PMID- 19667604 OWN - NLM STAT- MEDLINE DCOM- 20090901 LR - 20181201 IS - 1941-9260 (Electronic) IS - 0032-5481 (Linking) VI - 112 IP - 5 Suppl Unanswered DP - 2002 Nov TI - Consistency of ss-blocker effect across various subgroups with heart failure: insights from the MERIT-HF trial. PG - 16-23 LID - 10.3810/pgm.11.2002.suppl22.116 [doi] AB - Several recently completed survival trials, including Metoprolol CR/XL Randomized Intervention Trial in Congestive Heart Failure (MERIT-HF), Cardiac Insufficiency Bisoprolol Study II (CIBIS-II), and the Carvedilol Prospective Randomized Cumulative Survival (COPERNICUS) trial have examined the effects of ss-blockers on survival and the need for hospitalization. The results from these trials are remarkably consistent regarding reduction of both mortality and hospitalizations for worsening heart failure. MERIT-HF investigated the effect of the lipophilic ss-blocker extended-release metoprolol succinate given once daily in addition to optimum standard therapy in patients with New York Heart Association (NYHA) functional classes II through IV chronic heart failure and ejection fractions of 40% or below. The aim of this article is to review the consistency of ss-blocker effect across various predefined risk groups as well as some post hoc subgroups in MERIT-HF. FAU - Wikstrand, John AU - Wikstrand J AD - Sahlgrenska University Hospital, SE 413 45 Goteborg, Sweden. john.wikstrand@wlab.gu.se FAU - Ghali, Jalal K AU - Ghali JK FAU - Goldstein, Sydney AU - Goldstein S LA - eng PT - Journal Article PT - Review PL - England TA - Postgrad Med JT - Postgraduate medicine JID - 0401147 RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Antihypertensive Agents) RN - 0 (Carbazoles) RN - 0 (Propanolamines) RN - 0K47UL67F2 (Carvedilol) RN - GEB06NHM23 (Metoprolol) SB - IM MH - Adrenergic beta-Antagonists/*therapeutic use MH - Antihypertensive Agents/therapeutic use MH - Carbazoles/therapeutic use MH - Carvedilol MH - Heart Failure/*drug therapy/epidemiology/mortality MH - Humans MH - Metoprolol/therapeutic use MH - Propanolamines/therapeutic use MH - Risk MH - Treatment Outcome MH - United States/epidemiology RF - 13 EDAT- 2002/11/01 00:00 MHDA- 2009/09/02 06:00 CRDT- 2009/08/12 09:00 PHST- 2009/08/12 09:00 [entrez] PHST- 2002/11/01 00:00 [pubmed] PHST- 2009/09/02 06:00 [medline] AID - 10.3810/pgm.11.2002.suppl22.116 [doi] PST - ppublish SO - Postgrad Med. 2002 Nov;112(5 Suppl Unanswered):16-23. doi: 10.3810/pgm.11.2002.suppl22.116.