Page last updated: 2024-10-31

metoprolol and Takotsubo Cardiomyopathy

metoprolol has been researched along with Takotsubo Cardiomyopathy in 20 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.

Takotsubo Cardiomyopathy: A transient left ventricular apical dysfunction or ballooning accompanied by electrocardiographic (ECG) T wave inversions. This abnormality is associated with high levels of CATECHOLAMINES, either administered or endogenously secreted from a tumor or during extreme stress.

Research Excerpts

ExcerptRelevanceReference
"Takotsubo syndrome, also called apical ballooning syndrome, is a clinical entity characterized by transient hypokinesis, akinesis, or dyskinesis of the left ventricular mid-segments with or without apical involvement, and without obstructive coronary lesions."5.36Haemodynamic effects of acute intravenous metoprolol in apical ballooning syndrome with dynamic left ventricular outflow tract obstruction. ( Bilato, C; Iliceto, S; Isabella, G; Migliore, F; Tarantini, G, 2010)
"Transient Left Ventricular Apical Ballooning Syndrome (TLVABS) has been described to occur in response to number of stressful events, drug effects or drug withdrawal."5.35Transient left ventricular apical ballooning syndrome caused by abrupt metoprolol withdrawal. ( Boguszewski, A; Jefic, D; Koul, D; Martini, W, 2008)
"Pretreatment with propranolol and metoprolol improved survival to 90% and 100% respectively, compared with 60% in the ISO group, but did not reduce the incidence and extent of akinesis or the structural damage."1.40Functional and histological assessment of an experimental model of Takotsubo's cardiomyopathy. ( Dai, W; Kloner, RA; Sachdeva, J, 2014)
"Takotsubo syndrome, also called apical ballooning syndrome, is a clinical entity characterized by transient hypokinesis, akinesis, or dyskinesis of the left ventricular mid-segments with or without apical involvement, and without obstructive coronary lesions."1.36Haemodynamic effects of acute intravenous metoprolol in apical ballooning syndrome with dynamic left ventricular outflow tract obstruction. ( Bilato, C; Iliceto, S; Isabella, G; Migliore, F; Tarantini, G, 2010)
"Takotsubo cardiomyopathy is a cardiac condition associated with the acute onset of chest pain, abnormalities in cardiac enzymes and electrocardiogram, and a distinct pattern of left ventricular dysfunction on echocardiography."1.35Takotsubo cardiomyopathy in pregnancy. ( Brezina, P; Isler, CM, 2008)
"Transient Left Ventricular Apical Ballooning Syndrome (TLVABS) has been described to occur in response to number of stressful events, drug effects or drug withdrawal."1.35Transient left ventricular apical ballooning syndrome caused by abrupt metoprolol withdrawal. ( Boguszewski, A; Jefic, D; Koul, D; Martini, W, 2008)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (25.00)29.6817
2010's14 (70.00)24.3611
2020's1 (5.00)2.80

Authors

AuthorsStudies
Sahu, KK1
Mishra, AK1
Doshi, A1
Martin, KB1
Madias, JE1
Y-Hassan, S1
Tornvall, P1
Zoltowska, DM1
Agrawal, Y1
Kalavakunta, JK1
Qureshi, R1
Kao, L1
Gupta, RP1
Wellens, HJ1
Qi, C1
Shao, Y1
Liu, X1
Wang, D1
Li, X1
Schimpf, R1
Meinhardt, J1
Borggrefe, M1
Haghi, D1
Sachdeva, J1
Dai, W1
Kloner, RA1
Sinha, A1
Rassiwala, J1
Goldschlager, N1
Brezina, P1
Isler, CM1
Izumi, Y1
Okatani, H1
Shiota, M1
Nakao, T1
Ise, R1
Kito, G1
Miura, K1
Iwao, H1
Good, CW1
Hubbard, CR1
Harrison, TA1
Qureshi, A1
Migliore, F1
Bilato, C1
Isabella, G1
Iliceto, S1
Tarantini, G1
Dhakal, P1
Liu, K1
Kozman, H1
Spina, M1
Centola, M1
Verzoni, A1
Lombardi, F1
Gundara, JS1
Lee, JC1
Ip, J1
Sidhu, SB1
Vyas, C1
Shah, S1
Pancholy, S1
Patel, T1
Moussa, I1
White, AJ1
LaGerche, A1
Toner, GC1
Whitbourn, RJ1
Jefic, D1
Koul, D1
Boguszewski, A1
Martini, W1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase II Study of GW786034 Using a Randomised Discontinuation Design in Subjects With Locally Recurrent or Metastatic Clear-Cell Renal Cell Carcinoma[NCT00244764]Phase 2225 participants (Actual)Interventional2005-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Response

Using RECIST criteria: date of first confirmed tumor response (CR or PR) to date of tumor progression or to death. Participants who did not progress or die were censored at their last radiologic assessment. Only participants who had a response were analyzed. (NCT00244764)
Timeframe: First response until progression of disease (up to 2.40 years). Assessments occurred at Week 12 and every 8 weeks thereafter.

Interventionweeks (Median)
Pazopanib 800 mg68

Progression-free Survival

Progression-free Survival is defined as the interval between the first day of treatment and the earliest date of disease progression or death due to any cause, whichever occurred first. Progressive disease is defined as a >=20% increase in target lesions. (NCT00244764)
Timeframe: From the first day of treatment to the earliest date of disease progression or death due to any cause (up to 2.40 years)

Interventionweeks (Median)
Pazopanib 800 mg45.3

Overall Response by RECIST Criteria

The overall response is the number of participants who experience a confirmed complete (CR) or partial response (PR) of the total analysis population. Per the Response Evaluation Criteria In Solid Tumors (RECIST): CR = all detectable tumor has disappeared, PR = a >=30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum, Progressive disease (PD) = a >=20% increase in target lesions, Stable Disease = small changes that do not meet previously given criteria. (NCT00244764)
Timeframe: Baseline to Response (up to 2.40 years). Assessments occurred at Week 12 and every 8 weeks thereafter.

Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseNot evaluableComplete Response + Partial Response
Pazopanib 800 mg375101242278

Stable Disease at 12 Weeks - Interim Analysis of First 60 Participants

The protocol called for an interim analysis of the first 60 participants to determine their status at Week 12, and to determine the number of participants with stable disease, although all categories were reported. Stable disease is defined as a disease that has not grown enough to be called progressive disease and has not shrunk enough to be called partial/complete response. (NCT00244764)
Timeframe: Week 12

Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseUnknown
Pazopanib 800 mg0232539

Other Studies

20 other studies available for metoprolol and Takotsubo Cardiomyopathy

ArticleYear
Heart broken twice: a case of recurrent Takatsubo cardiomyopathy.
    BMJ case reports, 2020, Jan-07, Volume: 13, Issue:1

    Topics: Anti-Bacterial Agents; Drug Therapy, Combination; Echocardiography; Female; Humans; Lisinopril; Meto

2020
Metoprolol, propranolol, carvedilol, or labetalol for patients with Takotsubo syndrome?
    Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2018, Volume: 28, Issue:1

    Topics: Carvedilol; Humans; Labetalol; Metoprolol; Propranolol; Takotsubo Cardiomyopathy

2018
Reply to: metoprolol, or propranolol, or carvedilol, or labetalol, for patients with takotsubo syndrome?
    Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2018, Volume: 28, Issue:1

    Topics: Carvedilol; Humans; Labetalol; Metoprolol; Propranolol; Takotsubo Cardiomyopathy

2018
Can aldosterone break your heart? Takotsubo cardiomyopathy in a patient with newly diagnosed primary aldosteronism.
    BMJ case reports, 2018, Feb-05, Volume: 2018

    Topics: Aldosterone; Anti-Arrhythmia Agents; Anti-Inflammatory Agents, Non-Steroidal; Anticholesteremic Agen

2018
Coronary artery fistula with associated Takotsubo cardiomyopathy: a case report.
    Journal of medical case reports, 2018, Mar-30, Volume: 12, Issue:1

    Topics: Angina Pectoris; Anti-Arrhythmia Agents; Aspirin; Cardiac Catheterization; Catecholamines; Chest Pai

2018
Giant T-wave changes after termination of atrial fibrillation.
    Heart rhythm, 2018, Volume: 15, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Angiography; Atrial Fibrillation; Diagnosis, Different

2018
The cardioprotective effects of icariin on the isoprenaline-induced takotsubo-like rat model: Involvement of reactive oxygen species and the TLR4/NF-κB signaling pathway.
    International immunopharmacology, 2019, Volume: 74

    Topics: Animals; Cardiotonic Agents; Disease Models, Animal; Echocardiography; Fibrosis; Flavonoids; Humans;

2019
Catecholaminergic polymorphic ventricular tachycardia and midventricular Takotsubo cardiomyopathy: a novel association?
    Herzschrittmachertherapie & Elektrophysiologie, 2013, Volume: 24, Issue:1

    Topics: Adolescent; Diagnosis, Differential; Electrocardiography; Female; Humans; Metoprolol; Tachycardia, V

2013
Functional and histological assessment of an experimental model of Takotsubo's cardiomyopathy.
    Journal of the American Heart Association, 2014, Jun-23, Volume: 3, Issue:3

    Topics: Adrenergic beta-Antagonists; Animals; Disease Models, Animal; Dose-Response Relationship, Drug; Echo

2014
Takotsubo cardiomyopathy: how T waves behave under stress.
    JAMA internal medicine, 2015, Volume: 175, Issue:5

    Topics: Cardiotonic Agents; Echocardiography; Electrocardiography; Female; Humans; Life Change Events; Lisin

2015
Takotsubo cardiomyopathy in pregnancy.
    Obstetrics and gynecology, 2008, Volume: 112, Issue:2 Pt 2

    Topics: Adrenergic beta-Antagonists; Adult; Echocardiography; Electrocardiography; Female; Humans; Metoprolo

2008
Effects of metoprolol on epinephrine-induced takotsubo-like left ventricular dysfunction in non-human primates.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2009, Volume: 32, Issue:5

    Topics: Adrenergic beta-Antagonists; Animals; Disease Models, Animal; Epinephrine; Gene Expression; Heart Ve

2009
Echocardiographic guidance in treatment of cardiogenic shock complicating transient left ventricular apical ballooning syndrome.
    JACC. Cardiovascular imaging, 2009, Volume: 2, Issue:3

    Topics: Adrenergic beta-Agonists; Adrenergic beta-Antagonists; Aged; Cineangiography; Combined Modality Ther

2009
Haemodynamic effects of acute intravenous metoprolol in apical ballooning syndrome with dynamic left ventricular outflow tract obstruction.
    European journal of heart failure, 2010, Volume: 12, Issue:3

    Topics: Adrenergic beta-Antagonists; Angina Pectoris; Female; Heart Ventricles; Hemodynamics; Humans; Inject

2010
β-receptor antagonist cessation resulting in tako-tsubo cardiomyopathy in a man with quadriplegia.
    Mayo Clinic proceedings, 2011, Volume: 86, Issue:2

    Topics: Adrenergic beta-1 Receptor Antagonists; Humans; Male; Metoprolol; Middle Aged; Quadriplegia; Takotsu

2011
Congenital coronary anomalies in Takotsubo-like syndrome: a rare association.
    Journal of cardiovascular medicine (Hagerstown, Md.), 2013, Volume: 14, Issue:1

    Topics: Aged; Antihypertensive Agents; Coronary Angiography; Coronary Vessel Anomalies; Echocardiography; Fe

2013
Takotsubo cardiomyopathy complicating thyroidectomy for Graves' disease.
    Thyroid : official journal of the American Thyroid Association, 2012, Volume: 22, Issue:9

    Topics: Adult; Antihypertensive Agents; Electrocardiography; Female; Graves Disease; Humans; Metoprolol; Tak

2012
Consequences of misdiagnosis and mismanagement of Takotsubo cardiomyopathy.
    Acute cardiac care, 2012, Volume: 14, Issue:4

    Topics: Aged; Cerebral Hemorrhage; Diagnostic Errors; Female; Humans; Metoprolol; Stress, Psychological; Sym

2012
Apical ballooning syndrome during treatment with a vascular endothelial growth factor receptor antagonist.
    International journal of cardiology, 2009, Jan-24, Volume: 131, Issue:3

    Topics: Adrenergic beta-Antagonists; Coronary Angiography; Electrocardiography; Humans; Indazoles; Male; Met

2009
Transient left ventricular apical ballooning syndrome caused by abrupt metoprolol withdrawal.
    International journal of cardiology, 2008, Dec-17, Volume: 131, Issue:1

    Topics: Cardiomyopathy, Hypertrophic; Female; Humans; Metoprolol; Middle Aged; Substance Withdrawal Syndrome

2008