Page last updated: 2024-10-30

losartan and Mitral Valve Insufficiency

losartan has been researched along with Mitral Valve Insufficiency in 5 studies

Losartan: An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II.
losartan : A biphenylyltetrazole where a 1,1'-biphenyl group is attached at the 5-position and has an additional trisubstituted imidazol-1-ylmethyl group at the 4'-position

Mitral Valve Insufficiency: Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation.

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (40.00)29.6817
2010's3 (60.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bartko, PE1
Dal-Bianco, JP1
Guerrero, JL1
Beaudoin, J1
Szymanski, C1
Kim, DH1
Seybolt, MM1
Handschumacher, MD1
Sullivan, S1
Garcia, ML1
Titus, JS1
Wylie-Sears, J1
Irvin, WS1
Messas, E1
Hagège, AA1
Carpentier, A1
Aikawa, E1
Bischoff, J1
Levine, RA1
Pierard, LA1
Magne, J1
Sekuri, C1
Utuk, O1
Bayturan, O1
Bilge, A1
Kurhan, Z1
Tavli, T1
Geirsson, A1
Singh, M1
Ali, R1
Abbas, H1
Li, W1
Sanchez, JA1
Hashim, S1
Tellides, G1
Dujardin, KS1
Enriquez-Sarano, M1
Bailey, KR1
Seward, JB1
Tajik, AJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Molecular Mechanisms of Volume Overload-Aim 1(SCCOR in Cardiac Dysfunction and Disease)[NCT01052428]Phase 2/Phase 338 participants (Actual)Interventional2004-08-31Completed
The Study to Define the Unique Molecular Mechanisms of Mitral Regurgitation in Order to Find New Targeted Therapy to Attenuate the Remodeling and Delay the Need for Surgery and Improve Surgical Outcomes.[NCT01052532]65 participants (Actual)Observational2005-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

Other Studies

5 other studies available for losartan and Mitral Valve Insufficiency

ArticleYear
Effect of Losartan on Mitral Valve Changes After Myocardial Infarction.
    Journal of the American College of Cardiology, 2017, Sep-05, Volume: 70, Issue:10

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Disease Models, Animal; Echocardiography, Three-Di

2017
New Pharmacological Target to Treat Ischemic Mitral Regurgitation: Thinking Outside the Box.
    Journal of the American College of Cardiology, 2017, 09-05, Volume: 70, Issue:10

    Topics: Humans; Losartan; Mitral Valve; Mitral Valve Insufficiency; Myocardial Infarction; Myocardial Ischem

2017
Effect of losartan on exercise tolerance and echocardiographic parameters in patients with mitral regurgitation.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2008, Volume: 9, Issue:2

    Topics: Adult; Aged; Angiotensin II Type 1 Receptor Blockers; Chronic Disease; Electrocardiography; Exercise

2008
Modulation of transforming growth factor-β signaling and extracellular matrix production in myxomatous mitral valves by angiotensin II receptor blockers.
    Circulation, 2012, Sep-11, Volume: 126, Issue:11 Suppl 1

    Topics: Angiotensin Receptor Antagonists; Benzimidazoles; Benzoates; Biphenyl Compounds; Cells, Cultured; Co

2012
Effect of losartan on degree of mitral regurgitation quantified by echocardiography.
    The American journal of cardiology, 2001, Mar-01, Volume: 87, Issue:5

    Topics: Administration, Oral; Aged; Echocardiography, Doppler; Female; Hemodynamics; Humans; Long-Term Care;

2001
Effect of losartan on degree of mitral regurgitation quantified by echocardiography.
    The American journal of cardiology, 2001, Mar-01, Volume: 87, Issue:5

    Topics: Administration, Oral; Aged; Echocardiography, Doppler; Female; Hemodynamics; Humans; Long-Term Care;

2001
Effect of losartan on degree of mitral regurgitation quantified by echocardiography.
    The American journal of cardiology, 2001, Mar-01, Volume: 87, Issue:5

    Topics: Administration, Oral; Aged; Echocardiography, Doppler; Female; Hemodynamics; Humans; Long-Term Care;

2001
Effect of losartan on degree of mitral regurgitation quantified by echocardiography.
    The American journal of cardiology, 2001, Mar-01, Volume: 87, Issue:5

    Topics: Administration, Oral; Aged; Echocardiography, Doppler; Female; Hemodynamics; Humans; Long-Term Care;

2001