Page last updated: 2024-10-31

metoprolol and Disease Exacerbation

metoprolol has been researched along with Disease Exacerbation in 29 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 aim of this study was to test the hypothesis that the beta-blocker metoprolol succinate controlled release/extended release (CR/XL), when given to patients with hypercholesterolemia on concomitant lipid-lowering therapy, provides an additional antiatherosclerotic effect to that provided by the statins, measured as carotid intima-media thickness (IMT)."9.10Effect of controlled release/extended release metoprolol on carotid intima-media thickness in patients with hypercholesterolemia: a 3-year randomized study. ( Bondjers, G; Hulthe, J; Olofsson, SO; Schmidt, C; Wiklund, O; Wikstrand, J, 2002)
"Metoprolol CR/XL effectively decreases mortality and improves clinical status in patients with stable mild to moderate (NYHA functional class II or III) chronic heart failure due to left ventricular systolic dysfunction, and the drug is effective in patients with ischaemic or dilated cardiomyopathy."8.80Metoprolol: a review of its use in chronic heart failure. ( Markham, A; Prakash, A, 2000)
"Acute intravenous infusion of ranolazine (Ran), an anti-ischemic/antiangina drug, was previously shown to improve left ventricular (LV) ejection fraction (EF) without a concomitant increase in myocardial oxygen consumption in dogs with chronic heart failure (HF)."7.74Ranolazine combined with enalapril or metoprolol prevents progressive LV dysfunction and remodeling in dogs with moderate heart failure. ( Belardinelli, L; Blackburn, B; Gupta, RC; Mishra, S; Rastogi, S; Sabbah, HN; Sharov, VG; Stanley, WC, 2008)
"Metabolic, hemodynamic, and electrophysiological parameters were studied in all the patients on hospital stay days I and S."5.36[Efficacy of ivabradine in combination therapy for complicated acute coronary syndrome in patients with type 2 diabetes mellitus]. ( Dolgikh, VT; Kondrat'ev, AI; Stotskiĭ, AO, 2010)
" The aim of this study was to test the hypothesis that the beta-blocker metoprolol succinate controlled release/extended release (CR/XL), when given to patients with hypercholesterolemia on concomitant lipid-lowering therapy, provides an additional antiatherosclerotic effect to that provided by the statins, measured as carotid intima-media thickness (IMT)."5.10Effect of controlled release/extended release metoprolol on carotid intima-media thickness in patients with hypercholesterolemia: a 3-year randomized study. ( Bondjers, G; Hulthe, J; Olofsson, SO; Schmidt, C; Wiklund, O; Wikstrand, J, 2002)
"Metoprolol CR/XL effectively decreases mortality and improves clinical status in patients with stable mild to moderate (NYHA functional class II or III) chronic heart failure due to left ventricular systolic dysfunction, and the drug is effective in patients with ischaemic or dilated cardiomyopathy."4.80Metoprolol: a review of its use in chronic heart failure. ( Markham, A; Prakash, A, 2000)
"We used a New Zealand white rabbit model of cationized bovine serum albumin (cBSA)-induced glomerulonephritis and then administered them metoprolol, irbesartan or acupuncture to evaluate the effectiveness of acupuncture treatment and preliminarily explore its potential mechanism."3.80"Qufeng Tongluo" acupuncture prevents the progression of glomerulonephritis by decreasing renal sympathetic nerve activity. ( An, P; Dang, HM; Shi, XM; Wu, XL; Ye, BY, 2014)
"Acute intravenous infusion of ranolazine (Ran), an anti-ischemic/antiangina drug, was previously shown to improve left ventricular (LV) ejection fraction (EF) without a concomitant increase in myocardial oxygen consumption in dogs with chronic heart failure (HF)."3.74Ranolazine combined with enalapril or metoprolol prevents progressive LV dysfunction and remodeling in dogs with moderate heart failure. ( Belardinelli, L; Blackburn, B; Gupta, RC; Mishra, S; Rastogi, S; Sabbah, HN; Sharov, VG; Stanley, WC, 2008)
"Pulmonary hypertension (PH) in COPD confers increased risk of exacerbations (ECOPD)."3.30Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial. ( Bittner, V; Dransfield, MT; Helgeson, ES; Kunisaki, KM; Lammi, MR; Ling, SX; MacDonald, DM; Mkorombindo, T; Pew, K; Voelker, H; Wade, RC, 2023)
"Among patients with moderate or severe COPD who did not have an established indication for beta-blocker use, the time until the first COPD exacerbation was similar in the metoprolol group and the placebo group."2.90Metoprolol for the Prevention of Acute Exacerbations of COPD. ( Bhatt, SP; Brenner, K; Casaburi, R; Come, CE; Connett, JE; Cooper, JAD; Criner, GJ; Curtis, JL; Dransfield, MT; Han, MK; Hatipoğlu, U; Helgeson, ES; Jain, VV; Kalhan, R; Kaminsky, D; Kaner, R; Kunisaki, KM; Lambert, AA; Lammi, MR; Lazarus, SC; Lindberg, S; Make, BJ; Martinez, FJ; McEvoy, C; Panos, RJ; Reed, RM; Scanlon, PD; Sciurba, FC; Smith, A; Sriram, PS; Stringer, WW; Voelker, H; Weingarten, JA; Wells, JM; Westfall, E, 2019)
"A substantial majority of chronic obstructive pulmonary disease (COPD)-related morbidity, mortality and healthcare costs are due to acute exacerbations, but existing medications have only a modest effect on reducing their frequency, even when used in combination."2.82β-Blockers for the prevention of acute exacerbations of chronic obstructive pulmonary disease (βLOCK COPD): a randomised controlled study protocol. ( Bhatt, SP; Connett, JE; Criner, GJ; Dransfield, MT; Lazarus, SC; Lindberg, SM; Voelker, H; Wells, JM; Westfall, E, 2016)
"The magnitude of proteinuria is associated with a graded increase in the risk of progression to end-stage renal disease and cardiovascular events."2.71The relationship between magnitude of proteinuria reduction and risk of end-stage renal disease: results of the African American study of kidney disease and hypertension. ( Bakris, GL; Greene, T; Hebert, L; Lea, J; Lipkowitz, M; Massry, S; Middleton, J; Miller, E; Rostand, SG; Smith, W, 2005)
"Fatigue, but not breathlessness, remained a significant predictor for developing worsening heart failure (RR 1."2.71Symptoms in patients with heart failure are prognostic predictors: insights from COMET. ( Charlesworth, A; Cleland, JG; Ekman, I; Metra, M; Poole-Wilson, PA; Swedberg, K, 2005)
"Hypertension is a leading cause of end-stage renal disease (ESRD) in the United States, with no known treatment to prevent progressive declines leading to ESRD."2.70Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial. ( Agodoa, LY; Appel, LJ; Bakris, G; Charleston, J; Cheek, D; Douglas-Baltimore, JG; Gassman, J; Glassock, R; Greene, T; Hebert, L; Jamerson, K; Lewis, J; Middleton, JP; Phillips, RA; Rostand, SG; Toto, RD; Wright, JT, 2002)
"Obesity is a significant risk factor for hypertension and the cardiovascular sequelae of hypertension."2.69The effect of weight loss intervention on antihypertensive medication requirements in the hypertension Optimal Treatment (HOT) study. ( Adair, CT; Anderson, DC; Cameron, ME; Jones, DW; King, NS; Miller, ME; Willoughby, DL; Wofford, MR, 1999)
" To date, controlled clinical trials performed in more than 13,000 patients with chronic heart failure have consistently shown that the long term administration of beta-blockers is associated with significant improvement in left ventricular function, clinical symptoms, and survival."2.41[Role of beta-blockers in the treatment of chronic heart heart failure]. ( Czuriga, I; Edes, I, 2001)
"Metoprolol treatment reduced overall mortality (10% vs 26%, p = 0."1.56Metoprolol blunts the time-dependent progression of infarct size. ( Fuster, V; Galán-Arriola, C; García-Ruiz, JM; González-Del-Hoyo, M; Higuero-Verdejo, MI; Ibanez, B; Lobo-Gonzalez, M; López-Martín, GJ; Oliver, E; Pizarro, G; Rossello, X; Sánchez-González, J; Vilchez, JP, 2020)
"Within the COPD GOLD II stage group, there appears to be no statistically significant difference in the number of exacerbations between the patients taking verapamil and digoxin (n = 24) and the patients taking BBs alone (n = 15), although, in patients taking BBs alone, there appears to be a trend towards a decrease in the exacerbations compared to the number of exacerbations in patients taking verapamil and digoxin (p = 0."1.51Beta-blocker Use in Moderate and Severe Chronic Obstructive Pulmonary Disease. ( Bedak, O; Begic, E; Bradaric, H; Custovic, F; Durak-Nalbantic, A; Hodzic, E; Mujakovic, A; Prnjavorac, B; Zvizdic, F, 2019)
"Bisoprolol was found to reduce mortality and CHF exacerbation compared to carvedilol and metoprolol."1.46The evaluation of β-adrenoceptor blocking agents in patients with COPD and congestive heart failure: a nationwide study. ( Chen, CY; Huang, YB; Kuo, CC; Liao, KM; Lin, TY, 2017)
"Metabolic, hemodynamic, and electrophysiological parameters were studied in all the patients on hospital stay days I and S."1.36[Efficacy of ivabradine in combination therapy for complicated acute coronary syndrome in patients with type 2 diabetes mellitus]. ( Dolgikh, VT; Kondrat'ev, AI; Stotskiĭ, AO, 2010)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (3.45)18.2507
2000's12 (41.38)29.6817
2010's13 (44.83)24.3611
2020's3 (10.34)2.80

Authors

AuthorsStudies
Wade, RC1
Mkorombindo, T1
Ling, SX1
Helgeson, ES2
MacDonald, DM1
Pew, K1
Voelker, H3
Bittner, V1
Kunisaki, KM2
Lammi, MR2
Dransfield, MT3
Zvizdic, F1
Begic, E1
Mujakovic, A1
Hodzic, E1
Prnjavorac, B1
Bedak, O1
Custovic, F1
Bradaric, H1
Durak-Nalbantic, A1
Bhatt, SP2
Brenner, K1
Casaburi, R1
Come, CE1
Cooper, JAD1
Criner, GJ2
Curtis, JL1
Han, MK1
Hatipoğlu, U1
Jain, VV1
Kalhan, R1
Kaminsky, D1
Kaner, R1
Lambert, AA1
Lindberg, S1
Make, BJ1
Martinez, FJ1
McEvoy, C1
Panos, RJ1
Reed, RM1
Scanlon, PD1
Sciurba, FC1
Smith, A1
Sriram, PS1
Stringer, WW1
Weingarten, JA1
Wells, JM2
Westfall, E2
Lazarus, SC2
Connett, JE2
Lobo-Gonzalez, M1
Galán-Arriola, C1
Rossello, X1
González-Del-Hoyo, M1
Vilchez, JP1
Higuero-Verdejo, MI1
García-Ruiz, JM1
López-Martín, GJ1
Sánchez-González, J1
Oliver, E1
Pizarro, G1
Fuster, V1
Ibanez, B1
Posielski, NM1
Richards, KA1
Liou, JI1
Borza, T1
Abel, EJ1
Downs, TM1
Jarrard, DF1
Liao, KM1
Lin, TY1
Huang, YB1
Kuo, CC1
Chen, CY1
Khatir, DS1
Pedersen, M1
Ivarsen, P1
Christensen, KL1
Jespersen, B1
Buus, NH1
Fonarow, G1
Castaldi, A1
Zaglia, T1
Di Mauro, V1
Carullo, P1
Viggiani, G1
Borile, G1
Di Stefano, B1
Schiattarella, GG1
Gualazzi, MG1
Elia, L1
Stirparo, GG1
Colorito, ML1
Pironti, G1
Kunderfranco, P1
Esposito, G1
Bang, ML1
Mongillo, M1
Condorelli, G1
Catalucci, D1
An, P1
Dang, HM1
Shi, XM1
Ye, BY1
Wu, XL1
Lindberg, SM1
Sehnert, AJ1
Daniels, SE1
Elashoff, M1
Wingrove, JA1
Burrow, CR1
Horne, B1
Muhlestein, JB1
Donahue, M1
Liggett, SB1
Anderson, JL1
Kraus, WE1
Rastogi, S1
Sharov, VG1
Mishra, S1
Gupta, RC1
Blackburn, B1
Belardinelli, L1
Stanley, WC1
Sabbah, HN1
Venkataraman, G1
Strickberger, SA1
Kondrat'ev, AI1
Dolgikh, VT1
Stotskiĭ, AO1
Remme, WJ1
Nicholson, DJ1
Passen, EL1
Wann, S1
McMurray, JJ1
Bolduc, V1
Drouin, A1
Gillis, MA1
Duquette, N1
Thorin-Trescases, N1
Frayne-Robillard, I1
Des Rosiers, C1
Tardif, JC1
Thorin, E1
Wright, JT1
Bakris, G1
Greene, T2
Agodoa, LY1
Appel, LJ1
Charleston, J1
Cheek, D1
Douglas-Baltimore, JG1
Gassman, J1
Glassock, R1
Hebert, L2
Jamerson, K1
Lewis, J1
Phillips, RA1
Toto, RD1
Middleton, JP1
Rostand, SG2
Abraham, WT1
Gilbert, EM1
Lowes, BD1
Minobe, WA1
Larrabee, P1
Roden, RL1
Dutcher, D1
Sederberg, J1
Lindenfeld, JA1
Wolfel, EE1
Shakar, SF1
Ferguson, D1
Volkman, K1
Linseman, JV1
Quaife, RA1
Robertson, AD1
Bristow, MR1
Lea, J1
Lipkowitz, M1
Massry, S1
Middleton, J1
Miller, E1
Smith, W1
Bakris, GL1
Ekman, I1
Cleland, JG1
Swedberg, K1
Charlesworth, A1
Metra, M1
Poole-Wilson, PA1
Yee, J1
Jones, DW1
Miller, ME1
Wofford, MR1
Anderson, DC1
Cameron, ME1
Willoughby, DL1
Adair, CT1
King, NS1
Prakash, A1
Markham, A1
Czuriga, I1
Edes, I1
Tsuyuki, RT1
McKelvie, RS1
Arnold, JM1
Barretto, AC1
Carvalho, AC1
Isaac, DL1
Kitching, AD1
Piegas, LS1
Teo, KK1
Yusuf, S1
Wiklund, O1
Hulthe, J1
Wikstrand, J1
Schmidt, C1
Olofsson, SO1
Bondjers, G1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Beta-Blockers for the Prevention of Acute Exacerbations of COPD[NCT02587351]Phase 3532 participants (Actual)Interventional2016-05-01Terminated (stopped due to Futility)
Effect of Pharmacological Heart Rate Reduction on Visco-elastic Properties of the Arterial Wall (BRADYVASC)[NCT02584439]Phase 330 participants (Anticipated)Interventional2015-10-31Recruiting
African American Study of Kidney Disease and Hypertension[NCT04364139]Phase 31,094 participants (Actual)Interventional1995-02-01Completed
Effect of Renin-angiotensin-system (RAS) Blocker Drugs on Chronic Kidney Disease (CKD) Progression in Elderly Patients With Non Proteinuric Nephropathies (PROERCAN01)[NCT03195023]Phase 4106 participants (Anticipated)Interventional2015-06-30Recruiting
Multicentre Prospective Open Label Clinical Study to Evaluate the Effect of Personalized Therapy on Patients With Immunoglobulin A Nephropathy.[NCT04662723]Phase 4878 participants (Anticipated)Interventional2023-05-01Recruiting
Effects of a Mindfulness-Based Intervention on Symptoms and Signs, Well-Being and Health in Patients With Chronic Heart Failure[NCT04871178]50 participants (Actual)Interventional2010-10-10Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

All-cause Mortality

All-cause mortality count (NCT02587351)
Timeframe: 1 year

InterventionParticipants (Count of Participants)
Metoprolol Succinate11
Placebo5

COPD Assessment Test (CAT)

COPD Assessment Test (CAT) change from baseline. The CAT is a simple, eight item, health status instrument for patients with COPD that provides a score of 0-40. Lower scores denote better health status. (NCT02587351)
Timeframe: Baseline, 1 year

Interventionscore on a scale (Mean)
Metoprolol Succinate0.88
Placebo-0.59

Exercise Capacity as Assessed by the 6 Minute Walk Distance (6MWD)

6MWD change from baseline to visit day 336. The 6MWD has been used as a simple tool to assess overall exercise tolerance in patients with chronic cardiopulmonary disease including COPD. (NCT02587351)
Timeframe: Baseline, 1 year

Interventionmeters (Mean)
Metoprolol Succinate-17.64
Placebo-11.87

Forced Expiratory Volume in 1 Second (FEV1)

Change in FEV1 % Predicted from baseline to visit day 336 as assessed by spirometry (NCT02587351)
Timeframe: 1 year

Interventionpercentage of predicted (Mean)
Metoprolol Succinate-2.24
Placebo-1.46

Hospital Days Resulting From Acute Exacerbations of COPD

Number of hospital days resulting from acute exacerbations of COPD reported as negative binomial estimates of mean hospital days per patient year. (NCT02587351)
Timeframe: 14 months

Interventionhospital days (Mean)
Metoprolol Succinate3.09
Placebo0.96

Modified Medical Research Council Dyspnea Scale (MMRC)

Modified Medical Research Council Dyspnea Scale (MMRC) change from baseline to visit day 336. The MMRC scale is a five-point scale originally published in 1959 that considers certain activities, such as walking or climbing stairs, which provoke breathlessness. Scale from 0 to 4 with lower scores indicating less breathlessness. (NCT02587351)
Timeframe: 1 year

Interventionscore on a scale (Median)
Metoprolol Succinate2.0
Placebo2.0

Number of Acute Exacerbations of COPD

Number of acute exacerbations of COPD - rate per person-year (NCT02587351)
Timeframe: 1 year

Interventionno. of events/person-yr (Mean)
Metoprolol Succinate1.40
Placebo1.33

Number of Emergency Department Visits Resulting From Acute Exacerbations of COPD

Number of Emergency Department visits resulting from acute exacerbations of COPD - rate (NCT02587351)
Timeframe: 1 year

Interventionevents per person-year (Mean)
Metoprolol Succinate0.17
Placebo0.18

Number of Hospital Admissions Resulting From Acute Exacerbations of COPD

Number of hospital admissions resulting from acute exacerbations of COPD - rate (NCT02587351)
Timeframe: 1 year

Interventionevents per person-year (Mean)
Metoprolol Succinate0.66
Placebo0.42

San Diego Shortness of Breath Questionnaire (SOBQ)

"San Diego Shortness of Breath Questionnaire (SOBQ) change from baseline. A 24-item measure that assesses self-reported shortness of breath while performing a variety of activities of daily living. Each item has a 6-point scale (0 = not at all to 5 = maximal or unable to do because of breathlessness)." (NCT02587351)
Timeframe: 1 year

Interventionscore on a scale (Mean)
Metoprolol Succinate0.52
Placebo-0.25

St. George's Respiratory Questionnaire (SGRQ)

SGRQ change from baseline to visit day 336. The SGRQ total score change from baseline. SGRQ is a respiratory specific health status questionnaire with scores ranging from 0 to 100. The lower score indicates a better health status. (NCT02587351)
Timeframe: Baseline, 1 year

Interventionscore on a scale (Mean)
Metoprolol Succinate0.52
Placebo-0.25

Time to First Occurrence of an Acute COPS Exacerbation

"Acute exacerbations are defined as a complex of respiratory symptoms (increase or new onset) of more than one of the following: cough, sputum, wheezing, dyspnea, or chest tightness requiring treatment with antibiotics and/or systemic steroids for at least three days." (NCT02587351)
Timeframe: 1 year

Interventiondays (Mean)
Metoprolol Succinate202
Placebo222

Acute Exacerbations of COPD and MACE

MACE defined by cardiovascular death, hospitalization for myocardial infarction, heart failure, or stroke (NCT02587351)
Timeframe: 12 months

,
InterventionParticipants (Count of Participants)
Myocardial InfarctionHeart FailureStrokeSudden cardiac deathCOPD Exacerbation (Serious)
Metoprolol Succinate221055
Placebo131132

Incidence of Presumed Metoprolol-related Side-effects

New or worsened (Neural: depression, headache, syncope, seizures, somnolence, memory loss, loss of sexual desire or erectile dysfunction, and fatigue; Hypersensitivity: rash, pruritus, tongue or facial swelling; Gastrointestinal: diarrhea, vomiting, nausea or constipation; Cardiovascular: bradycardia and hypotension as discussed below; Respiratory: bronchospasm and changes in lung function as discussed below). (NCT02587351)
Timeframe: 1 year

,
InterventionParticipants (Count of Participants)
DepressionHeadacheFaintingDaytime SleepinessMemory LossLoss of sexual desire or erectile dysfunctionLack of energyRashItchingTongue or facial swellingVomitingNauseaConstipationWheezingShortness of breathChest tightnessHeart skipping or irregular beatsDizziness/light headedness
Metoprolol Succinate28714582010911711711453088115811674
Placebo3978870216772118518423279112801564

Major Adverse Cardiovascular Events

Major adverse cardiovascular events (MACE), percutaneous coronary intervention or coronary artery bypass grafting. MACE defined by cardiovascular death, hospitalization for myocardial infarction, heart failure, or stroke (NCT02587351)
Timeframe: 12 months

,
InterventionParticipants (Count of Participants)
Myocardial InfarctionHeart FailureStrokeSudden Cardiac Death
Metoprolol Succinate2210
Placebo1311

Markers of Systemic Inflammation

Fibrinogen: assessed at screening/randomization and at conclusion of the study to determine if beta-blockade impacts levels of systemic inflammation that portend overall cardiac risk. (NCT02587351)
Timeframe: Baseline, 1 year

,
Interventionmg/dL (Mean)
Fibrinogen baselineFibrinogen Visit 336
Metoprolol Succinate384.8392.5
Placebo378.2386.0

Short Form Health Survey (SF-36) Bodily Pain Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Bodily Pain Scale includes 2 items assessing the intensity of pain and effect of pain on normal work, both inside and outside the house. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate67.567.557.5
Placebo67.567.557.5

Short Form Health Survey (SF-36) Emotional Well-being Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Emotional Well-being Scale includes 5 items assessing emotional wellbeing. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate76.076.076.0
Placebo72.072.072.0

Short Form Health Survey (SF-36) Energy/Fatigue Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Energy/Fatigue Scale includes 4 items. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate50.050.050.0
Placebo50.045.045.0

Short Form Health Survey (SF-36) General Health Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The General Health Scale includes 4 items assessing personal evaluations of health. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate40.040.040.0
Placebo40.035.035.0

Short Form Health Survey (SF-36) Physical Function Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. 8 multi-item scales with higher score indicating better health state. The Physical Functioning scale is 10 items assessing the extent to which health limits physical activities such as self-care, walking, climbing stairs, bending lifting, and moderate and vigorous activities transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate30.030.030.0
Placebo30.030.035.0

Short Form Health Survey (SF-36) Role Functioning - Emotional Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Role Functioning - Emotional Scale includes 3 items assessing extent to which emotional problems interfere with work or other daily activities. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate100.066.766.7
Placebo66.766.766.7

Short Form Health Survey (SF-36) Role Functioning - Physical Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Role Functioning - Physical Scale contains 4 items assessing the extent to which physical health interferes with work or other daily activities, including accomplished less than wanted, limitations in the kind of activities. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate25.025.012.5
Placebo25.025.012.5

Short Form Health Survey (SF-36) Social Functioning Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Social Functioning Scale includes 2 items assessing extent to which physical health or emotional problems interfere with normal social activities. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate62.562.575.0
Placebo62.562.562.5

Reviews

2 reviews available for metoprolol and Disease Exacerbation

ArticleYear
Metoprolol: a review of its use in chronic heart failure.
    Drugs, 2000, Volume: 60, Issue:3

    Topics: Adrenergic beta-Antagonists; Chemistry, Pharmaceutical; Disease Progression; Heart Failure; Hemodyna

2000
[Role of beta-blockers in the treatment of chronic heart heart failure].
    Orvosi hetilap, 2001, Sep-16, Volume: 142, Issue:37

    Topics: Adrenergic beta-Antagonists; Bisoprolol; Carbazoles; Carvedilol; Chronic Disease; Controlled Clinica

2001

Trials

11 trials available for metoprolol and Disease Exacerbation

ArticleYear
Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial.
    BMC pulmonary medicine, 2023, Nov-09, Volume: 23, Issue:1

    Topics: Adrenergic beta-Antagonists; Disease Progression; Humans; Metoprolol; Morbidity; Pulmonary Disease,

2023
Metoprolol for the Prevention of Acute Exacerbations of COPD.
    The New England journal of medicine, 2019, 12-12, Volume: 381, Issue:24

    Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Aged, 80 and over; Disease Progression; Female; Forced

2019
Effects of additional vasodilatory or nonvasodilatory treatment on renal function, vascular resistance and oxygenation in chronic kidney disease: a randomized clinical trial.
    Journal of hypertension, 2019, Volume: 37, Issue:1

    Topics: Amlodipine; Angiotensins; Antihypertensive Agents; Disease Progression; Glomerular Filtration Rate;

2019
β-Blockers for the prevention of acute exacerbations of chronic obstructive pulmonary disease (βLOCK COPD): a randomised controlled study protocol.
    BMJ open, 2016, 06-07, Volume: 6, Issue:6

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Cause of Death; Disease Progression; Do

2016
Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial.
    JAMA, 2002, Nov-20, Volume: 288, Issue:19

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Anti

2002
Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial.
    JAMA, 2002, Nov-20, Volume: 288, Issue:19

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Anti

2002
Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial.
    JAMA, 2002, Nov-20, Volume: 288, Issue:19

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Anti

2002
Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial.
    JAMA, 2002, Nov-20, Volume: 288, Issue:19

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Amlodipine; Angiotensin-Converting Enzyme Inhibitors; Anti

2002
Coordinate changes in Myosin heavy chain isoform gene expression are selectively associated with alterations in dilated cardiomyopathy phenotype.
    Molecular medicine (Cambridge, Mass.), 2002, Volume: 8, Issue:11

    Topics: Antihypertensive Agents; Atrial Natriuretic Factor; Biopsy; Calcium-Transporting ATPases; Carbazoles

2002
The relationship between magnitude of proteinuria reduction and risk of end-stage renal disease: results of the African American study of kidney disease and hypertension.
    Archives of internal medicine, 2005, Apr-25, Volume: 165, Issue:8

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

2005
Symptoms in patients with heart failure are prognostic predictors: insights from COMET.
    Journal of cardiac failure, 2005, Volume: 11, Issue:4

    Topics: Adrenergic beta-Antagonists; Aged; Angina Pectoris; Carbazoles; Carvedilol; Disease Progression; Dou

2005
The effect of weight loss intervention on antihypertensive medication requirements in the hypertension Optimal Treatment (HOT) study.
    American journal of hypertension, 1999, Volume: 12, Issue:12 Pt 1-2

    Topics: Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Bloo

1999
Acute precipitants of congestive heart failure exacerbations.
    Archives of internal medicine, 2001, Oct-22, Volume: 161, Issue:19

    Topics: Adrenergic beta-Antagonists; Aged; Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds; Dise

2001
Effect of controlled release/extended release metoprolol on carotid intima-media thickness in patients with hypercholesterolemia: a 3-year randomized study.
    Stroke, 2002, Volume: 33, Issue:2

    Topics: Adrenergic beta-Antagonists; Blood Pressure; Carotid Artery Diseases; Cholesterol, LDL; Delayed-Acti

2002

Other Studies

16 other studies available for metoprolol and Disease Exacerbation

ArticleYear
Beta-blocker Use in Moderate and Severe Chronic Obstructive Pulmonary Disease.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2019, Volume: 73, Issue:2

    Topics: Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Bisoprolol; Case-Control

2019
Metoprolol blunts the time-dependent progression of infarct size.
    Basic research in cardiology, 2020, 08-03, Volume: 115, Issue:5

    Topics: Administration, Intravenous; Adrenergic beta-1 Receptor Antagonists; Animals; Cardiac Imaging Techni

2020
Beta-Adrenergic Antagonists and Cancer Specific Survival in Patients With Advanced Prostate Cancer: A Veterans Administration Cohort Study.
    Urology, 2021, Volume: 155

    Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Aged, 80 and over; Androgen Antagonists; Bone Neoplasm

2021
The evaluation of β-adrenoceptor blocking agents in patients with COPD and congestive heart failure: a nationwide study.
    International journal of chronic obstructive pulmonary disease, 2017, Volume: 12

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Bisoprolol; Carbazoles; Carvedilol; Chi-Square

2017
Update on pharmacological advances.
    The Journal of invasive cardiology, 2004, Volume: 16 Suppl E

    Topics: Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Carbazoles; Carvedilol; Disea

2004
MicroRNA-133 modulates the β1-adrenergic receptor transduction cascade.
    Circulation research, 2014, Jul-07, Volume: 115, Issue:2

    Topics: 3' Untranslated Regions; Adenylyl Cyclases; Animals; Apoptosis; Cells, Cultured; Cyclic AMP; Cyclic

2014
"Qufeng Tongluo" acupuncture prevents the progression of glomerulonephritis by decreasing renal sympathetic nerve activity.
    Journal of ethnopharmacology, 2014, Aug-08, Volume: 155, Issue:1

    Topics: Acupuncture Therapy; Animals; Biphenyl Compounds; Disease Models, Animal; Disease Progression; Glome

2014
Lack of association between adrenergic receptor genotypes and survival in heart failure patients treated with carvedilol or metoprolol.
    Journal of the American College of Cardiology, 2008, Aug-19, Volume: 52, Issue:8

    Topics: Adrenergic beta-Antagonists; Aged; Carbazoles; Carvedilol; Disease Progression; Female; Genotype; Ha

2008
Ranolazine combined with enalapril or metoprolol prevents progressive LV dysfunction and remodeling in dogs with moderate heart failure.
    American journal of physiology. Heart and circulatory physiology, 2008, Volume: 295, Issue:5

    Topics: Acetanilides; Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; Cardio

2008
Atrial fibrillation degenerates into ventricular fibrillation.
    Journal of the American College of Cardiology, 2010, Mar-09, Volume: 55, Issue:10

    Topics: Adult; Anti-Arrhythmia Agents; Atrial Fibrillation; Combined Modality Therapy; Defibrillators, Impla

2010
[Efficacy of ivabradine in combination therapy for complicated acute coronary syndrome in patients with type 2 diabetes mellitus].
    Terapevticheskii arkhiv, 2010, Volume: 82, Issue:1

    Topics: Acute Coronary Syndrome; Adrenergic beta-Antagonists; Adult; Benzazepines; Diabetes Mellitus, Type 2

2010
Which beta-blocker is most effective in heart failure?
    Cardiovascular drugs and therapy, 2010, Volume: 24, Issue:4

    Topics: Adrenergic beta-Antagonists; Animals; Benzopyrans; Bisoprolol; Carbazoles; Carvedilol; Clinical Tria

2010
Computed tomography angiography for right ventricular function in an adult with complex congenital heart disease.
    The American heart hospital journal, 2010,Summer, Volume: 8, Issue:1

    Topics: Adrenergic beta-1 Receptor Antagonists; Calcium Channel Blockers; Coronary Angiography; Diltiazem; D

2010
Heart failure: acute ischemic events in HF--should we include sudden death?
    Nature reviews. Cardiology, 2011, Volume: 8, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Antihypertensive Agents; Benzopyrans; Death, Sudden, Cardiac

2011
Heart rate-associated mechanical stress impairs carotid but not cerebral artery compliance in dyslipidemic atherosclerotic mice.
    American journal of physiology. Heart and circulatory physiology, 2011, Volume: 301, Issue:5

    Topics: Animals; Anti-Arrhythmia Agents; Apolipoproteins B; Atherosclerosis; Benzazepines; Carotid Arteries;

2011
Chronic kidney disease--a disease domain complex.
    Geriatrics, 2008, Volume: 63, Issue:3

    Topics: Aged; Alendronate; Amlodipine; Anti-Inflammatory Agents, Non-Steroidal; Antihypertensive Agents; Asp

2008