Carvedilol superior to metoprolol for preventing death from CHF

Article Type
Changed
Fri, 01/18/2019 - 08:41
Display Headline
Carvedilol superior to metoprolol for preventing death from CHF
PRACTICE RECOMMENDATIONS

Among white patients with symptomatic systolic dysfunction on stable treatment with diuretics and angiotensin-converting enzyme (ACE) inhibitors, the addition of the nonselective beta-blocker carvedilol extends survival by 17% per year compared with metoprolol. This benefit translates into a number needed to treat (NNT) of 17 for 5 years. This extrapolates to an added 1.4 years of life.

It is unclear whether this benefit holds true for nonwhite patients. Carvedilol should be considered over metoprolol for treating patients with congestive heart failure to improve survival.

 
Article PDF
Author and Disclosure Information

Poole-Wilson PA, Swedberg K, Cleland JGF, et al. Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure in the Carvedilol or Metoprolol European Trial (COMET): a randomized controlled trial. Lancet 2003; 362:7–13.

Beth A. Damitz, MD
Richard W. Lord, Jr, MD
Linda N. Meurer, MD, MPH
St. Michael Family Practice Residency Program, Milwaukee, Wisc. E-mail: badamitz@mcw.edu.

Issue
The Journal of Family Practice - 52(11)
Publications
Topics
Page Number
828-848
Sections
Author and Disclosure Information

Poole-Wilson PA, Swedberg K, Cleland JGF, et al. Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure in the Carvedilol or Metoprolol European Trial (COMET): a randomized controlled trial. Lancet 2003; 362:7–13.

Beth A. Damitz, MD
Richard W. Lord, Jr, MD
Linda N. Meurer, MD, MPH
St. Michael Family Practice Residency Program, Milwaukee, Wisc. E-mail: badamitz@mcw.edu.

Author and Disclosure Information

Poole-Wilson PA, Swedberg K, Cleland JGF, et al. Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure in the Carvedilol or Metoprolol European Trial (COMET): a randomized controlled trial. Lancet 2003; 362:7–13.

Beth A. Damitz, MD
Richard W. Lord, Jr, MD
Linda N. Meurer, MD, MPH
St. Michael Family Practice Residency Program, Milwaukee, Wisc. E-mail: badamitz@mcw.edu.

Article PDF
Article PDF
PRACTICE RECOMMENDATIONS

Among white patients with symptomatic systolic dysfunction on stable treatment with diuretics and angiotensin-converting enzyme (ACE) inhibitors, the addition of the nonselective beta-blocker carvedilol extends survival by 17% per year compared with metoprolol. This benefit translates into a number needed to treat (NNT) of 17 for 5 years. This extrapolates to an added 1.4 years of life.

It is unclear whether this benefit holds true for nonwhite patients. Carvedilol should be considered over metoprolol for treating patients with congestive heart failure to improve survival.

 
PRACTICE RECOMMENDATIONS

Among white patients with symptomatic systolic dysfunction on stable treatment with diuretics and angiotensin-converting enzyme (ACE) inhibitors, the addition of the nonselective beta-blocker carvedilol extends survival by 17% per year compared with metoprolol. This benefit translates into a number needed to treat (NNT) of 17 for 5 years. This extrapolates to an added 1.4 years of life.

It is unclear whether this benefit holds true for nonwhite patients. Carvedilol should be considered over metoprolol for treating patients with congestive heart failure to improve survival.

 
Issue
The Journal of Family Practice - 52(11)
Issue
The Journal of Family Practice - 52(11)
Page Number
828-848
Page Number
828-848
Publications
Publications
Topics
Article Type
Display Headline
Carvedilol superior to metoprolol for preventing death from CHF
Display Headline
Carvedilol superior to metoprolol for preventing death from CHF
Sections
Disallow All Ads
Article PDF Media