Page last updated: 2024-10-31

metoprolol and Auricular Flutter

metoprolol has been researched along with Auricular Flutter in 12 studies

Metoprolol: A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.
metoprolol : A propanolamine that is 1-(propan-2-ylamino)propan-2-ol substituted by a 4-(2-methoxyethyl)phenoxy group at position 1.

Research Excerpts

ExcerptRelevanceReference
"The Genotype-Directed Comparative Effectiveness Trial of Bucindolol and Metoprolol Succinate for Prevention of Symptomatic Atrial Fibrillation/Atrial Flutter in Patients with Heart Failure (GENETIC-AF) trial is a multicenter, randomized, double-blinded "seamless" phase 2B/3 trial of bucindolol hydrochloride versus metoprolol succinate, for the prevention of symptomatic AF/AFL in patients with reduced ejection fraction heart failure (HFrEF)."9.27A genotype-directed comparative effectiveness trial of Bucindolol and metoprolol succinate for prevention of symptomatic atrial fibrillation/atrial flutter in patients with heart failure: Rationale and design of the GENETIC-AF trial. ( Abraham, WT; Al-Khalidi, HR; Aleong, RG; Anand, IS; Bristow, MR; Clark, RL; Connolly, SJ; Davis, GW; Dignacco, P; Dufton, C; Emery, LL; Healey, JS; Marshall, DA; Piccini, JP; Sauer, WH; Steinberg, BA; van Veldhuisen, DJ; White, M; Wilton, SB, 2018)
"Diltiazem (calcium channel blocker) and metoprolol (beta-blocker) are both commonly used to treat atrial fibrillation/flutter (AFF) in the emergency department (ED)."9.20Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department. ( Cohen, V; Fromm, C; Jellinek-Cohen, S; Likourezos, A; Marshall, J; Rose, J; Suau, SJ, 2015)
"Ibutilide is a type III antiarrhythmic agent approved for the pharmacologic conversion of atrial fibrillation (AF) and atrial flutter (AFl)."9.12Ibutilide to expedite ED therapy for recent-onset atrial fibrillation flutter. ( McPherson, CA; Mountantonakis, SE; Moutzouris, DA; Papaioannou, GN; Tiu, RV, 2006)
"To assess the effectiveness of metoprolol in preventing clinically detectable atrial fibrillation (AF) and flutter after coronary artery bypass graft (CABG) surgery."9.11Effectiveness of metoprolol in preventing atrial fibrillation and flutter in the postoperative period of coronary artery bypass graft surgery. ( Blacher, C; Flores, A; Leães, PE; Lucchese, FA; Lúcio, Ede A; Ribeiro, JP, 2004)
"The antiarrhythmic effect of the cardioselective beta-adrenoreceptor blocking agent metoprolol, given intravenously, was studied in 20 patients with acute supraventricular tachyarrhythmias, including patients with congestive heart failure, acute myocardial infarction and complete bundle branch block."7.66Intravenous metoprolol for the treatment of acute supraventricular tachyarrhythmias. ( Kesteloot, H; Stroobandt, R, 1981)
" One observation study showed no difference between metoprolol and diltiazem for successful rate control, but worsening heart failure symptoms occurred more frequently in those receiving diltiazem compared to metoprolol (19 patients [33%] vs."5.41Management of atrial flutter and atrial fibrillation with rapid ventricular response in patients with acute decompensated heart failure: A systematic review. ( Balhara, KS; Ehmann, MR; Hinson, JS; Lobner, K; Niforatos, JD; Ramcharran, L; Weygandt, PL, 2023)
"The Genotype-Directed Comparative Effectiveness Trial of Bucindolol and Metoprolol Succinate for Prevention of Symptomatic Atrial Fibrillation/Atrial Flutter in Patients with Heart Failure (GENETIC-AF) trial is a multicenter, randomized, double-blinded "seamless" phase 2B/3 trial of bucindolol hydrochloride versus metoprolol succinate, for the prevention of symptomatic AF/AFL in patients with reduced ejection fraction heart failure (HFrEF)."5.27A genotype-directed comparative effectiveness trial of Bucindolol and metoprolol succinate for prevention of symptomatic atrial fibrillation/atrial flutter in patients with heart failure: Rationale and design of the GENETIC-AF trial. ( Abraham, WT; Al-Khalidi, HR; Aleong, RG; Anand, IS; Bristow, MR; Clark, RL; Connolly, SJ; Davis, GW; Dignacco, P; Dufton, C; Emery, LL; Healey, JS; Marshall, DA; Piccini, JP; Sauer, WH; Steinberg, BA; van Veldhuisen, DJ; White, M; Wilton, SB, 2018)
"Diltiazem (calcium channel blocker) and metoprolol (beta-blocker) are both commonly used to treat atrial fibrillation/flutter (AFF) in the emergency department (ED)."5.20Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department. ( Cohen, V; Fromm, C; Jellinek-Cohen, S; Likourezos, A; Marshall, J; Rose, J; Suau, SJ, 2015)
"Ibutilide is a type III antiarrhythmic agent approved for the pharmacologic conversion of atrial fibrillation (AF) and atrial flutter (AFl)."5.12Ibutilide to expedite ED therapy for recent-onset atrial fibrillation flutter. ( McPherson, CA; Mountantonakis, SE; Moutzouris, DA; Papaioannou, GN; Tiu, RV, 2006)
"To assess the effectiveness of metoprolol in preventing clinically detectable atrial fibrillation (AF) and flutter after coronary artery bypass graft (CABG) surgery."5.11Effectiveness of metoprolol in preventing atrial fibrillation and flutter in the postoperative period of coronary artery bypass graft surgery. ( Blacher, C; Flores, A; Leães, PE; Lucchese, FA; Lúcio, Ede A; Ribeiro, JP, 2004)
"The antiarrhythmic effect of the cardioselective beta-adrenoreceptor blocking agent metoprolol, given intravenously, was studied in 20 patients with acute supraventricular tachyarrhythmias, including patients with congestive heart failure, acute myocardial infarction and complete bundle branch block."3.66Intravenous metoprolol for the treatment of acute supraventricular tachyarrhythmias. ( Kesteloot, H; Stroobandt, R, 1981)
"Twenty one patients with either paroxysmal supraventricular tachycardia (group A), atrial flutter (group B), or atrial fibrillation (group C) were treated with intravenous metoprolol in the dose range 2--20 mg."3.66Metoprolol in the treatment of supraventricular tachyarrhythmias. ( Möller, B; Ringqvist, C, 1979)
"Hypotension is an important potential side effect."2.67Efficacy of cardioselective beta-adrenergic blockade with intravenously administered metoprolol in the treatment of supraventricular tachyarrhythmias. ( Amsterdam, EA; Kulcyski, J; Ridgeway, MG, 1991)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19903 (25.00)18.7374
1990's2 (16.67)18.2507
2000's3 (25.00)29.6817
2010's3 (25.00)24.3611
2020's1 (8.33)2.80

Authors

AuthorsStudies
Niforatos, JD1
Ehmann, MR1
Balhara, KS1
Hinson, JS1
Ramcharran, L1
Lobner, K1
Weygandt, PL1
Piccini, JP1
Connolly, SJ1
Abraham, WT1
Healey, JS1
Steinberg, BA1
Al-Khalidi, HR1
Dignacco, P1
van Veldhuisen, DJ2
Sauer, WH1
White, M1
Wilton, SB1
Anand, IS1
Dufton, C1
Marshall, DA1
Aleong, RG1
Davis, GW1
Clark, RL1
Emery, LL1
Bristow, MR1
Fromm, C1
Suau, SJ1
Cohen, V1
Likourezos, A1
Jellinek-Cohen, S1
Rose, J1
Marshall, J1
Lúcio, Ede A1
Flores, A1
Blacher, C1
Leães, PE1
Lucchese, FA1
Ribeiro, JP1
Wiesfeld, AC1
Ansink, JM1
van Gelder, IC1
Mountantonakis, SE1
Moutzouris, DA1
Tiu, RV1
Papaioannou, GN1
McPherson, CA1
Stroobandt, R1
Kesteloot, H1
Rehnqvist, N1
Frost, L1
Mølgaard, H1
Christiansen, EH1
Jacobsen, CJ1
Pilegaard, H1
Thomsen, PE1
Möller, B1
Ringqvist, C1
Amsterdam, EA1
Kulcyski, J1
Ridgeway, MG1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
GENETIC-AF - A Genotype-Directed Comparative Effectiveness Trial of Bucindolol and Toprol-XL for Prevention of Symptomatic Atrial Fibrillation/Atrial Flutter in Patients With Heart Failure[NCT01970501]Phase 2267 participants (Actual)Interventional2014-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients With Adequate Ventricular Rate Control During the 24-week Follow-up Period

Number of patients with adequate ventricular rate control following the start of medication during the 24-week Follow-up Period (NCT01970501)
Timeframe: end of treatment week 24

InterventionParticipants (Count of Participants)
Bucindolol Hydrochloride84
Metoprolol Succinate116

Time to First Event of Symptomatic Atrial Fibrillation/Atrial Flutter (AF/AFL) or All Cause Mortality (ACM) During the 24-week Follow-up Period After Establishment of Stable Sinus Rhythm (SR) on Study Drug [End of Treatment Week 24].

Time-to-event is calculated as the date of the event minus the date of initiation of efficacy follow-up, with 1 added in order to include both the start date and end date of the interval. Cox's proportional hazards model will be used to calculate estimated hazard ratios and 95% confidence intervals. The calculations will be performed with the SAS PHREG procedure, with the stratification variables specified in the STRATA statement and the treatment group comparator and any covariates being examined specified in the MODEL statement. For the primary endpoint, the appropriateness of assuming proportional hazards will be explored by the graphing of log (-log(survival function)) over follow-up for each treatment group. (NCT01970501)
Timeframe: end of treatment week 24

Interventiondays (Mean)
Bucindolol Hydrochloride35.9
Metoprolol Succinate33.2

Time to First Event of Symptomatic or Asymptomatic AF/AFL or ACM During the 24-week Follow-up Period After Establishment of Stable SR on Study Drug [End of Treatment Week 24]

Number of days on study medication before participant experienced symptomatic or asymptomatic atrial fibrillation, atrial flutter, or all-cause mortality during the 24 week follow up period. (NCT01970501)
Timeframe: end of treatment week 24

Interventiondays (Mean)
Bucindolol Hydrochloride37.86
Metoprolol Succinate31.06

Total Number of Hospitalization Days Per Patient (All-cause) During the Total Study Period (24 Weeks)

Total number of hospitalization days per patient (all-cause) following the start of study medication during the Total Study Period (24 weeks). Hospitalization was defined by a hospital admission (note that same day admit and discharge equates to 0 days duration), ER visits were not counted as events. (NCT01970501)
Timeframe: 24 weeks

Interventiondays (Median)
Bucindolol Hydrochloride2
Metoprolol Succinate2

Reviews

1 review available for metoprolol and Auricular Flutter

ArticleYear
Management of atrial flutter and atrial fibrillation with rapid ventricular response in patients with acute decompensated heart failure: A systematic review.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2023, Volume: 30, Issue:2

    Topics: Adult; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Diltiazem; Heart Failure; Humans

2023

Trials

6 trials available for metoprolol and Auricular Flutter

ArticleYear
A genotype-directed comparative effectiveness trial of Bucindolol and metoprolol succinate for prevention of symptomatic atrial fibrillation/atrial flutter in patients with heart failure: Rationale and design of the GENETIC-AF trial.
    American heart journal, 2018, Volume: 199

    Topics: Adrenergic alpha-1 Receptor Antagonists; Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial F

2018
Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department.
    The Journal of emergency medicine, 2015, Volume: 49, Issue:2

    Topics: Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Blood Pressure; Diltiazem; Double

2015
Effectiveness of metoprolol in preventing atrial fibrillation and flutter in the postoperative period of coronary artery bypass graft surgery.
    Arquivos brasileiros de cardiologia, 2004, Volume: 82, Issue:1

    Topics: Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Case-Control Studies; Coronary Ar

2004
Ibutilide to expedite ED therapy for recent-onset atrial fibrillation flutter.
    The American journal of emergency medicine, 2006, Volume: 24, Issue:4

    Topics: Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Emergency Service, Hospital; Fema

2006
Clinical experience with intravenous metoprolol in supraventricular tachyarrhythmias. A multicentre study.
    Annals of clinical research, 1981, Volume: 13 Suppl 30

    Topics: Adolescent; Adult; Aged; Arrhythmias, Cardiac; Atrial Fibrillation; Atrial Flutter; Clinical Trials

1981
Efficacy of cardioselective beta-adrenergic blockade with intravenously administered metoprolol in the treatment of supraventricular tachyarrhythmias.
    Journal of clinical pharmacology, 1991, Volume: 31, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Atrial Fibrillation; Atrial Flutter; Female; Humans; Hypotension; In

1991

Other Studies

5 other studies available for metoprolol and Auricular Flutter

ArticleYear
ECG Response: August 4, 2015.
    Circulation, 2015, Aug-04, Volume: 132, Issue:5

    Topics: Adult; Anti-Arrhythmia Agents; Atrial Flutter; Electrocardiography; Female; Humans; Metoprolol; Trea

2015
Broad complex tachycardia during treatment of atrial fibrillation with a 1c antiarrhythmic drug: ventricular or supraventricular proarrhythmia?
    International journal of cardiology, 2006, Feb-08, Volume: 107, Issue:1

    Topics: Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Drug Thera

2006
Intravenous metoprolol for the treatment of acute supraventricular tachyarrhythmias.
    Acta cardiologica, 1981, Volume: 36, Issue:3

    Topics: Aged; Atrial Fibrillation; Atrial Flutter; Female; Humans; Injections, Intravenous; Male; Metoprolol

1981
Atrial ectopic activity and atrial fibrillation/flutter after coronary artery bypass surgery. A case-base study controlling for confounding from age, beta-blocker treatment, and time distance from operation.
    International journal of cardiology, 1995, Jun-30, Volume: 50, Issue:2

    Topics: Adrenergic beta-Antagonists; Adult; Age Factors; Aged; Atrial Fibrillation; Atrial Flutter; Autonomi

1995
Metoprolol in the treatment of supraventricular tachyarrhythmias.
    Annals of clinical research, 1979, Volume: 11, Issue:1

    Topics: Adult; Aged; Atrial Fibrillation; Atrial Flutter; Blood Pressure; Drug Evaluation; Female; Heart Rat

1979