Page last updated: 2024-10-31

metoprolol and Long QT Syndrome

metoprolol has been researched along with Long QT Syndrome in 21 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.

Long QT Syndrome: A condition that is characterized by episodes of fainting (SYNCOPE) and varying degree of ventricular arrhythmia as indicated by the prolonged QT interval. The inherited forms are caused by mutation of genes encoding cardiac ion channel proteins. The two major forms are ROMANO-WARD SYNDROME and JERVELL-LANGE NIELSEN SYNDROME.

Research Excerpts

ExcerptRelevanceReference
" To unmask the potential risk of Tdp in a patient with normal or borderline prolongation of QTc interval and recurrent syncope, dobutamine was given intravenously at a rate of 20 microg/kg/min."7.75Dobutamine infusion for unmasking long QT syndrome and torsades de pointes. ( Cuilan, L; Dayi, H; Kangan, C; Peng, G; Quan, F; Richard, CC, 2009)
"Propranolol has a significantly better QTc shortening effect compared to metoprolol and nadolol, especially in patients with prolonged QTc."5.38Not all beta-blockers are equal in the management of long QT syndrome types 1 and 2: higher recurrence of events under metoprolol. ( Ackerman, MJ; Beckmann, BM; Blom, NA; Chockalingam, P; Clur, SA; Crotti, L; Fischer, M; Girardengo, G; Harris, KM; Hauer, RN; Johnson, JN; Kääb, S; Rordorf, R; Rydberg, A; Schwartz, PJ; Spazzolini, C; van den Heuvel, F; van der Heijden, JF; Wilde, AA, 2012)
"Beta-adrenergic receptor antagonists (β-blockers) are the therapy of choice for the long QT syndrome but their efficacy is not homogeneous: propranolol and nadolol are the most effective, whereas metoprolol is associated with more treatment failures."3.78Nadolol block of Nav1.5 does not explain its efficacy in the long QT syndrome. ( Besana, A; George, AL; Schwartz, PJ; Wang, DW, 2012)
" To unmask the potential risk of Tdp in a patient with normal or borderline prolongation of QTc interval and recurrent syncope, dobutamine was given intravenously at a rate of 20 microg/kg/min."3.75Dobutamine infusion for unmasking long QT syndrome and torsades de pointes. ( Cuilan, L; Dayi, H; Kangan, C; Peng, G; Quan, F; Richard, CC, 2009)
"Propranolol has a significantly better QTc shortening effect compared to metoprolol and nadolol, especially in patients with prolonged QTc."1.38Not all beta-blockers are equal in the management of long QT syndrome types 1 and 2: higher recurrence of events under metoprolol. ( Ackerman, MJ; Beckmann, BM; Blom, NA; Chockalingam, P; Clur, SA; Crotti, L; Fischer, M; Girardengo, G; Harris, KM; Hauer, RN; Johnson, JN; Kääb, S; Rordorf, R; Rydberg, A; Schwartz, PJ; Spazzolini, C; van den Heuvel, F; van der Heijden, JF; Wilde, AA, 2012)
"Carvedilol has a class III antiarrhythmic effect, which may provide the rationale for a favourable clinical outcome compared with other beta-blockers as suggested in the recent COMET (Carvedilol Or Metoprolol European Trial) substudy."1.33Comparison of HERG channel blocking effects of various beta-blockers-- implication for clinical strategy. ( Abe, H; Anson, BD; Delisle, BP; January, CT; Kawakami, K; Kikuchi, K; Nagatomo, T; Nakashima, Y; Takemasa, H, 2006)
"However, the incidence of sudden death and aborted sudden death (24% in all patients and 17% in compliant patients) strongly suggests the use of a "back-up" defibrillator, particularly in noncompliant adolescent patients."1.30Long-term follow-up of patients with long-QT syndrome treated with beta-blockers and continuous pacing. ( Belhassen, B; Dorostkar, PC; Eldar, M; Scheinman, MM, 1999)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.76)18.7374
1990's2 (9.52)18.2507
2000's7 (33.33)29.6817
2010's9 (42.86)24.3611
2020's2 (9.52)2.80

Authors

AuthorsStudies
Bottigliero, D1
Monaco, I1
Santacroce, R1
Casavecchia, G1
Correale, M1
Guastafierro, F1
Leccese, A1
Cordisco, G1
Ieva, R1
Trunzo, R1
Di Biase, M1
Margaglione, M1
Brunetti, ND1
Atici, A1
Asoğlu, R1
Barman, HA1
Sahin, I1
Gupta, P1
Agstam, S1
Yadav, A1
Ghosh, S1
Olberg, HK1
Odland, HH1
Kask, A1
Engelsen, BA1
Erbas, O1
Yilmaz, M1
Abu-Zeitone, A1
Peterson, DR1
Polonsky, B1
McNitt, S1
Moss, AJ2
Tagawa, M1
Ochiai, S1
Nakamura, Y1
Sato, A1
Chinushi, M1
Quan, F1
Peng, G1
Kangan, C1
Dayi, H1
Cuilan, L1
Richard, CC1
Bankston, JR1
Kass, RS1
Besana, A1
Wang, DW1
George, AL1
Schwartz, PJ3
Daubert, JP1
Grant, AO1
Nilsson, KR1
Chockalingam, P1
Crotti, L1
Girardengo, G1
Johnson, JN1
Harris, KM1
van der Heijden, JF1
Hauer, RN1
Beckmann, BM1
Spazzolini, C1
Rordorf, R1
Rydberg, A1
Clur, SA1
Fischer, M1
van den Heuvel, F1
Kääb, S1
Blom, NA1
Ackerman, MJ1
Wilde, AA1
Yoshiga, Y1
Shimizu, A1
Yamagata, T1
Hayano, T1
Ueyama, T1
Ohmura, M1
Itagaki, K1
Kimura, M1
Matsuzaki, M1
Etheridge, SP1
Shaddy, RE1
Ebbehøj, E1
Arildsen, H1
Hansen, KW1
Mogensen, CE1
Mølgaard, H1
Poulsen, PL1
Kawakami, K1
Nagatomo, T1
Abe, H1
Kikuchi, K1
Takemasa, H1
Anson, BD1
Delisle, BP1
January, CT1
Nakashima, Y1
Jacobs, A1
Knight, BP1
McDonald, KT1
Burke, MC1
Calle, PA1
Buylaert, W1
Dorostkar, PC1
Eldar, M1
Belhassen, B1
Scheinman, MM1
Zareba, W1
Hall, WJ1
Crampton, RS1
Benhorin, J1
Vincent, GM1
Locati, EH1
Priori, SG1
Napolitano, C1
Medina, A1
Zhang, L1
Robinson, JL1
Timothy, K1
Towbin, JA1
Andrews, ML1
Edvardsson, N1
Olsson, SB1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Long QT Syndrome-Population Genetics and Cardiac Studies[NCT00005176]2,125 participants (Actual)Observational1985-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for metoprolol and Long QT Syndrome

ArticleYear
Novel AKAP9 mutation and long QT syndrome in a patient with torsades des pointes.
    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2019, Volume: 56, Issue:2

    Topics: A Kinase Anchor Proteins; Aged, 80 and over; Cytoskeletal Proteins; Echocardiography, Doppler; Elect

2019

Trials

3 trials available for metoprolol and Long QT Syndrome

ArticleYear
Beta-blocker decreases the increase in QT dispersion and transmural dispersion of repolarization induced by bepridil.
    Circulation journal : official journal of the Japanese Circulation Society, 2002, Volume: 66, Issue:11

    Topics: Adrenergic beta-Antagonists; Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Bepridil; Bisoprolol

2002
Effects of metoprolol on QT interval and QT dispersion in Type 1 diabetic patients with abnormal albuminuria.
    Diabetologia, 2004, Volume: 47, Issue:6

    Topics: Administration, Oral; Adult; Albuminuria; Chronic Disease; Cross-Over Studies; Denmark; Diabetes Mel

2004
Effectiveness and limitations of beta-blocker therapy in congenital long-QT syndrome.
    Circulation, 2000, Feb-15, Volume: 101, Issue:6

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Atenolol; Child; Child, Preschool; Female; Humans; I

2000

Other Studies

17 other studies available for metoprolol and Long QT Syndrome

ArticleYear
The importance of the epinephrine provocation test for the hidden type-1 congenital long QT syndrome.
    Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir, 2020, Volume: 48, Issue:4

    Topics: Adolescent; Death, Sudden, Cardiac; DNA; Electrocardiography; Epinephrine; Female; Heterozygote; Hum

2020
Malignant prolongation of the QTc interval due to severe vitamin D deficiency: an unusual presentation.
    BMJ case reports, 2020, Dec-15, Volume: 13, Issue:12

    Topics: Adrenergic beta-1 Receptor Antagonists; Adult; Calcium; Calcium Gluconate; Electrocardiography, Ambu

2020
A woman in her thirties with seizure relapse after a previous diagnosis of epilepsy.
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 2018, 05-08, Volume: 138, Issue:8

    Topics: Adult; Anti-Arrhythmia Agents; Epilepsy; ERG1 Potassium Channel; Female; Humans; Long QT Syndrome; M

2018
Metoprolol and diltiazem ameliorate ziprasidone-induced prolonged corrected QT interval in rats.
    Toxicology and industrial health, 2015, Volume: 31, Issue:12

    Topics: Adrenergic beta-1 Receptor Antagonists; Anesthesia; Animals; Anti-Arrhythmia Agents; Antipsychotic A

2015
Efficacy of different beta-blockers in the treatment of long QT syndrome.
    Journal of the American College of Cardiology, 2014, Sep-30, Volume: 64, Issue:13

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Atenolol; Child; Child, Preschool; Death, Sudden, Ca

2014
Secondly ECG recordings in the emergency room revealed Garenoxacin-induced abnormal QT interval prolongation in a patient with multiple syncopal attacks.
    Heart and vessels, 2016, Volume: 31, Issue:7

    Topics: Adrenergic Agonists; Adrenergic beta-1 Receptor Antagonists; Aged; Anti-Bacterial Agents; Electrocar

2016
Dobutamine infusion for unmasking long QT syndrome and torsades de pointes.
    Clinical cardiology, 2009, Volume: 32, Issue:6

    Topics: Adrenergic beta-Agonists; Anti-Arrhythmia Agents; Defibrillators, Implantable; DNA Mutational Analys

2009
Molecular determinants of local anesthetic action of beta-blocking drugs: Implications for therapeutic management of long QT syndrome variant 3.
    Journal of molecular and cellular cardiology, 2010, Volume: 48, Issue:1

    Topics: Adrenergic beta-Antagonists; Anesthetics, Local; Carbazoles; Carvedilol; Cell Line; Electrophysiolog

2010
Nadolol block of Nav1.5 does not explain its efficacy in the long QT syndrome.
    Journal of cardiovascular pharmacology, 2012, Volume: 59, Issue:3

    Topics: Adrenergic beta-Antagonists; Cell Line; Humans; Long QT Syndrome; Metoprolol; Mutation; Nadolol; NAV

2012
Novel insights into beta-blocker therapy for long QT syndromes.
    Journal of the American College of Cardiology, 2012, Nov-13, Volume: 60, Issue:20

    Topics: Adrenergic beta-Antagonists; Female; Humans; Long QT Syndrome; Male; Metoprolol; Nadolol; Propranolo

2012
Not all beta-blockers are equal in the management of long QT syndrome types 1 and 2: higher recurrence of events under metoprolol.
    Journal of the American College of Cardiology, 2012, Nov-13, Volume: 60, Issue:20

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Child; Disease-Free Survival; Electrocardiography; F

2012
QT dispersion after beta-blocker therapy (carvedilol or metoprolol) in children with heart failure.
    The American journal of cardiology, 2003, Jun-15, Volume: 91, Issue:12

    Topics: Adolescent; Adrenergic beta-Antagonists; Carbazoles; Carvedilol; Child; Child Welfare; Child, Presch

2003
Comparison of HERG channel blocking effects of various beta-blockers-- implication for clinical strategy.
    British journal of pharmacology, 2006, Volume: 147, Issue:6

    Topics: Adrenergic beta-Antagonists; Binding Sites; Carbazoles; Cardiovascular Diseases; Carvedilol; Cell Li

2006
Verapamil decreases ventricular tachyarrhythmias in a patient with Timothy syndrome (LQT8).
    Heart rhythm, 2006, Volume: 3, Issue:8

    Topics: Adrenergic beta-Antagonists; Adult; Calcium Channel Blockers; Combined Modality Therapy; Defibrillat

2006
When an AED meets an ICD... Automated external defibrillator. Implantable cardioverter defibrillator.
    Resuscitation, 1998, Volume: 38, Issue:3

    Topics: Adult; Anti-Arrhythmia Agents; Cardiomyopathy, Dilated; Cardiopulmonary Resuscitation; Clinical Prot

1998
Long-term follow-up of patients with long-QT syndrome treated with beta-blockers and continuous pacing.
    Circulation, 1999, Dec-14, Volume: 100, Issue:24

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aged; Atenolol; Child; Child, Preschool; Cohort Stud

1999
Induction of delayed repolarization during chronic beta-receptor blockade.
    European heart journal, 1985, Volume: 6 Suppl D

    Topics: Aged; Angina Pectoris; Arrhythmias, Cardiac; Electrocardiography; Heart Conduction System; Heart Rat

1985