353 B-BLOCKERS EFFECTS ACCORDING TO SEX: DO SELECTIVITY AND DOSE EQUALLY MATTER?

نویسندگان

چکیده

Abstract Background β-blockers are one of the four recommended disease-modifying classes drugs for treatment heart failure with reduced ejection fraction (HFrEF). Although their efficacy and prognostic role is unquestionable in general population HFrEF patients, differences effect relation to sex have not been yet investigated detail. The present study analyzed a large, real-world, Italian patients aiming highlight any difference between males females dose β-selectivity ongoing β-blocker treatment. Methods Out 7900 included MECKI score registry, we retrospectively those treated β-blockers. We β-selectivity, dividing assuming β1/β2-receptor blockers (carvedilol) vs. β1-selective (bisoprolol, nebivolol or metoprolol), according sex, daily carvedilol-equivalent sex. primary outcome was composite all cause mortality, urgent transplant LVAD implant at 5 years, both as raw data after correction potential confounders. Results 6784 were (1215 females, 5569 males). Patients median follow-up 4.05 years [1.72-7.47]: 4.37 [1.6-8.13] 3.99 [1.75-7.3] (p=ns). According no found population, female (Fig. 1 right panel). Stratification equivalent showed significant among groups: mortality decreases increasing 1, left panel), baseline adjustment main confounders (LVEF, age, peakVO2, systolic pressure, hemoglobin, rest rate; VE/VCO2 slope, etiology. ICD, MDRD). Conclusions In real-life chronic stratifying β-selectivity. A better observed subjects receiving high dose, independently from

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ژورنال

عنوان ژورنال: European Heart Journal Supplements

سال: 2022

ISSN: ['1520-765X', '1554-2815']

DOI: https://doi.org/10.1093/eurheartjsupp/suac121.480