Page last updated: 2024-11-03

propranolol and Marfan Syndrome

propranolol has been researched along with Marfan Syndrome in 20 studies

Propranolol: A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.
propranolol : A propanolamine that is propan-2-ol substituted by a propan-2-ylamino group at position 1 and a naphthalen-1-yloxy group at position 3.

Marfan Syndrome: An autosomal dominant disorder of CONNECTIVE TISSUE with abnormal features in the heart, the eye, and the skeleton. Cardiovascular manifestations include MITRAL VALVE PROLAPSE, dilation of the AORTA, and aortic dissection. Other features include lens displacement (ectopia lentis), disproportioned long limbs and enlarged DURA MATER (dural ectasia). Marfan syndrome (type 1) is associated with mutations in the gene encoding FIBRILLIN-1 (FBN1), a major element of extracellular microfibrils of connective tissue. Mutations in the gene encoding TYPE II TGF-BETA RECEPTOR (TGFBR2) are associated with Marfan syndrome type 2.

Research Excerpts

ExcerptRelevanceReference
"To assess the tolerability and efficacy of the investigational use of the angiotensin II receptor blocker losartan added to β-blockade (BB) to prevent progressive aortic root dilation in patients with Marfan syndrome (MFS)."9.17Losartan added to β-blockade therapy for aortic root dilation in Marfan syndrome: a randomized, open-label pilot study. ( Chen, CA; Chiu, HH; Chiu, SN; Hu, FC; Lin, MT; Lu, CW; Wang, JK; Wu, MH, 2013)
" This focused review emphasizes the results of clinical trials using β-blocker, losartan potassium, and irbesartan in patients with Marfan syndrome and comments briefly on mechanisms of aortic remodeling, including fibrosis and transforming growth factor β signaling."9.01Update on Clinical Trials of Losartan With and Without β-Blockers to Block Aneurysm Growth in Patients With Marfan Syndrome: A Review. ( Eagle, KA; Hofmann Bowman, MA; Milewicz, DM, 2019)
"Twenty-five patients, 16 men and 9 women, 5-59 years of age with the Marfan syndrome and cardiac complications were started on propranolol over a 6-year period."7.65Prophylactiv use of propranolol in the Marfan syndrome to prevent aortic dissection. ( McKusick, VA; Ose, L, 1977)
"To assess the tolerability and efficacy of the investigational use of the angiotensin II receptor blocker losartan added to β-blockade (BB) to prevent progressive aortic root dilation in patients with Marfan syndrome (MFS)."5.17Losartan added to β-blockade therapy for aortic root dilation in Marfan syndrome: a randomized, open-label pilot study. ( Chen, CA; Chiu, HH; Chiu, SN; Hu, FC; Lin, MT; Lu, CW; Wang, JK; Wu, MH, 2013)
" This focused review emphasizes the results of clinical trials using β-blocker, losartan potassium, and irbesartan in patients with Marfan syndrome and comments briefly on mechanisms of aortic remodeling, including fibrosis and transforming growth factor β signaling."5.01Update on Clinical Trials of Losartan With and Without β-Blockers to Block Aneurysm Growth in Patients With Marfan Syndrome: A Review. ( Eagle, KA; Hofmann Bowman, MA; Milewicz, DM, 2019)
"Based on only one, low-quality RCT comparing long-term propranolol to no treatment in people with Marfan syndrome, we could draw no definitive conclusions for clinical practice."4.95Beta-blockers for preventing aortic dissection in Marfan syndrome. ( Koo, HK; Lawrence, KA; Musini, VM, 2017)
"Twenty-five patients, 16 men and 9 women, 5-59 years of age with the Marfan syndrome and cardiac complications were started on propranolol over a 6-year period."3.65Prophylactiv use of propranolol in the Marfan syndrome to prevent aortic dissection. ( McKusick, VA; Ose, L, 1977)
"Marfan's syndrome is a connective tissue disorder inherited as an autosomal dominant disorder."2.45Marfan syndrome: a study of a Nigerian family and review of current cardiovascular management. ( Ekure, EN; Oke, DA; Onakoya, AO, 2009)
"Pregnancy in the Marfan syndrome is associated with two primary problems: potential catastrophic aortic dissection and the risk for having a child with the syndrome."2.39Cardiovascular problems in pregnant women with the Marfan syndrome. ( Elkayam, U; Mehra, A; Ostrzega, E; Shotan, A, 1995)
"A recent, prospective randomized trial has suggested that long-term use of prophylactic beta-adrenergic blocking agents may slow the rate of aortic dilation in those patients with Marfan's syndrome exhibiting evidence of existing dilation."1.30Blunted fetal response to vibroacoustic stimulation following chronic exposure to propranolol. ( Bentolila, E; Sherer, DM, 1998)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19906 (30.00)18.7374
1990's4 (20.00)18.2507
2000's4 (20.00)29.6817
2010's6 (30.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Liu, LH1
Lin, SM1
Lin, DS1
Chen, MR1
Koo, HK1
Lawrence, KA1
Musini, VM1
Habashi, JP2
MacFarlane, EG1
Bagirzadeh, R1
Bowen, C1
Huso, N1
Chen, Y1
Bedja, D2
Creamer, TJ1
Rykiel, G1
Manning, M1
Huso, D1
Dietz, HC2
Hofmann Bowman, MA1
Eagle, KA1
Milewicz, DM1
Elshershari, H1
Harris, C1
Ekure, EN1
Onakoya, AO1
Oke, DA1
Chiu, HH1
Wu, MH1
Wang, JK1
Lu, CW1
Chiu, SN1
Chen, CA1
Lin, MT1
Hu, FC1
Bayles, J1
Yetman, AT1
Bornemeier, RA1
McCrindle, BW1
Judge, DP1
Holm, TM1
Cohn, RD1
Loeys, BL1
Cooper, TK1
Myers, L1
Klein, EC1
Liu, G1
Calvi, C1
Podowski, M1
Neptune, ER1
Halushka, MK1
Gabrielson, K1
Rifkin, DB1
Carta, L1
Ramirez, F1
Huso, DL1
Elkayam, U1
Ostrzega, E1
Shotan, A1
Mehra, A1
Shores, J1
Berger, KR1
Murphy, EA1
Pyeritz, RE2
Tahernia, AC1
Sherer, DM1
Bentolila, E1
Ose, L1
McKusick, VA3
Siggers, DC1
Yin, FC1
Brin, KP1
Ting, CT1
Cola, LM1
Lavin, JP1
Murdoch, JL2
Walker, BA1
Halpern, BL2
Kuzma, JW1
Char, F1
Horton, WB1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Open-label, Active Control Trial to Evaluate the Effect of LOSARTAN Therapy on the Progression of Aortic Root Dilation in Patients With Marfan Syndrome[NCT00651235]Phase 244 participants (Anticipated)Interventional2007-02-28Recruiting
Effects of Losartan vs. Nebivolol vs. the Association of Both on the Progression of Aortic Root Dilation in Marfan Syndrome (MFS) With FBN1 Gene Mutations.[NCT00683124]Phase 3291 participants (Anticipated)Interventional2008-07-31Recruiting
Thoracic Aortic Dilatation Syndromes - Diagnostic, Incidences, Morbidity, Mortality and Socioeconomical Observations.[NCT02111668]120 participants (Actual)Observational [Patient Registry]2013-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

5 reviews available for propranolol and Marfan Syndrome

ArticleYear
Beta-blockers for preventing aortic dissection in Marfan syndrome.
    The Cochrane database of systematic reviews, 2017, 11-07, Volume: 11

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aortic Dissection; Humans; Marfan Syndrome; Middle A

2017
Update on Clinical Trials of Losartan With and Without β-Blockers to Block Aneurysm Growth in Patients With Marfan Syndrome: A Review.
    JAMA cardiology, 2019, 07-01, Volume: 4, Issue:7

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Animals; Aortic Aneurysm, Thor

2019
Marfan syndrome: a study of a Nigerian family and review of current cardiovascular management.
    West African journal of medicine, 2009, Volume: 28, Issue:1

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Antihypertensive Agents; Child; Child, Preschool; Fe

2009
Cardiovascular problems in pregnant women with the Marfan syndrome.
    Annals of internal medicine, 1995, Jul-15, Volume: 123, Issue:2

    Topics: Delivery, Obstetric; Female; Genetic Counseling; Humans; Labor, Obstetric; Marfan Syndrome; Pregnanc

1995
Cardiovascular anomalies in Marfan's syndrome: the role of echocardiography and beta-blockers.
    Southern medical journal, 1993, Volume: 86, Issue:3

    Topics: Adolescent; Aortic Diseases; Auscultation; Child; Child, Preschool; Dilatation, Pathologic; Echocard

1993

Trials

4 trials available for propranolol and Marfan Syndrome

ArticleYear
Losartan added to β-blockade therapy for aortic root dilation in Marfan syndrome: a randomized, open-label pilot study.
    Mayo Clinic proceedings, 2013, Volume: 88, Issue:3

    Topics: Adolescent; Adrenergic beta-1 Receptor Antagonists; Angiotensin II Type 1 Receptor Blockers; Aortic

2013
Usefulness of enalapril versus propranolol or atenolol for prevention of aortic dilation in patients with the Marfan syndrome.
    The American journal of cardiology, 2005, May-01, Volume: 95, Issue:9

    Topics: Adolescent; Adrenergic beta-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Aorta; Atenolol;

2005
Progression of aortic dilatation and the benefit of long-term beta-adrenergic blockade in Marfan's syndrome.
    The New England journal of medicine, 1994, May-12, Volume: 330, Issue:19

    Topics: Adolescent; Adult; Aorta; Aortic Aneurysm; Aortic Dissection; Aortic Valve Insufficiency; Dilatation

1994
Cardiovascular anomalies in Marfan's syndrome: the role of echocardiography and beta-blockers.
    Southern medical journal, 1993, Volume: 86, Issue:3

    Topics: Adolescent; Aortic Diseases; Auscultation; Child; Child, Preschool; Dilatation, Pathologic; Echocard

1993

Other Studies

12 other studies available for propranolol and Marfan Syndrome

ArticleYear
Losartan in combination with propranolol slows the aortic root dilatation in neonatal Marfan syndrome.
    Pediatrics and neonatology, 2018, Volume: 59, Issue:2

    Topics: Drug Therapy, Combination; Fibrillin-1; Humans; Infant, Newborn; Losartan; Male; Marfan Syndrome; Mu

2018
Oxytocin antagonism prevents pregnancy-associated aortic dissection in a mouse model of Marfan syndrome.
    Science translational medicine, 2019, 05-01, Volume: 11, Issue:490

    Topics: Adrenergic beta-Antagonists; Animals; Aorta; Aortic Dissection; Disease Models, Animal; Female; Hydr

2019
Paternal fibrillin-1 mutation transmitted to an affected son with neonatal marfan syndrome: the importance of early recognition.
    Cardiology in the young, 2014, Volume: 24, Issue:4

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Aorta; Dilatation, Pathologic;

2014
Sounding the alarm. If undetected, Marfan syndrome can be a silent killer.
    The Journal of the Arkansas Medical Society, 2002, Volume: 99, Issue:4

    Topics: Adrenergic beta-Antagonists; Adult; Aortic Aneurysm; Aortic Dissection; Chest Pain; Female; Humans;

2002
Losartan, an AT1 antagonist, prevents aortic aneurysm in a mouse model of Marfan syndrome.
    Science (New York, N.Y.), 2006, Apr-07, Volume: 312, Issue:5770

    Topics: Adrenergic beta-Antagonists; Angiotensin II Type 1 Receptor Blockers; Animals; Antibodies; Aorta; Ao

2006
Blunted fetal response to vibroacoustic stimulation following chronic exposure to propranolol.
    American journal of perinatology, 1998, Volume: 15, Issue:8

    Topics: Adrenergic beta-Antagonists; Adult; Female; Fetal Monitoring; Heart Rate, Fetal; Humans; Marfan Synd

1998
Prophylactiv use of propranolol in the Marfan syndrome to prevent aortic dissection.
    Birth defects original article series, 1977, Volume: 13, Issue:3C

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aorta, Thoracic; Aortic Aneurysm; Child, Preschool;

1977
Marfan syndrome treated with propranolol.
    Birth defects original article series, 1975, Volume: 11, Issue:2

    Topics: Female; Humans; Marfan Syndrome; Middle Aged; Propranolol; Radiography

1975
Arterial hemodynamic indexes in Marfan's syndrome.
    Circulation, 1989, Volume: 79, Issue:4

    Topics: Adult; Aorta; Blood Flow Velocity; Cardiac Catheterization; Female; Hemodynamics; Humans; Male; Marf

1989
Pregnancy complicated by Marfan's syndrome with aortic arch dissection, subsequent aortic arch replacement and triple coronary artery bypass grafts.
    The Journal of reproductive medicine, 1985, Volume: 30, Issue:9

    Topics: Adult; Aorta, Thoracic; Aortic Aneurysm; Aortic Dissection; Cesarean Section; Coronary Artery Bypass

1985
Life expectancy and causes of death in the Marfan syndrome.
    The New England journal of medicine, 1972, Apr-13, Volume: 286, Issue:15

    Topics: Adolescent; Adult; Age Factors; Aged; Aortic Diseases; Cardiovascular Diseases; Child; Female; Human

1972
A prospectus on the prevention of aortic rupture in the Marfan syndrome with data on survivorship without treatment.
    The Johns Hopkins medical journal, 1971, Volume: 129, Issue:3

    Topics: Adolescent; Adult; Aortic Aneurysm; Aortic Rupture; Child; Electrocardiography; Female; Follow-Up St

1971