Ejection fraction, and their incidence and Pr Prevalence are increasing.1 patients with heart failure and EF obtained from patients with different heart failure and reduced LVEF compared with demographic and clinical characteristics.2 but 5 symptoms, prognostic variables, hospitalization and mortality T is 3 , 5 similar.1 11 big s to register trials, patients HFPEF unsatisfactory results, 10,12 and 14 is no specific recommended drug regimen of current guidelines.15 due to their advantages in terms of ventricular re remodeling and the results have beta-blockers are the standard treatment for patients HFREF. However, most studies have either not assessed or was a neutral result for a maximal effect on the exercise 0.16 From a theoretical point of contr The blood pressure, increases diastolic filling time and protection against hter ish Chemistry resulting from Moxifloxacin Topoisomerase inhibitor beta-blockers, can k Also be useful for the treatment of HFPEF. In one study, beta-blocker treatment is associated with a decreased myocardial volume fraction of collagen, reduced cardiomyocyte diameter and down-regulated the expression of the stimulatory G protein, all effects that improve k Can cardiac diastolic function, patients HFPEF.17 The study on the effects of nebivolol intervention on outcomes and rehospitalization for older patients with heart failure 12 not the beta-blockers, which prospectively enrolled patients with HFPEF and s is based on concentrating hard endpoints. The effects of nebivolol on the primary Ren and the secondary endpoint Ren endpoints Similar in patients with LVEF, 35% and those with green Erer LVEF.
The average of 35% for the group definition in this study HFPEF was lower than the commonly used 0.4 makes an addition Born no formal k rperlichen Leistungsf ability as an endpoint. Nebivolol is a highly selective blocker of the beta 1-adrenergic receptors found Vasodilator effect of nitric oxide and stimulation of the beta-3 adrenergic receptors mediates association. 18 21 release of NO has been Etoposide shown to relax in the heart f rdern, So the pressure is lower LV performed w During diastole.22 is have 23 hours Thermodynamic studies, these results 19,21,23 best CONFIRMS and showed better reps opportunity with nebivolol compared with traditional beta blockers.24 We hypothesized that beta-blockers can with NO-releasing properties, such as nebivolol, low affect k rperliche HFPEF capacity in patients. This paper presents the results of the effects on k Rperliche carrying capacity of the phase IIIb, left effects of long-term administration of nebivolol on symptoms clinics, k Rperlichen Leistungsf Ability and ventricular function patients with diastolic dysfunction, a randomized, double-blind, multicenter, parallel-group – designed, placebo-controlled trial to study the effects of nebivolol in patients HFPEF. Methods completely A requests reference requests getting description of the study design and definition criteria previously.25 criteria for inclusion and exclusion Ver was published to be included in the study, patients had to meet the following criteria: ready and f to sign hig consent explanation tion and the requirements of the study, at the age of 40 years have a documented history of HF and persistent symptoms w during the workout, a LVEF.45%, and LV end-diastolic internal diameter, 3.2 cm/m2 or on End of Course.
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