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carvedilol and Left Ventricular Hypertrophy

carvedilol has been researched along with Left Ventricular Hypertrophy in 24 studies

Research Excerpts

ExcerptRelevanceReference
" We analyzed whether the use of a new beta adrenoceptor antagonist and vasodilator, carvedilol (CVD), slows the progression of nephrosclerosis and whether the renoprotective effect as well as reduction in cardiac hypertrophy is dependent on the degree of blood pressure reduction."7.69Effects of the novel multiple-action agent carvedilol on severe nephrosclerosis in renal ablated rats. ( Anabitarte, A; Cabrera, J; Llobet, J; Losada, A; Palop, L; Plaza, C; Rodriguez-Perez, JC, 1997)
"The hypothesis that left ventricular hypertrophy regression in hypertension relates to blood pressure (BP) control and to non-antihypertensive activity of some drugs was tested by comparing the effects of telmisartan and carvedilol on 24-h mean ambulatory BP and left ventricular mass (LVM) regression, measured using three-dimensional echocardiography (3-DECHO) and magnetic resonance imaging (MRI)."5.11Three-dimensional echocardiographic and magnetic resonance assessment of the effect of telmisartan compared with carvedilol on left ventricular mass a multicenter, randomized, longitudinal study. ( Breglio, R; Capogrosso, P; del Viscovo, L; Galzerano, A; Galzerano, D; Lama, D; Paolisso, G; Tammaro, P; Tuccillo, B, 2005)
"Carvedilol is a vasodilating, beta-adrenoceptor antagonist currently marketed for the treatment of mild to moderate hypertension."4.79Carvedilol, a novel multiple action antihypertensive agent with antioxidant activity and the potential for myocardial and vascular protection. ( Feuerstein, GZ; Ruffolo, RR, 1995)
" We analyzed whether the use of a new beta adrenoceptor antagonist and vasodilator, carvedilol (CVD), slows the progression of nephrosclerosis and whether the renoprotective effect as well as reduction in cardiac hypertrophy is dependent on the degree of blood pressure reduction."3.69Effects of the novel multiple-action agent carvedilol on severe nephrosclerosis in renal ablated rats. ( Anabitarte, A; Cabrera, J; Llobet, J; Losada, A; Palop, L; Plaza, C; Rodriguez-Perez, JC, 1997)
"With carvedilol treatment, LVMI was lower (p<0."2.75Effect of carvedilol on coronary flow reserve in patients with hypertensive left-ventricular hypertrophy. ( Mei, Z; Xiaozhen, H; Yu, S; Yun, Z, 2010)
"Hypertension is a major influence on the development of LVH."2.43Ventricular hypertrophy and hypertension: prognostic elements and implications for management. ( Devereux, RB; Krauser, DG, 2006)
"The incidence of congestive heart failure is higher in diabetic patients, although the reasons for this increased rate are debated (higher incidence and severity of coronary heart disease and arterial hypertension, or a true diabetic cardiomyopathy)."2.41[Prevention and treatment of congestive heart failure in diabetic patients]. ( Anguita Sánchez, M, 2002)
"Patients with hypertension are at increased risk of developing heart failure (HF), but the mechanisms by which hypertension leads to HF have not been clarified [although left ventricular hypertrophy (LVH) is clearly a predictor of an increased risk of HF]."2.40Progression from hypertension to heart failure. Mechanisms and management. ( Cleland, JG, 1999)
"Carvedilol treatment resulted in less left ventricular hypertrophy and dilatation."1.37Usefulness of carvedilol in the treatment of chronic aortic valve regurgitation. ( Arsenault, M; Couet, J; Lachance, D; Roussel, E; Zendaoui, A, 2011)
"Carvedilol at a lower dose (7."1.30Carvedilol and lacidipine prevent cardiac hypertrophy and endothelin-1 gene overexpression after aortic banding. ( Donckier, J; Godfraind, T; Heyndrickx, GR; Kyselovic, J; Massart, PE; Wibo, M, 1999)
"Arterial hypertension is a cardinal precursor of congestive heart failure, and diastolic dysfunction is the most frequent mechanism for it."1.30[Arterial hypertension and systolic left ventricular dysfunction: therapeutic approach]. ( Anguita Sánchez, M, 1999)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (25.00)18.2507
2000's12 (50.00)29.6817
2010's6 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Degirmenci, H1
Açikel, M1
Bakirci, EM1
Duman, H1
Demirelli, S1
Tas, H1
Simsek, Z1
Karakelleoglu, S1
Aksakal, E1
Erol, MK1
Li, X1
Matta, SM1
Sullivan, RD1
Bahouth, SW1
Armenian, SH1
Hudson, MM1
Chen, MH1
Colan, SD1
Lindenfeld, L1
Mills, G1
Siyahian, A1
Gelehrter, S1
Dang, H1
Hein, W1
Green, DM1
Robison, LL1
Wong, FL1
Douglas, PS1
Bhatia, S1
Jovanovic, D1
Jovovic, D1
Mihailovic-Stanojevic, N1
Miloradovic, Z1
Naumovic, R1
Dimitrijevic, J1
Maksic, N1
Djukanovic, L1
Vitulano, N1
Giubilato, G1
Santangeli, P1
Ierardi, C1
Pieroni, M1
Bellocci, F1
Crea, F1
Xiaozhen, H1
Yun, Z1
Mei, Z1
Yu, S1
Zendaoui, A1
Lachance, D1
Roussel, E1
Couet, J1
Arsenault, M1
Anguita Sánchez, M2
Galzerano, D1
Tammaro, P1
del Viscovo, L1
Lama, D1
Galzerano, A1
Breglio, R1
Tuccillo, B1
Paolisso, G1
Capogrosso, P1
Krauser, DG1
Devereux, RB1
Bakris, GL1
Tarka, EA1
Waterhouse, B1
Goulding, MR1
Madan, A1
Anderson, KM1
St John Sutton, M1
Miller, AB1
Reichek, N1
Hayduk, K1
Feuerstein, GZ1
Ruffolo, RR1
Rodriguez-Perez, JC1
Losada, A1
Anabitarte, A1
Cabrera, J1
Llobet, J1
Palop, L1
Plaza, C1
Massart, PE1
Donckier, J1
Kyselovic, J1
Godfraind, T1
Heyndrickx, GR1
Wibo, M1
Cleland, JG1
Barth, W1
Deten, A2
Bauer, M1
Reinohs, M1
Leicht, M2
Zimmer, HG2
Sack, MN1
Harrington, LS1
Jonassen, AK1
Mjøs, OD1
Yellon, DM1
Grimm, D1
Huber, M1
Jabusch, HC1
Shakibaei, M1
Fredersdorf, S1
Paul, M2
Riegger, GA1
Kromer, EP1
Briest, W1
Hölzl, A1
Rassler, B1
Baba, HA1
Pönicke, K1
Heinroth-Hoffmann, I1
Brodde, OE1
Sarukhanian, OV1
Torgomian, TG1
Sisakian, AS1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pharmacologic Reversal of Ventricular Remodeling in Childhood Cancer Survivors at Risk for Heart Failure (PREVENT-HF): A Phase 2b Randomized Placebo-Controlled (Carvedilol) Trial[NCT02717507]Phase 2196 participants (Actual)Interventional2016-04-04Active, not recruiting
A Randomized, Double-Blind, Multi-Center Study Comparing the Effects of Carvedilol Modified Release Formulation (COREG MR) and Atenolol in Combination With and Compared to an Angiotensin Converting Enzyme Inhibitor (Lisinopril) on Left Ventricular Mass Re[NCT00108082]Phase 3287 participants (Actual)Interventional2005-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Proportion of Participants With Average Adherence > 90%

The number of pills taken out of the total prescribed in a 3-month period, averaged across all study time points. The proportion of participants with average adherence rate >90% is computed by arm and corresponding 95% confidence intervals are reported. (NCT02717507)
Timeframe: Average adherence across 6 months, 12 months, 18 months, 24 months after treatment initiation are calculated.

Interventionproportion of participants (Number)
Arm I (Carvedilol)0.483
Arm II (Placebo)0.517

Proportion of Patients With Reportable Adverse Events as Described in the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE).

Patients with toxicities reported via CTEP-AERS and all Grade ≥ 2 adverse events (AEs) that can be attributed probably or definitely to the study drug are considered to have AEs. The proportion of patients with AEs are reported by arm with corresponding 95% confidence intervals. (NCT02717507)
Timeframe: From baseline to month 24 since baseline

InterventionProportion of patients with AE (Number)
Arm I (Carvedilol)0.0267
Arm II (Placebo)0

"Proportion of Patients Who Responded Moderately, Quite a Bit, or Extremely to How Bothersome the Symptom of DIARRHEA Was at Any Post-day 0 Assessment Time Point."

"In a questionnaire, patients responded Yes/No to certain symptoms. If answered Yes, they selected slightly, moderately, quite a bit, or extremely regarding how bothersome the symptom was. The proportion of participants responding with any of these three categories was calculated by arm, and corresponding 95% confidence intervals are reported." (NCT02717507)
Timeframe: responses at days 14 to 730 were combined

,
InterventionProportion of patients (Number)
DiarrheaSkin rashItchy skinDry MouthEasy bruisingNosebleedsSunburn easilyWeight gainFluid retentionSwollen feetIncreased sweatingFeeling weak in parts of your bodyShortness of breath or wheezingChest pain or heavinessHeart racing or skipping beatsFeeling shaky or having tremorsDecreased bodily movementFeeling nervousFeeling downhearted, sad, and/or tearfulMood swingsDizziness and/or lightheadednessDizziness upon standing (from sitting or lying down)InsomniaDifficulty concentratingInterrupted sleepTendency to take napsTiredwheezingFeeling unusually tiredFalling asleep at inappropriate timesRinging in the earsDifficulty breathingSensation that I have to urinate much of the timeDiscoloration of urine (ie, bloody)Decreased libidoUnusually heavy menstrual flows (N/A if postmenopausal or male)
Arm I (Carvedilol)0.05330.09330.14670.06670.01330.06670.09330.05330.026700.09330.09330.09330.080.080.05330.01330.14670.20.120.160.14670.17330.10670.20.120.22670.02670.05330.02670.066700.06670.2
Arm II (Placebo)0.13160.07890.14470.17110.09210.05260.05260.07890.03950.09210.07890.13160.03950.09210.03950.07890.03950.17110.11840.09210.13160.15790.17110.13160.21050.10530.22370.03950.092100.07890.03950.05260.111

Average Alanine Aminotransferase

A liver function measurement (in U/L). Normal range is 8-48 IU/L. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
InterventionIU/L (Mean)
BL6m12m18m24m
Arm I (Carvedilol)29.12228.01430.14827.19629.86
Arm II (Placebo)30.46732.15831.15530.53629.245

Average Aspartate Aminotransferase

A liver function measurement (in U/L). Normal range is 14-20 for men, 10-36 for women. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
InterventionIU/L (Mean)
BL6m12m18m24m
Arm I (Carvedilol)26.60824.06825.42624.37524.561
Arm II (Placebo)25.77326.34227.01428.41127.038

Average Bilirubin

A liver function measurement (in mg/dL). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionmg/dL (Mean)
BL6m12m18m24m
Arm I (Carvedilol)0.56340.59730.5630.5930.5561
Arm II (Placebo)0.49890.49420.49690.5070.5449

Average Cardiac N-terminal Pro B-type Natriuretic Peptide

N-terminal pro b-type natriuretic peptide- a biomarker for heart failure (in pg/ml). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionpg/mL (Mean)
BL6m12m18m24m
Arm I (Carvedilol)85.630190.753687.716799.4912101.8333
Arm II (Placebo)115.7222128.9565115.636493.2105107.849

Average Cardiac Troponin I

Troponin I is a biomarker for myocardial cell injury (in ng/ml). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionng/mL (Mean)
BL6m12m18m24m
Arm I (Carvedilol)0.004460.002650.004670.007370.01111
Arm II (Placebo)0.00110.001740.007420.006840.01132

Average Ejection Fraction

The percentage of blood leaving the heart at the end of diastole. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
InterventionPercent (Mean)
BL6m12m18m24
Arm I (Carvedilol)57.658.1658.0757.3558.16
Arm II (Placebo)57.4256.8456.6157.657.5

Average Fractional Shortening

A measure to assess preload and afterload (in %). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionpercent (Mean)
BL6m12m18m24
Arm I (Carvedilol)28.536228.540929.612127.821928.0302
Arm II (Placebo)28.433927.686628.108527.889128.5953

Average Galectin-3

A protein produced by activated macrophages, and a member of a family of β-galactoside-binding lectings and promotes cardiac fibroblast proliferation and collagen synthesis following myocadial injury (in ng/ml). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionng/mL (Mean)
BL6m12m18m24m
Arm I (Carvedilol)4.44644.32523.73453.45483.8073
Arm II (Placebo)5.25384.37354.34154.02144.0791

Average Left Ventricular End-diastolic Dimension

The amount of blood (in ml) in the heart's left ventricle just before the heart contracts. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionml (Mean)
BL6m12m18m24m
Arm I (Carvedilol)99.750799.3216102.378101.174100.659
Arm II (Placebo)93.315595.743496.500299.465698.9602

Average Left Ventricular End-diastolic Dimension

Thickness of cardiac muscle (in ml) of the left ventricle at the end of diastole. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionml (Mean)
BL6m12m18m24
Arm I (Carvedilol)4.58364.60354.6364.60324.5147
Arm II (Placebo)4.52694.5650.05564.54624.5976

Average Left Ventricular End-systolic Volume

The amount of blood (in ml) in the heart's left ventricle just after the heart contracts. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventioncentimeter (Mean)
BL6m12m18m24m
Arm I (Carvedilol)03.27653.29013.2623.323.2441
Arm II (Placebo)3.23963.30233.29643.27983.286

Average Left Ventricular End-systolic Volume

The amount of blood (in ml) in the heart's left ventricle just after the heart contracts. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionml (Mean)
BL6m12m18m24m
Arm I (Carvedilol)42.219341.612842.843743.145342.0086
Arm II (Placebo)39.735441.383941.81131.60542.442

Average Left Ventricular End-systolic Wall Stress

Echocardiographic measure of left ventricular (LV) afterload based on LV pressure (P), volume (V), and wall thickness (T), calculated by the formula (P x V)/T, which equals the number referred to below in the Measure Type. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventiong/cm^2 (Mean)
BL6m12m18m24m
Arm I (Carvedilol)93.289290.308888.98493.926789.2513
Arm II (Placebo)90.613596.835696.061691.645894.0647

Average Left Ventricular Mass

The weight of the left ventricle adjusted for body surface area (in g/m2). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventiong/m2 (Mean)
BL6m12m18m24m
Arm I (Carvedilol)57.486258.283960.211657.705358.3315
Arm II (Placebo)57.932257.092459.450859.179359.1026

Average Left-Ventricular Wall Thickness-Dimension Ratio Z-score (LVWT/Dz)

Z-score of the ratio of left ventricular (LV) posterior wall dimension of systole to internal LV dimension in diastole, calculated for each subject by subtracting the reference healthy population mean, then dividing by the standard deviation. The Z-score indicates the number of standard deviations away from the mean of the reference population. Negative Z- score indicates worse outcome. The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionz-score (Mean)
BL6m12m18m24m
Arm I (Carvedilol)-0.1372-0.2167-0.2416-0.23750.0213
Arm II (Placebo)-0.08930.3215-0.2367-0.19740.1834

Average N-terminal Pro B-type Natriuretic Peptide

B-type natriuretic peptide- a biomarker for heart failure (in pg/ml). The mean is reported by arm at each timepoint with corresponding standard errors. (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionpg/mL (Mean)
BL6m12m18m24m
Arm I (Carvedilol)27.383631.840626.820335.80734.625
Arm II (Placebo)31.432434.185733.294132.280733.3774

Average Peak Early Atrial Divided by Peak Late Atrial Velocities

"Ratio of peak velocity blood flow from left ventricular relaxation in early diastole (E wave) to peak velocity flow in late diastole caused by atrial contraction (A wave). Number shown for Unit of Measure refers to this ratio. Normal: >1. Impaired: <1. The mean is reported by arm at each timepoint with corresponding standard errors." (NCT02717507)
Timeframe: Baseline before treatment, 6 months, 12 months, 18 months, 24 months after treatment initiation

,
Interventionratio (Mean)
BL6m12m18m24m
Arm I (Carvedilol)1.7281.6421.7231.7321.603
Arm II (Placebo)1.7320.0711.7221.7321.64

Model-adjusted Mean Change From Baseline in Left Ventricular (LV) Mass as Measured by MRI at Month 12

LV Mass was measured by MRI at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

Interventiongrams (g) (Mean)
Carvedilol CR-13.74
Atenolol-14.17
Lisinopril-17.17

Model-adjusted Mean Change From Baseline in Left Ventricular Mass Indexed (LVMI) by Body Surface Area as Measured by Echocardiography at Month 12

LVMI was measured by echogradiography at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

Interventiongrams per meters squared (g/m^2) (Mean)
Carvedilol CR-20.35
Atenolol-20.06
Lisinopril-18.48

Model-adjusted Mean Change From Baseline in Left Ventricular Mass Indexed (LVMI) by Body Surface Area as Measured by Magnetic Resonance Imaging (MRI) at Month 12

LVMI was measured by MRI at Baseline and after 12 months of treatment/Month 12. A reduction in left ventricular mass, calculated as LVMI, of 5 g/m^2 was assumed to be clinically meaningful. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the Last Observation Carried Forward [LOCF] analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

Interventiongrams per meters squared (g/m^2) (Mean)
Carvedilol CR-6.34
Atenolol-6.67
Lisinopril-7.94

Model-adjusted Mean Change From Baseline in Left Ventricular Mass Indexed by Height (LVMIH) as Measured by Echocardiography at Month 12

LVMIH was measured by echogradiography at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was available)

Interventiong/m raised to 2.7 (g/(m^2.7)) (Mean)
Carvedilol CR-11.78
Atenolol-12.51
Lisinopril-11.61

Model-adjusted Mean Change From Baseline in Left Ventricular Mass Indexed by Height (LVMIH) as Measured by MRI at Month 12

LVMIH was measured by MRI at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. LV mass depends on body size. One method of determining whether an individual has LV hypertrophy relates LV mass to height raised to a power of 2.7. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

Interventiong/m raised to 2.7 (g/(m^2.7)) (Mean)
Carvedilol CR-3.19
Atenolol-3.37
Lisinopril-3.98

Model-adjusted Mean Change From Baseline in LV Mass as Measured by Echocardiography at Month 12

LV Mass was measured by echocardiography at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

Interventiongrams (Mean)
Carvedilol CR-45.76
Atenolol-40.56
Lisinopril-38.58

Model-adjusted Ratio to Baseline as Percentage Change From Baseline in Log Transformed Albumin Creatinine Ratio (ACR) at Month 12

Urinary ACR (micrograms per milligram) was determined at Baseline and after 12 months of treatment/Month 12. Percentage change from Baseline was based on log transformed data and was calculated as 100 x (exponent (exponent (mean change on log scale) - 1. [Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value.] (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF was used)

Interventionpercentage of change (Geometric Mean)
Carvedilol CR-27.1
Atenolol-20.1
Lisinopril-21.5

Model-adjusted Ratio to Baseline as Percentage Change From Baseline in Log Transformed B-type Natriuretic Peptide (BNP) at Month 12

BNP concentration (picagram per milliter) was measured at Baseline and after 12 months of treatment/Month 12. Percentage change from Baseline was based on log transformed data and was calculated as 100 x (exponent (mean change on log scale) -1) [Change is the Month 12 value (or value after 12 months of treatment) minus the Baseline value]. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF was used

Interventionpercentage of change (Geometric Mean)
Carvedilol CR51.7
Atenolol48.3
Lisinopril-39.1

Model-adjusted Ratio to Baseline as Percentage Change From Baseline in Log Transformed C-Reactive Protein (CRP) at Month 12

CRP concentration (milligrams per deciliter) was measured at Baseline and after 12 months of treatment/Month 12. Percentage change from Baseline was based on log transformed data and calculated as 100 x (exponent (mean change on log scale) - 1). [Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value.] (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF was used)

Interventionpercentage of change (Geometric Mean)
Carvedilol CR-10.63
Atenolol-3.22
Lisinopril2.70

Mean Change From Baseline in LV Filling Parameters as Measured by MRI at Month 12

LV filling parameters, LV E-Volume and LV A-Volume, were measured by MRI at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. These filling parameters represent the volumes of blood filling the ventricle during the passive filling phase (E-volume) and the active filling phase caused by atrial contraction (A-volume). (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

,,
Interventionmilliliters (mL) (Mean)
LV E-volumeLV A-volume
Atenolol6.763-0.565
Carvedilol CR0.364-0.513
Lisinopril-3.4061.088

Model-adjusted Mean Change From Baseline in LV End Systolic and Diastolic Volumes and Ejection Fraction as Measured by Echocardiography at Month 12

LV End Systolic and Diastolic Volumes and Ejection Fraction were measured by echocardiography at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

,,
Interventionmilliliters (mL) (Mean)
LV End Systolic VolumeLV End Diastolic VolumeLV Ejection Fraction
Atenolol-4.74-3.642.33
Carvedilol CR-3.38-3.071.03
Lisinopril-5.34-9.370.63

Model-adjusted Mean Change From Baseline in LV End Systolic and Diastolic Volumes and Ejection Fraction as Measured by MRI at Month 12

LV End Systolic and Diastolic Volumes and Ejection Fraction were measured by MRI at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. The ejection fraction is the fraction of the blood volume available at the end of diastole that is pumped out of the ventricules during systole. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

,,
Interventionmilliliters (mL) (Mean)
LV End Systolic VolumeLV End Diastolic VolumeLV Ejection Fraction
Atenolol-4.29-2.452.16
Carvedilol CR-1.44-2.860.08
Lisinopril-3.04-7.45-0.01

Model-adjusted Mean Change From Baseline in Systolic and Diastolic Blood Pressure (BP) at Month 12

Systolic and Diastolic BP were measured at Baseline and after 12 months of treatment/Month 12. Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value. (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF analysis, which includes data collected on or after Month 9 of treatment to Month 12 of treatment, was used)

,,
InterventionmmHg (millimeters of mercury) (Mean)
Systolic blood pressureDiastolic blood pressure
Atenolol-21.12-14.05
Carvedilol CR-21.32-12.77
Lisinopril-22.53-11.13

Percentage Change From Baseline in Log Transformed Lipid Parameters at Month 12

Plasma lipid concentrations (milligrams per deciliter) were measured at Baseline and after 12 months of treatment/Month 12. Percentage change from Baseline was based on log transformed data and calculated as 100 x (exponent(mean change on log scale) - 1). [Change in Baseline was calculated as Month 12 value (or value after 12 months of treatment) minus the Baseline value.] (NCT00108082)
Timeframe: Baseline and Month 12 (If Month 12 data were not available, the LOCF was used)

,,
Interventionpercentage of change (Geometric Mean)
Total cholesterolLow-density lipid cholesterolHigh-density lipid cholesterolTriglycerides
Atenolol-1.3-4.0-4.77.1
Carvedilol CR0.70.0-4.311.0
Lisinopril-1.7-2.7-1.56.2

Reviews

5 reviews available for carvedilol and Left Ventricular Hypertrophy

ArticleYear
[Prevention and treatment of congestive heart failure in diabetic patients].
    Revista espanola de cardiologia, 2002, Volume: 55, Issue:10

    Topics: Adrenergic alpha-Antagonists; Adrenergic beta-Antagonists; Adult; Aged; Angiotensin II; Angiotensin

2002
Ventricular hypertrophy and hypertension: prognostic elements and implications for management.
    Herz, 2006, Volume: 31, Issue:4

    Topics: Adrenergic Antagonists; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Convert

2006
How well are the cardiovascular risk profiles modulated by current beta blockers in hypertension?
    Cardiology, 1993, Volume: 82 Suppl 3

    Topics: Adrenergic beta-Antagonists; Antihypertensive Agents; Blood Pressure; Carbazoles; Cardiovascular Dis

1993
Carvedilol, a novel multiple action antihypertensive agent with antioxidant activity and the potential for myocardial and vascular protection.
    European heart journal, 1995, Volume: 16 Suppl F

    Topics: Adrenergic alpha-Antagonists; Animals; Antihypertensive Agents; Antioxidants; Arteriosclerosis; Carb

1995
Progression from hypertension to heart failure. Mechanisms and management.
    Cardiology, 1999, Volume: 92 Suppl 1

    Topics: Adrenergic beta-Antagonists; Carbazoles; Carvedilol; Disease Progression; Heart Failure; Humans; Hyp

1999

Trials

3 trials available for carvedilol and Left Ventricular Hypertrophy

ArticleYear
Rationale and design of the Children's Oncology Group (COG) study ALTE1621: a randomized, placebo-controlled trial to determine if low-dose carvedilol can prevent anthracycline-related left ventricular remodeling in childhood cancer survivors at high risk
    BMC cardiovascular disorders, 2016, 10-04, Volume: 16, Issue:1

    Topics: Adrenergic beta-Antagonists; Age Factors; Anthracyclines; Antibiotics, Antineoplastic; Carbazoles; C

2016
Effect of carvedilol on coronary flow reserve in patients with hypertensive left-ventricular hypertrophy.
    Blood pressure, 2010, Volume: 19, Issue:1

    Topics: Administration, Sublingual; Adrenergic beta-Antagonists; Aged; Blood Flow Velocity; Blood Pressure;

2010
Three-dimensional echocardiographic and magnetic resonance assessment of the effect of telmisartan compared with carvedilol on left ventricular mass a multicenter, randomized, longitudinal study.
    American journal of hypertension, 2005, Volume: 18, Issue:12 Pt 1

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzi

2005

Other Studies

16 other studies available for carvedilol and Left Ventricular Hypertrophy

ArticleYear
Comparison of effects of nebivolol, carvedilol and irbesartan on left ventricular hypertrophy associated with hypertension.
    European review for medical and pharmacological sciences, 2014, Volume: 18, Issue:5

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Antihypertensive Agents; Biphenyl Compounds; Carbazoles; C

2014
Carvedilol reverses cardiac insufficiency in AKAP5 knockout mice by normalizing the activities of calcineurin and CaMKII.
    Cardiovascular research, 2014, Nov-01, Volume: 104, Issue:2

    Topics: A Kinase Anchor Proteins; Adrenergic Antagonists; Animals; Calcineurin; Calcium Signaling; Calcium-C

2014
Effect of carvedilol on pulse pressure and left ventricular hypertrophy in spontaneously hypertensive rats with adriamycin nephropathy.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2009, Volume: 63, Issue:8

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Antihypertensive Agents; Biomarkers; Blood Pressu

2009
Continuous positive airway pressure treatment in addition to optimal medical therapy for ventricular ectopy in a patient with heart failure and sleep-related breathing disorder.
    Journal of cardiovascular medicine (Hagerstown, Md.), 2013, Volume: 14, Issue:9

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

2013
Usefulness of carvedilol in the treatment of chronic aortic valve regurgitation.
    Circulation. Heart failure, 2011, Volume: 4, Issue:2

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Animals; Aortic Valve Insufficiency; Atrial Natri

2011
Cardiovascular risk factors in hypertension: rationale and design of studies to investigate the effects of controlled-release carvedilol on regression of left ventricular hypertrophy and lipid profile.
    The American journal of cardiology, 2006, Oct-02, Volume: 98, Issue:7A

    Topics: Adrenergic beta-Antagonists; Antihypertensive Agents; Carbazoles; Carvedilol; Delayed-Action Prepara

2006
Effects of the novel multiple-action agent carvedilol on severe nephrosclerosis in renal ablated rats.
    The Journal of pharmacology and experimental therapeutics, 1997, Volume: 283, Issue:1

    Topics: Adrenergic beta-Antagonists; Animals; Blood Pressure; Carbazoles; Carvedilol; Hypertrophy, Left Vent

1997
Carvedilol and lacidipine prevent cardiac hypertrophy and endothelin-1 gene overexpression after aortic banding.
    Hypertension (Dallas, Tex. : 1979), 1999, Volume: 34, Issue:6

    Topics: Actins; Animals; Antihypertensive Agents; Aortic Diseases; Blood Pressure; Carbazoles; Carotid Arter

1999
[Arterial hypertension and systolic left ventricular dysfunction: therapeutic approach].
    Revista espanola de cardiologia, 1999, Volume: 52 Suppl 3

    Topics: Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Calcium Channel Block

1999
Differential remodeling of the left and right heart after norepinephrine treatment in rats: studies on cytokines and collagen.
    Journal of molecular and cellular cardiology, 2000, Volume: 32, Issue:2

    Topics: Adrenergic Antagonists; Animals; Atrial Natriuretic Factor; Calcium Channel Blockers; Carbazoles; Ca

2000
Coordinate regulation of metabolic enzyme encoding genes during cardiac development and following carvedilol therapy in spontaneously hypertensive rats.
    Cardiovascular drugs and therapy, 2000, Volume: 14, Issue:1

    Topics: Acyl-CoA Dehydrogenase; Animals; Antihypertensive Agents; Carbazoles; Cardiomegaly; Carvedilol; Coen

2000
Extracellular matrix proteins in cardiac fibroblasts derived from rat hearts with chronic pressure overload: effects of beta-receptor blockade.
    Journal of molecular and cellular cardiology, 2001, Volume: 33, Issue:3

    Topics: Adrenergic beta-1 Receptor Antagonists; Adrenergic beta-Antagonists; Animals; Antihypertensive Agent

2001
Cardiac remodeling after long term norepinephrine treatment in rats.
    Cardiovascular research, 2001, Volume: 52, Issue:2

    Topics: Adrenergic Antagonists; Analysis of Variance; Animals; Blotting, Western; Calcium Channel Blockers;

2001
Differential effects of bucindolol and carvedilol on noradenaline-induced hypertrophic response in ventricular cardiomyocytes of adult rats.
    The Journal of pharmacology and experimental therapeutics, 2002, Volume: 301, Issue:1

    Topics: Adrenergic alpha-Agonists; Adrenergic beta-Antagonists; Animals; Carbazoles; Carvedilol; Hypertrophy

2002
Apoptosis in cardiac disease: from basics to clinics--an editorial commentary.
    Cardiovascular drugs and therapy, 2001, Volume: 15, Issue:6

    Topics: Adrenergic beta-Antagonists; Angiotensin Receptor Antagonists; Animals; Apoptosis; Carbazoles; Carve

2001
[A comparative study of anapriline and carvedilol effectiveness in patients with thyrotoxicosis in pre- and postoperative periods].
    Klinicheskaia meditsina, 2002, Volume: 80, Issue:3

    Topics: Adrenergic beta-Antagonists; Adult; Carbazoles; Carvedilol; Female; Humans; Hyperthyroidism; Hypertr

2002