1167.5379.94
Toprol XL82.55NA78.68NA80.0488.3479.29NA85.18

Reviews

9 reviews available for carvedilol and Cardiac Output, Low

ArticleYear
Use of carvedilol in the treatment of heart failure.
    Hospital medicine (London, England : 1998), 2003, Volume: 64, Issue:5

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disease; Humans; P

2003
Antiadrenergic therapy in the control of atrial fibrillation.
    Journal of cardiovascular pharmacology and therapeutics, 2005, Volume: 10 Suppl 1

    Topics: Adrenergic beta-Antagonists; Animals; Anti-Arrhythmia Agents; Atrial Fibrillation; Carbazoles; Cardi

2005
The effect of carvedilol on mortality risk in heart failure patients with diabetes: results of a meta-analysis.
    Current medical research and opinion, 2006, Volume: 22, Issue:2

    Topics: Aged; Blood Glucose; Carbazoles; Cardiac Output, Low; Carvedilol; Diabetes Mellitus; Female; Humans;

2006
Mapping the journey.
    Journal of the American College of Cardiology, 2006, Apr-18, Volume: 47, Issue:8

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Humans; Metoprolol; Propan

2006
Cardiac function and heart failure.
    Journal of the American College of Cardiology, 2006, Jun-06, Volume: 47, Issue:11 Suppl

    Topics: Adrenergic beta-Antagonists; Antidiuretic Hormone Receptor Antagonists; Benzazepines; Carbazoles; Ca

2006
[The effectiveness of carvedilol in heart failure].
    Orvosi hetilap, 2006, Oct-08, Volume: 147, Issue:40

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Double-Blind Method; Drug

2006
Resting heart rate in cardiovascular disease.
    Journal of the American College of Cardiology, 2007, Aug-28, Volume: 50, Issue:9

    Topics: Adrenergic beta-Antagonists; Animals; Arrhythmias, Cardiac; Calcium Channel Blockers; Carbazoles; Ca

2007
Resting heart rate in cardiovascular disease.
    Journal of the American College of Cardiology, 2007, Aug-28, Volume: 50, Issue:9

    Topics: Adrenergic beta-Antagonists; Animals; Arrhythmias, Cardiac; Calcium Channel Blockers; Carbazoles; Ca

2007
Resting heart rate in cardiovascular disease.
    Journal of the American College of Cardiology, 2007, Aug-28, Volume: 50, Issue:9

    Topics: Adrenergic beta-Antagonists; Animals; Arrhythmias, Cardiac; Calcium Channel Blockers; Carbazoles; Ca

2007
Resting heart rate in cardiovascular disease.
    Journal of the American College of Cardiology, 2007, Aug-28, Volume: 50, Issue:9

    Topics: Adrenergic beta-Antagonists; Animals; Arrhythmias, Cardiac; Calcium Channel Blockers; Carbazoles; Ca

2007
Beta-blockers in heart failure: potential of carvedilol.
    Journal of human hypertension, 1993, Volume: 7 Suppl 1

    Topics: Adrenergic beta-Antagonists; Antihypertensive Agents; Carbazoles; Cardiac Output, Low; Carvedilol; C

1993
Left ventricular remodelling and improved long-term outcomes in chronic heart failure.
    European heart journal, 1998, Volume: 19 Suppl B

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disease; Humans; P

1998

Trials

17 trials available for carvedilol and Cardiac Output, Low

ArticleYear
Long-term treatment with the beta-blocker carvedilol restores autonomic tone and responsiveness in patients with moderate heart failure.
    Journal of cardiovascular pharmacology, 2003, Volume: 42, Issue:1

    Topics: Adrenergic beta-Antagonists; Autonomic Nervous System; Carbazoles; Cardiac Output, Low; Carvedilol;

2003
Effects of carvedilol on left ventricular remodelling in chronic stable heart failure: a cardiovascular magnetic resonance study.
    Heart (British Cardiac Society), 2004, Volume: 90, Issue:7

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disease; Dou

2004
Effects of carvedilol on plasma B-type natriuretic peptide concentration and symptoms in patients with heart failure and preserved ejection fraction.
    The American journal of cardiology, 2004, Aug-15, Volume: 94, Issue:4

    Topics: Activities of Daily Living; Adrenergic beta-Antagonists; Aged; Angiotensin-Converting Enzyme Inhibit

2004
A comparison of the effects of carvedilol and metoprolol on well-being, morbidity, and mortality (the "patient journey") in patients with heart failure: a report from the Carvedilol Or Metoprolol European Trial (COMET).
    Journal of the American College of Cardiology, 2006, Apr-18, Volume: 47, Issue:8

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disease; Diu

2006
Beta-blocker therapy for cardiac dysfunction in patients with muscular dystrophy.
    Circulation journal : official journal of the Japanese Circulation Society, 2006, Volume: 70, Issue:8

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Angiotensin-Converting Enzyme Inhibitors; Carbazoles

2006
Elevated levels of oxidative DNA damage in serum and myocardium of patients with heart failure.
    Circulation journal : official journal of the Japanese Circulation Society, 2006, Volume: 70, Issue:8

    Topics: 8-Hydroxy-2'-Deoxyguanosine; Adrenergic beta-Antagonists; Adult; Aged; Biomarkers; Carbazoles; Cardi

2006
[The effects of beta-adrenoblocker therapy on the physical working capacity of patients with chronic heart failure of various origin].
    Klinicheskaia meditsina, 2007, Volume: 85, Issue:5

    Topics: Activities of Daily Living; Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Carbazoles;

2007
Carvedilol for children and adolescents with heart failure: a randomized controlled trial.
    JAMA, 2007, Sep-12, Volume: 298, Issue:10

    Topics: Adolescent; Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Child; Child,

2007
Effect of beta-blockade on chronic heart failure.
    The Journal of family practice, 1996, Volume: 43, Issue:2

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disease; Double-Bl

1996
Double-blind, placebo-controlled study of the effects of carvedilol in patients with moderate to severe heart failure. The PRECISE Trial. Prospective Randomized Evaluation of Carvedilol on Symptoms and Exercise.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Double-Blind Method;

1996
Double-blind, placebo-controlled study of the effects of carvedilol in patients with moderate to severe heart failure. The PRECISE Trial. Prospective Randomized Evaluation of Carvedilol on Symptoms and Exercise.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Double-Blind Method;

1996
Double-blind, placebo-controlled study of the effects of carvedilol in patients with moderate to severe heart failure. The PRECISE Trial. Prospective Randomized Evaluation of Carvedilol on Symptoms and Exercise.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Double-Blind Method;

1996
Double-blind, placebo-controlled study of the effects of carvedilol in patients with moderate to severe heart failure. The PRECISE Trial. Prospective Randomized Evaluation of Carvedilol on Symptoms and Exercise.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Double-Blind Method;

1996
Carvedilol inhibits clinical progression in patients with mild symptoms of heart failure. US Carvedilol Heart Failure Study Group.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Carbazoles; Cardiac Output,

1996
Carvedilol produces dose-related improvements in left ventricular function and survival in subjects with chronic heart failure. MOCHA Investigators.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Blood Pressure; Carbazoles; Cardiac Output, Low; Carvedilol; Chro

1996
Carvedilol produces dose-related improvements in left ventricular function and survival in subjects with chronic heart failure. MOCHA Investigators.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Blood Pressure; Carbazoles; Cardiac Output, Low; Carvedilol; Chro

1996
Carvedilol produces dose-related improvements in left ventricular function and survival in subjects with chronic heart failure. MOCHA Investigators.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Blood Pressure; Carbazoles; Cardiac Output, Low; Carvedilol; Chro

1996
Carvedilol produces dose-related improvements in left ventricular function and survival in subjects with chronic heart failure. MOCHA Investigators.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Blood Pressure; Carbazoles; Cardiac Output, Low; Carvedilol; Chro

1996
Comparative hemodynamic, left ventricular functional, and antiadrenergic effects of chronic treatment with metoprolol versus carvedilol in the failing heart.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Adult; Carbazoles; Cardiac Output, Low; Carvedilol; Electrocardiography

1996
Second- and third-generation beta-blocking drugs in chronic heart failure.
    Cardiovascular drugs and therapy, 1997, Volume: 11 Suppl 1

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Carbazoles; Cardiac Output, Low; Cardiomyopathy, Dilated;

1997
Prospective, randomized comparison of effect of long-term treatment with metoprolol or carvedilol on symptoms, exercise, ejection fraction, and oxidative stress in heart failure.
    Circulation, 1999, May-25, Volume: 99, Issue:20

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disea

1999
Daytime-selective antihypertensive activity of celiprolol.
    Angiology, 1999, Volume: 50, Issue:10

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Amlodipine; Angiotensin-Converting Enzyme

1999
Effects of carvedilol in heart failure due to dilated cardiomyopathy. Results of a double-blind randomized placebo-controlled study (CARIBE study).
    Arquivos brasileiros de cardiologia, 2000, Volume: 74, Issue:3

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Carbazoles; Cardiac Output, Low; Cardiomyopathy, Dilated;

2000

Other Studies

23 other studies available for carvedilol and Cardiac Output, Low

ArticleYear
[Carvedilol in treating primary pulmonary hypertension patients: effect on severity of cardiac failure, degree of pulmonary hypertension, concentration of catecholamines in blood plasma and dependence of cyclic AMP synthesis in lymphocytes on beta-adrener
    Terapevticheskii arkhiv, 2002, Volume: 74, Issue:8

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Carbazoles; Cardiac Output, Low; Carvedilol; Catecho

2002
Down-regulation of sodium current in chronic heart failure: effect of long-term therapy with carvedilol.
    Cellular and molecular life sciences : CMLS, 2002, Volume: 59, Issue:9

    Topics: Adrenergic alpha-Antagonists; Adrenergic beta-Antagonists; Animals; Calcium; Carbazoles; Cardiac Out

2002
Relation between heart rate, heart rhythm, and reverse left ventricular remodelling in response to carvedilol in patients with chronic heart failure: a single centre, observational study.
    Heart (British Cardiac Society), 2003, Volume: 89, Issue:3

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Echocardiography; Female;

2003
Treatment of chronic heart failure with beta adrenergic blockade beyond controlled clinical trials: the BRING-UP experience.
    Heart (British Cardiac Society), 2003, Volume: 89, Issue:3

    Topics: Adrenergic beta-Antagonists; Aged; Bisoprolol; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic

2003
Cardiac failure associated with G6PD deficiency.
    Circulation research, 2003, Oct-17, Volume: 93, Issue:8

    Topics: Animals; Antioxidants; Carbazoles; Cardiac Output, Low; Carvedilol; Female; Glucosephosphate Dehydro

2003
[Effect of beta-blockers metoprolol CR/XL and carvedilol on left ventricular contractility in patients with chronic low cardiac output].
    Terapevticheskii arkhiv, 2003, Volume: 75, Issue:9

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic Disease; Drug Admi

2003
Top heart failure drugs compared.
    Health news (Waltham, Mass.), 2003, Volume: 9, Issue:9

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Heart Failure; Humans; Met

2003
I have been diagnosed with heart failure, and my cardiologist has prescribed a medication called Coreg. What will it do for me?
    Heart advisor, 2003, Volume: 6, Issue:9

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Heart Failure; Humans; Pro

2003
Adrenergic receptor antagonist prevents the left ventricle with chronic pressure-overload from electrical remodeling.
    Sheng li xue bao : [Acta physiologica Sinica], 2004, Aug-25, Volume: 56, Issue:4

    Topics: Action Potentials; Adrenergic Antagonists; Animals; Carbazoles; Cardiac Output, Low; Carvedilol; Ele

2004
Programme to improve the use of beta-blockers for heart failure in the elderly and in those with severe symptoms: results of the BRING-UP 2 Study.
    European journal of heart failure, 2006, Volume: 8, Issue:6

    Topics: Adrenergic beta-Antagonists; Age Factors; Aged; Carbazoles; Cardiac Output, Low; Carvedilol; Chronic

2006
Carvedilol restore cardiac calcium release channel structure and function in heart failure.
    International journal of cardiology, 2007, Mar-20, Volume: 116, Issue:2

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Animals; Carbazoles; Cardiac Output, Low; Carvedi

2007
Does beta-blocker treatment influence central sleep apnoea?
    Respiratory medicine, 2007, Volume: 101, Issue:4

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Cardiomyopathy, Dilated; Carvedilol; C

2007
Unreliability of the %VO2 reserve versus %heart rate reserve relationship for aerobic effort relative intensity assessment in chronic heart failure patients on or off beta-blocking therapy.
    European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 2007, Volume: 14, Issue:1

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Cardiomyopathy, Dilated; Carvedi

2007
Scavenging free radicals by low-dose carvedilol prevents redox-dependent Ca2+ leak via stabilization of ryanodine receptor in heart failure.
    Journal of the American College of Cardiology, 2007, Apr-24, Volume: 49, Issue:16

    Topics: Adrenergic beta-Antagonists; Animals; Calcium; Carbazoles; Cardiac Output, Low; Carvedilol; Dogs; Fr

2007
Tolerability of beta-blockers in outpatients with refractory heart failure who were receiving continuous milrinone.
    Pharmacotherapy, 2007, Volume: 27, Issue:5

    Topics: Adrenergic beta-Antagonists; Aged; Arrhythmias, Cardiac; Blood Pressure; Carbazoles; Cardiac Output,

2007
Ask the doctor. Does a low ejection fraction doom me to inactivity?
    Harvard heart letter : from Harvard Medical School, 2007, Volume: 17, Issue:9

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Cardiac Output, Low; Cardiotonic Agents; Carvedilol;

2007
Treatment of chronic heart failure with carvedilol in daily practice: the SATELLITE survey experience.
    International journal of cardiology, 2007, Nov-15, Volume: 122, Issue:2

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Ambulatory Care; Carbazoles

2007
Heart failure therapy in evolution.
    Circulation, 1996, Dec-01, Volume: 94, Issue:11

    Topics: Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Carbazoles; Cardiac Output, L

1996
Are all beta-blockers for heart failure the same?
    Circulation, 2000, Aug-08, Volume: 102, Issue:6

    Topics: Adrenergic beta-Antagonists; Antioxidants; Carbazoles; Cardiac Output, Low; Carvedilol; Humans; Meto

2000
[Beta blockers: the end of controversy].
    Archives des maladies du coeur et des vaisseaux, 2000, Volume: Spec No

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Cause of Death; Clinical T

2000
[Beta-blockers in the treatment of systolic dysfunction after myocardial infarction. Closing the circle?].
    Medicina, 2001, Volume: 61, Issue:3

    Topics: Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Carbazoles; Cardiac Output, L

2001
Reimbursement claims analysis of outcomes with carvedilol and metoprolol.
    The Annals of pharmacotherapy, 2002, Volume: 36, Issue:3

    Topics: Adrenergic beta-Antagonists; Carbazoles; Cardiac Output, Low; Carvedilol; Comorbidity; Fees, Pharmac

2002
[CAPRICORN and COPERINUS studies].
    Archives des maladies du coeur et des vaisseaux, 2002, Volume: 95 Spec 4, Issue:5 Spec 4

    Topics: Adrenergic beta-Agonists; Angiotensin-Converting Enzyme Inhibitors; Carbazoles; Cardiac Output, Low;

2002