Page last updated: 2024-10-31

metoprolol and Stroke

metoprolol has been researched along with Stroke in 24 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.

Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)

Research Excerpts

ExcerptRelevanceReference
"We explored whether vascular protection by carvedilol could contribute to its superior effects in the treatment of heart failure (HF) compared with metoprolol tartrate in the COMET (Carvedilol Or Metoprolol European Trial) study."9.12Carvedilol protects better against vascular events than metoprolol in heart failure: results from COMET. ( Cleland, JG; Di Lenarda, A; Komajda, M; Lukas, MA; Metra, M; Moullet, C; Poole-Wilson, PA; Remme, WJ; Scherhag, A; Spark, P; Swedberg, K; Torp-Pedersen, C, 2007)
"Routine use of preoperative metoprolol, but not atenolol, is associated with stroke after noncardiac surgery, even after adjusting for comorbidities."7.79Perioperative metoprolol and risk of stroke after noncardiac surgery. ( Freundlich, RE; Kheterpal, S; Mashour, GA; Matlen, L; Merte, J; Nallamothu, BK; Shanks, A; Sharifpour, M; Tremper, KK; Vlisides, PE; Weightman, A, 2013)
"The use of metoprolol and atenolol is associated with increased risks of postoperative stroke, compared with bisoprolol."7.79Selective β1-antagonism with bisoprolol is associated with fewer postoperative strokes than atenolol or metoprolol: a single-center cohort study of 44,092 consecutive patients. ( Ashes, C; Beattie, WS; Hare, GM; Judelman, S; Mazer, CD; Tait, G; Wijeysundera, DN, 2013)
"The clinical data of 24 patients with ischemic stroke in our intensive care unit were analyzed, and received amlodipine or metoprolol for more than 14 days with 24-hour ambulatory blood pressure monitoring."5.19Effects of different antihypertensive drugs on blood pressure variability in patients with ischemic stroke. ( Hu, WL; Ji, M; Li, SJ, 2014)
"We explored whether vascular protection by carvedilol could contribute to its superior effects in the treatment of heart failure (HF) compared with metoprolol tartrate in the COMET (Carvedilol Or Metoprolol European Trial) study."5.12Carvedilol protects better against vascular events than metoprolol in heart failure: results from COMET. ( Cleland, JG; Di Lenarda, A; Komajda, M; Lukas, MA; Metra, M; Moullet, C; Poole-Wilson, PA; Remme, WJ; Scherhag, A; Spark, P; Swedberg, K; Torp-Pedersen, C, 2007)
"Rats were subjected to middle cerebral artery occlusion-reperfusion to evaluate the effect on stroke of the selective β1AR blocker metoprolol (12."4.31Neutrophil β ( Benito, JM; Calle, D; Carneado-Ruíz, J; Castejón, R; Clemente-Moragón, A; Cortés-Canteli, M; Cussó, L; Desco, M; Fernández-Ferro, JC; Fuster, V; Gómez, M; Ibáñez, B; Moro, MA; Oliver, E; Pradillo, JM; Rallón, N; Sánchez-González, J, 2023)
" Finally, animals were treated with metoprolol to evaluate a pharmacologic treatment option to prevent the development of heart failure."3.85Stroke-induced chronic systolic dysfunction driven by sympathetic overactivity. ( Bieber, M; Frantz, S; Heuschmann, PU; Higuchi, T; Hofmann, U; Kleinschnitz, C; Kraft, P; Ritter, O; Schuh, K; Tanai, E; Werner, RA, 2017)
"Routine use of preoperative metoprolol, but not atenolol, is associated with stroke after noncardiac surgery, even after adjusting for comorbidities."3.79Perioperative metoprolol and risk of stroke after noncardiac surgery. ( Freundlich, RE; Kheterpal, S; Mashour, GA; Matlen, L; Merte, J; Nallamothu, BK; Shanks, A; Sharifpour, M; Tremper, KK; Vlisides, PE; Weightman, A, 2013)
"The use of metoprolol and atenolol is associated with increased risks of postoperative stroke, compared with bisoprolol."3.79Selective β1-antagonism with bisoprolol is associated with fewer postoperative strokes than atenolol or metoprolol: a single-center cohort study of 44,092 consecutive patients. ( Ashes, C; Beattie, WS; Hare, GM; Judelman, S; Mazer, CD; Tait, G; Wijeysundera, DN, 2013)
"Asymptomatic carotid stenosis is when this narrowing occurs in people without a history or symptoms of this disease."3.01Pharmacological interventions for asymptomatic carotid stenosis. ( Cassola, N; Clezar, CN; Flumignan, CD; Flumignan, RL; Nakano, LC; Trevisani, VF, 2023)
"IV metoprolol was the only IV BB that reduced mortality [aRR (95% CI): 0."1.72The Effect of Intravenous and Oral Beta-Blocker Use in Patients with Type B Thoracic Aortic Dissection. ( Malas, MB; Mathlouthi, A; Naazie, I; Nejim, B, 2022)
"Mortality, pulmonary edema, and need for IABP were reduced by >50% (p < 0."1.32Impact of prophylactic postoperative beta-blockade on post-cardiothoracic surgery length of stay and atrial fibrillation. ( Coleman, CI; Gallagher, R; Gillespie, EL; Horowitz, S; Kluger, J; Perkerson, KA; White, CM, 2004)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (41.67)29.6817
2010's11 (45.83)24.3611
2020's3 (12.50)2.80

Authors

AuthorsStudies
Nejim, B1
Mathlouthi, A1
Naazie, I1
Malas, MB1
Clemente-Moragón, A1
Oliver, E1
Calle, D1
Cussó, L1
Gómez, M1
Pradillo, JM1
Castejón, R1
Rallón, N1
Benito, JM1
Fernández-Ferro, JC1
Carneado-Ruíz, J1
Moro, MA1
Sánchez-González, J1
Fuster, V1
Cortés-Canteli, M1
Desco, M1
Ibáñez, B1
Clezar, CN1
Flumignan, CD1
Cassola, N1
Nakano, LC1
Trevisani, VF1
Flumignan, RL1
Zhang, Y1
Sun, N1
Jiang, X1
Xi, Y1
Bieber, M1
Werner, RA1
Tanai, E1
Hofmann, U1
Higuchi, T1
Schuh, K1
Heuschmann, PU1
Frantz, S1
Ritter, O1
Kraft, P1
Kleinschnitz, C1
Jacka, MJ1
Guyatt, G1
Mizera, R1
Van Vlymen, J1
Ponce de Leon, D1
Schricker, T1
Bahari, MY1
Lv, B1
Afzal, L1
Plou García, MP1
Wu, X1
Nigro Maia, L1
Arrieta, M1
Rao-Melacini, P1
Devereaux, PJ1
Mashour, GA1
Sharifpour, M1
Freundlich, RE1
Tremper, KK1
Shanks, A1
Nallamothu, BK1
Vlisides, PE1
Weightman, A1
Matlen, L1
Merte, J1
Kheterpal, S1
Ashes, C2
Judelman, S2
Wijeysundera, DN1
Tait, G3
Mazer, CD3
Hare, GM3
Beattie, WS3
Eisenach, JC1
Wicker, JF1
Bronheim, D1
Wijeysundera, D1
Ji, M1
Li, SJ1
Hu, WL1
DiNicolantonio, JJ1
Fuchs, FD1
O'Keefe, JH1
Caramelli, B2
Gualandro, DM2
Freitas, S1
Yu, PC2
Calderaro, D2
Rolfo, F1
Bobbio, M1
Angeli, F1
Cavallini, C1
Priebe, HJ1
Alonso-Coello, P1
Alvarez, C1
Cruz, P1
Torán, L1
De Nadal, M1
Martínez, M1
Paniagua, P1
Mases, A1
Urrutia, G1
Ragoonanan, TE1
Tsui, AK1
Leong-Poi, H1
Wilson, DF1
Yu, J1
Liu, E1
Noronha, M1
Dattani, ND1
Mitsakakis, N1
Marques, AC1
Tchan, M1
Sillence, D1
Coleman, CI1
Perkerson, KA1
Gillespie, EL1
Kluger, J1
Gallagher, R1
Horowitz, S1
White, CM1
Remme, WJ1
Torp-Pedersen, C1
Cleland, JG1
Poole-Wilson, PA1
Metra, M1
Komajda, M1
Swedberg, K1
Di Lenarda, A1
Spark, P1
Scherhag, A1
Moullet, C1
Lukas, MA1
Intengan, HD1
Schiffrin, EL1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Controlled Trial of Influenza Vaccine to Prevent Adverse Vascular Events: A Pilot Study[NCT01945268]Phase 4107 participants (Actual)Interventional2015-04-30Completed
A Randomized Controlled Trial of Influenza Vaccine to Prevent Adverse Vascular Events[NCT02762851]Phase 45,000 participants (Anticipated)Interventional2016-06-30Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for metoprolol and Stroke

ArticleYear
Pharmacological interventions for asymptomatic carotid stenosis.
    The Cochrane database of systematic reviews, 2023, 08-04, Volume: 8

    Topics: Aspirin; Atherosclerosis; Atorvastatin; Carotid Stenosis; Chlorthalidone; Fluvastatin; Hemorrhage; H

2023
Comparative efficacy of β-blockers on mortality and cardiovascular outcomes in patients with hypertension: a systematic review and network meta-analysis.
    Journal of the American Society of Hypertension : JASH, 2017, Volume: 11, Issue:7

    Topics: Adrenergic beta-Antagonists; Age Factors; Antihypertensive Agents; Atenolol; Coronary Disease; Human

2017
[The POISE study].
    Giornale italiano di cardiologia (2006), 2008, Volume: 9, Issue:12

    Topics: Adrenergic beta-Antagonists; Bradycardia; Delayed-Action Preparations; Heart Arrest; Humans; Hyperte

2008
Influence of beta-blockers on the outcome of at risk patients.
    Minerva anestesiologica, 2009, Volume: 75, Issue:5

    Topics: Adrenergic beta-Antagonists; Cohort Studies; Contraindications; Coronary Disease; Double-Blind Metho

2009

Trials

2 trials available for metoprolol and Stroke

ArticleYear
Effects of different antihypertensive drugs on blood pressure variability in patients with ischemic stroke.
    European review for medical and pharmacological sciences, 2014, Volume: 18, Issue:17

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Amlodipine; Antihypertensive Agents; Blood Pre

2014
Carvedilol protects better against vascular events than metoprolol in heart failure: results from COMET.
    Journal of the American College of Cardiology, 2007, Mar-06, Volume: 49, Issue:9

    Topics: Adrenergic beta-Antagonists; Angina, Unstable; Carbazoles; Carvedilol; Death, Sudden, Cardiac; Doubl

2007
Carvedilol protects better against vascular events than metoprolol in heart failure: results from COMET.
    Journal of the American College of Cardiology, 2007, Mar-06, Volume: 49, Issue:9

    Topics: Adrenergic beta-Antagonists; Angina, Unstable; Carbazoles; Carvedilol; Death, Sudden, Cardiac; Doubl

2007
Carvedilol protects better against vascular events than metoprolol in heart failure: results from COMET.
    Journal of the American College of Cardiology, 2007, Mar-06, Volume: 49, Issue:9

    Topics: Adrenergic beta-Antagonists; Angina, Unstable; Carbazoles; Carvedilol; Death, Sudden, Cardiac; Doubl

2007
Carvedilol protects better against vascular events than metoprolol in heart failure: results from COMET.
    Journal of the American College of Cardiology, 2007, Mar-06, Volume: 49, Issue:9

    Topics: Adrenergic beta-Antagonists; Angina, Unstable; Carbazoles; Carvedilol; Death, Sudden, Cardiac; Doubl

2007

Other Studies

18 other studies available for metoprolol and Stroke

ArticleYear
The Effect of Intravenous and Oral Beta-Blocker Use in Patients with Type B Thoracic Aortic Dissection.
    Annals of vascular surgery, 2022, Volume: 80

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Aortic Aneurysm, Thoracic; Aortic Dissection; Dat

2022
Neutrophil β
    British journal of pharmacology, 2023, Volume: 180, Issue:4

    Topics: Animals; Brain Ischemia; Ischemic Stroke; Metoprolol; Neuroinflammatory Diseases; Neutrophils; Rats;

2023
Stroke-induced chronic systolic dysfunction driven by sympathetic overactivity.
    Annals of neurology, 2017, Volume: 82, Issue:5

    Topics: Adrenergic beta-1 Receptor Antagonists; Animals; Brain Ischemia; Echocardiography; Epinephrine; Hear

2017
Age Does Not Affect Metoprolol's Effect on Perioperative Outcomes (From the POISE Database).
    Anesthesia and analgesia, 2018, Volume: 126, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Age Factors; Aged; Aged, 80 and over; Databases, Factual; Fe

2018
Perioperative metoprolol and risk of stroke after noncardiac surgery.
    Anesthesiology, 2013, Volume: 119, Issue:6

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Analysis of Variance; Ateno

2013
Selective β1-antagonism with bisoprolol is associated with fewer postoperative strokes than atenolol or metoprolol: a single-center cohort study of 44,092 consecutive patients.
    Anesthesiology, 2013, Volume: 119, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Atenolol; Bisoprolol; Cohort Studies; Female; Humans;

2013
Patient safety: anesthesiology contributions and supplements to the American Society of Anesthesiologists' Annual Meeting.
    Anesthesiology, 2013, Volume: 119, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Atenolol; Bisoprolol; Female; Humans; Male; Metoprolol; Post

2013
Does β selectivity really affect outcome?
    Anesthesiology, 2014, Volume: 120, Issue:5

    Topics: Adrenergic beta-1 Receptor Antagonists; Atenolol; Bisoprolol; Female; Humans; Male; Metoprolol; Post

2014
In reply.
    Anesthesiology, 2014, Volume: 120, Issue:5

    Topics: Adrenergic beta-1 Receptor Antagonists; Atenolol; Bisoprolol; Female; Humans; Male; Metoprolol; Post

2014
It takes the right medications to prevent a million heart attacks and strokes.
    Postgraduate medicine, 2014, Volume: 126, Issue:7

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Atenolol; Health Promoti

2014
Beta-blocker therapy in non-cardiac surgery.
    Lancet (London, England), 2008, Sep-27, Volume: 372, Issue:9644

    Topics: Adrenergic beta-Antagonists; Bradycardia; Cardiovascular Diseases; Causality; Comorbidity; Humans; H

2008
[Beta-blockers in patients undergoing noncardiac surgery: implications of the POISE study].
    Revista espanola de anestesiologia y reanimacion, 2009, Volume: 56, Issue:4

    Topics: Adrenergic beta-Antagonists; Bradycardia; Contraindications; Female; Forecasting; Heart; Heart Arres

2009
Metoprolol reduces cerebral tissue oxygen tension after acute hemodilution in rats.
    Anesthesiology, 2009, Volume: 111, Issue:5

    Topics: Adrenergic beta-Antagonists; Angiotensin II; Animals; Brain; Cardiac Output; Catecholamines; Cerebro

2009
Beta-blockers and non-cardiac operations what will change after the POISE study?: ?qué cambia después del estudio POISE?
    Arquivos brasileiros de cardiologia, 2009, Volume: 93, Issue:5

    Topics: Adrenergic beta-Antagonists; Humans; Metoprolol; Myocardial Infarction; Perioperative Care; Randomiz

2009
Fabry disease and Factor V Leiden: a potent vascular risk combination.
    Internal medicine journal, 2011, Volume: 41, Issue:5

    Topics: Activated Protein C Resistance; alpha-Galactosidase; Aspirin; Atorvastatin; Coronary Stenosis; Defib

2011
[Brazilian consensus for the thrombolysis in acute ischemic stroke].
    Arquivos de neuro-psiquiatria, 2002, Volume: 60, Issue:3-A

    Topics: Acute Disease; Brain Ischemia; Brazil; Enalapril; Fibrinolytic Agents; Humans; Metoprolol; Stroke; T

2002
Impact of prophylactic postoperative beta-blockade on post-cardiothoracic surgery length of stay and atrial fibrillation.
    The Annals of pharmacotherapy, 2004, Volume: 38, Issue:12

    Topics: Adrenergic beta-Antagonists; Aged; Atenolol; Atrial Fibrillation; Cardiac Surgical Procedures; Cohor

2004
Disparate effects of carvedilol versus metoprolol treatment of stroke-prone spontaneously hypertensive rats on endothelial function of resistance arteries.
    Journal of cardiovascular pharmacology, 2000, Volume: 35, Issue:5

    Topics: Animals; Antihypertensive Agents; Blood Pressure; Body Weight; Carbazoles; Carvedilol; Endothelium,

2000