Skip to main content

Role of Beta-Blocking Agents in the Treatment of Ventricular Arrhythmias

  • Chapter
Cardiac Arrhythmias: New Therapeutic Drugs and Devices

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 47))

  • 41 Accesses

Abstract

It is only in recent years that factors defining the efficacy of antiarrhythmic drugs have been clearly defined. In patients with chronic potentially lethal ventricular arrhythmias without hemodynamical 1 y significant symptoms1 the most appropriate endpoint of drug efficacy should be the prevention of sudden cardiac death. The pharmacological endpoint of significant statistical reduction in ventricular ectopic frequency, however, has been the most widely applied “efficacy definition” to the study of new antiarrhythmic agents.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Morganroth, J: Premature ventricular complexes: Diagnosis and indications for therapy. Clinical Cardiology, JAMA 5:67 3–676, 1984.

    Google Scholar 

  2. Morganroth J, Michelson EL, Horowitz LN, Josephson ME, Pearlman AS, Dunkamn WB: Limitations of routine long-term electrocadiographic monitoring to assess ventricular ectopic frequency. Circulation 58:408, 1978.

    PubMed  CAS  Google Scholar 

  3. Winkle RA, Gradman AH, Fitzgerald JW, Bell PA: Antiarrhythmic drug effect assessed from ventricular antiarrhythmic reduction in the ambulatory ECG and treadmill test. Comparison of propranolol, procainamide, and quinidine. Am J Cardiol 42:473, 1978.

    Article  PubMed  CAS  Google Scholar 

  4. Winkle RA, Lpes MG, Goodman DJ, Fitzgerald JW, Schroeder JS, Harrison DC: Propranolol for patients with mitral valve prolapse. Am Heart J. 93:422, 1977.

    Article  PubMed  CAS  Google Scholar 

  5. Pratt CM, Matlack J, Carney S, Waggoneer AD, Wichemeyer WW, Martin F, Miller RR: Effect of metoprolol in suppression of ventricular ectopic beats. Circulation 62:111, 1980.

    Google Scholar 

  6. Woosley RL, Kornhause D, Smith R, Reele S, Higgins SB, Nies AS, Shand DG, Oates JA: Suppression of chronic ventricular arrhythmias with propranolol. Circulation 60:819, 1979.

    PubMed  CAS  Google Scholar 

  7. DeSoyza N, Kane JJ, Murphy ML, Laddu AR, Doherty JE, Bissett JK: The long-term suppression of ventricular arrhythmias by oral acebutolol in patients with coronary artery disease. Am Heart J 100:631, 1980.

    Article  CAS  Google Scholar 

  8. Koppes GM, Beckmann CH, Jones FG: Propranolol therapy for aventricular arrhythmias two months post myocardial infarction. Am J Cardiol 46:322, 1980.

    Article  PubMed  CAS  Google Scholar 

  9. Schlemann M, Morganroth J, Reid P: Beta-blockade for suppression of high grade ventricular arrhythmias. J Am Coll Cardiol 1:613, 1983.

    Google Scholar 

  10. Morganroth J: Short-term evaluation of atenolol in hospitalized patients with chronic ventricular arrhythmias. DRUGS 5:181–185, 1983.

    Article  Google Scholar 

  11. Podrid PJ, Lown B: Pindolol for ventricular arrhythmias. Am Heart J 104:491–496, 1982.

    Article  PubMed  CAS  Google Scholar 

  12. Senges J, Lengfelder W, Jauernig R, Czygan E, Brachmann J, Rigos I, Kubler W: Comparative effects of Sotalol, Metoprolol and Quinidine on sustained ventricular tachycardia. Circulation 66:11–142, 1982.

    Google Scholar 

  13. The Norweigan Multicenter Study Group. Timolol-induced reduction in mortality and re-infarction in patients surviving acute myocardial infaraction. N engl J Med 304:801–7, 1981.

    Article  Google Scholar 

  14. Hjalmarsosn A, Elmfeldt D, Herlitz J, et al: Effect on mortality of Metoprolol in acute myocardial infarction: A double-blind randomized trial. Lancet 2:823–7, 1981.

    Article  Google Scholar 

  15. Beta-blocker Heart Attack Trial Research Group: A randomized trial of propranolol in patients with acute myocardial infarction. I. Mortality results. JAMA 247:1707–1882, 1982.

    Article  Google Scholar 

  16. Ryden L, Ariniego R, Amman K, Herlitz J, Hjalmarson A, Holmberg S, Ryes C, Smedgard P, Svedberg K, Vedin A, Waagsein F, Waldenstrom A, Wilhelmsson C, Wedel H, Yamamoto M: A double-bline trial of Metoprolol in acute myocardial infarction. N Eng J Med 308:614–618, 1983.

    Article  CAS  Google Scholar 

  17. Lichstein E, Morganroth J, Harrist R, Hubble E for the BHAT Study Group. Effect of propranolol on ventricular arrhythmia. The Beta-blocker Heart Attack Trial Experience. Circulation 67:11 1–5, 1983.

    Google Scholar 

  18. Morganroth J, Lichstein E, Hubble E, Harrist R: Reduction of chronic ventricular arrhythmias and sudden cardiac death in patients post myocardial infarction. Clin Res 31:207A, 1983.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Martinus Nijhoff Publishing, Boston

About this chapter

Cite this chapter

Morganroth, J. (1985). Role of Beta-Blocking Agents in the Treatment of Ventricular Arrhythmias. In: Morganroth, J., Moore, E.N. (eds) Cardiac Arrhythmias: New Therapeutic Drugs and Devices. Developments in Cardiovascular Medicine, vol 47. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2595-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2595-6_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9626-3

  • Online ISBN: 978-1-4613-2595-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics