Место β-адреноблокаторов в лечении сердечно-сосудистых заболеваний с позиции современных рекомендаций: в фокусе метопролола сукцинат CR/XL
Место β-адреноблокаторов в лечении сердечно-сосудистых заболеваний с позиции современных рекомендаций: в фокусе метопролола сукцинат CR/XL
Бубнова М.Г. Место β-адреноблокаторов в лечении сердечно-сосудистых заболеваний с позиции современных рекомендаций: в фокусе метопролола сукцинат CR/XL. CardioСоматика. 2022;13(1):51–62. DOI: 10.17816/22217185.2022.1.201712
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Bubnova MG. Current guidelines for β-adrenoblockers use in cardiovascular diseases: focus on metoprolol succinate CR/XLL: A review. Cardiosomatics. 2022;13(1):51–62. DOI: 10.17816/22217185.2022.1.201712
Место β-адреноблокаторов в лечении сердечно-сосудистых заболеваний с позиции современных рекомендаций: в фокусе метопролола сукцинат CR/XL
Бубнова М.Г. Место β-адреноблокаторов в лечении сердечно-сосудистых заболеваний с позиции современных рекомендаций: в фокусе метопролола сукцинат CR/XL. CardioСоматика. 2022;13(1):51–62. DOI: 10.17816/22217185.2022.1.201712
________________________________________________
Bubnova MG. Current guidelines for β-adrenoblockers use in cardiovascular diseases: focus on metoprolol succinate CR/XLL: A review. Cardiosomatics. 2022;13(1):51–62. DOI: 10.17816/22217185.2022.1.201712
Целью настоящего обзора явились систематизация накопленных знаний в области применения β-адреноблокаторов (β-АБ) в лечении сердечно-сосудистых заболеваний и проведение анализа результатов выполненных исследований с акцентом на метопролола сукцинат с контролируемым высвобождением (CR/XL). В статье обсуждаются вопросы, касающиеся фармакологических особенностей метопролола сукцината CR/XL, применения β-АБ при артериальной гипертензии, стенокардии, хронической сердечной недостаточности и аритмиях сердца согласно международным и российским клиническим рекомендациям. Представляются результаты рандомизированных клинических исследований с оценкой эффективности действия метопролола сукцината CR/XL. При подготовке литературного обзора проведен анализ публикаций за последние 34 года в базах данных MEDLINE/PubMed, Scopus, Cochrane Library, eLIBRARY и Google Scholar. Представленные факты свидетельствуют о необходимости более широкого использования β-АБ и, в частности, метопролола сукцината CR/XL в клинической практике.
The objective of this review was to systematize current data on the β-adrenoblockers (β-ABs) used in the treatment of cardiovascular diseases and to analyze the results of studies performed with a focus on metoprolol succinate controlled release/extended release (CR/XL) formulation. The article addresses issues related to pharmacological features of metoprolol succinate CR/XL, the use of β-AB in arterial hypertension, coronary heart disease, chronic heart failure, and cardiac arrhythmias based on international and Russian clinical guidelines. Results of randomized clinical trials evaluating the efficacy of metoprolol succinate CR/XL are presented. In preparing the literature review, a review of publications over the past 34 years in the MEDLINE/PubMed, Scopus, Cochrane Library, eLIBRARY, and Google Scholar databases was performed. The presented data indicate the need for more extensive use of β-ABs, including metoprolol succinate CR/XL, in clinical practice.
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________________________________________________
1. Plosker GL, Clissold SP. Controlled release metoprolol formulations: a review of their pharmacodynamic and pharmacokinetic properties, and therapeutic use in hypertension and ischaemic heart disease. Drugs. 1992;43:382-414. DOI:10.2165/00003495-199243030-00006
2. Belousov YuB, Leonova MV, Mashenina OA, et al. Metoprolol succinate and tartratе: does salt affect on the effectiveness of the drug. Farmateca. 2006;19:14-9 (in Russian).
3. Prakash A, Markham A. Metoprolol. A Review of its Use in Chronic Heart Failure. Drugs. 2000;60(3):647-78. DOI:10.2165/00003495-200060030-00011
4. Sandberg A, Blomqvist I, Jonsson UE, et al. Pharmacokinetic and pharmacodynamic properties of a new controlled-release formulation of metoprolol: a comparison with conventional tablets. Eur J Clin Pharmacol. 1988;33(Suppl.):S9-14. DOI:10.1007/BF00578406
5. Oоsterhuis B, Jonkman JHG, Kerkhof FA. Pharmacokinetic and pharmacodynamic comparison of a new controlled-release formulation of metoprolol with a traditional slow-release formulation. Eur J Clin Pharmacol. 1988;33(Suppl.):S15-8. DOI:10.1007/BF00578407
6. Blomqvist I, Westergren G, Sandberg A, et al. Pharmacokinetics and pharmacodynamics of controlled-release metoprolol: a comparison with atenolol. Eur J Clin Pharmacol. 1988;33 (Suppl.):S19-24. DOI:10.1007/BF00578408
7. Deroubaix X, Lins RL, Lens S, et al. Comparative bioavailability of a metoprolol controlled release formulation and a bisoprolol tablet after single oral dose administration in healthy volunteers. Int J Clin Pharmacol Ther. 1996;34(2):61-70.
8. Jansson SO, Malm AE, Lundström T. In Silico Comparison Between Metoprolol Succinate and Bisoprolol on 24-Hour Systolic Blood Pressures. Drugs R D. 2014;14:325-32. DOI:10.1007/s40268-014-0073-5
9. Kobalava ZHD, Gudkov KM. Metoprolol Succinate (CR/XL): Advanced formulation of classical b-blocker. Kardiologiia. 2003;43(9):101-10 (in Russian).
10. Arterial hypertension in adults. Clinical guidelines 2020. Russian Journal of Cardiology. 2020;25(3):3786 (in Russian). DOI:10.15829/1560-4071-2020-3-3786
11. Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021-104. DOI:10.1093/eurheartj/ehy339
12. Morales-Salinas A, Kones R. Concerning the degradation of b-blocker use in the 2018 ESC/ESH hypertension guidelines. Eur Heart J. 2019;40:2091. DOI:10.1093/eurheartj/ehz125
13. Okin PM, Kjeldsen SE, Julius S, et al. All-cause and cardiovascular mortality in relation to changing heart rate during treatment of hypertensive patients with electrocardiographic left ventricular hypertrophy. Eur Heart J. 2010;31(18):2271-9. DOI:10.1093/eurheartj/ehq2255
14. Westergren G, Olofsson B, Parlevliet K. Effective once-daily treatment of hypertension with low-dose, controled-release metoprolol. Pooled results from three randomized, double-blind, placebo-controlled studies. Cur Ther Res. 1994;55(2):142-8. DOI:10.1016/S0011-39X(05)80686-1
15. Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41:407‑77. DOI:10.1093/eurheartj/ehz425
16. 2020 Clinical practice guidelines for Stable coronary artery disease. Russian Journal of Cardiology. 2020;25(11):4076 (in Russian). DOI:10.15829/1560-4071-2020-4076
17. Seccareccia F, Pannozzo F, Dima F, et al. Heart rate as predictor of mortality: the MATISS project. Am J Public Health. 2001;91:1258-63. DOI:10.2105/ajph.91.8.1258
18. Okamura T, Hayakawa T, Kadowaki T, et al. NIPPONDATA80 Research Group. Resting heart rate and cause-specific death in a 16,5-year cohort study of Japanese general population. Am Heart J. 2004;147:1024-32. DOI:10.1016/j.ahj.2003.12.020
19. Headland UE, Strauer BE, Left ventricular muscle mass end elevated heart rate are associated with coronary plaque disruption. Circulation. 2001;104(13):1477-82. DOI:10.1161/hc3801.096325
20. Bubnova MD, Aronov DM, Oganov RG, et al. (on behalf of the Study Group). Clinical characteristics of stable angina patients and their treatment strategies in real-world clinical practice. A Russian PERSPECTIVE Study (Part I). Cardiovascular Therapy and Prevention. 2010;9(6):41-56 (in Russian).
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Авторы
М.Г. Бубнова*
ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Минздрава России, Москва, Россия
*mbubnova@gnicpm.ru
________________________________________________
Marina G. Bubnova*
National Medical Research Center for Therapy and Preventive Medicine, Moscow, Russia
*mbubnova@gnicpm.ru