TY  - JOUR
TI  - The Safety and Tolerability of Nebivolol in Hypertensive Patients with Coronary Artery Disease and Left Ventricular Ejection Fraction ≥ 40%: A Population-Based Cohort Study (Nebivolol-TR Study)
AB  - Background: This study aimed to assess the safety and tolerability of nebivolol in hypertensive patients with coronary artery disease and left ventricular ejection fraction ≥ 40% in a Turkish cohort. Methods: A total of 1015 hypertensive patients and coronary artery disease with left ventricular ejection fraction ≥ 40% were analyzed from 29 different centers in Turkey. Primary outcomes were the mean change in blood pressure and heart rate. Secondary outcomes were to assess the rate of reaching targeted blood pressure (<130/80 mmHg) and heart rate (<60 bpm) and the changes in the clinical symptoms (angina and dyspnea). Adverse clinical events and clinical outcomes including cardiovascular mortality, cardiovascular hospital admissions, or acute cardiac event were recorded. Results: The mean age of the study population was 60.3 ± 11.5 years (male: 54.2%). During a mean follow-up of 6 months, the mean change in blood pressure was −11.2 ± 23.5/−5.1 ± 13.5 mmHg, and the resting heart rate was −12.1 ± 3.5 bpm. Target blood pressure and heart rate were achieved in 76.5% and 37.7% of patients. Angina and functional classifications were improved by at least 1 or more categories in 31% and 23.2% of patients. No serious adverse events related to nebivolol were reported. The most common cardiovascular side effect was symptomatic hypotension (4.2%). The discontinuation rate was 1.7%. Cardiovascular hospital admission rate was 5% and hospitalization due to heart failure was 1.9% during 6 months’ follow-up. Cardiovascular mortality rate was 0.1%. Conclusion: Nebivolol was well tolerated and safe for achieving blood pressure and heart rate control in hypertensive patients with coronary artery disease and heart failure with preserved or mildly reduced ejection fraction.
AU  - TEKİNDAL, Mustafa Agah
AU  - Er, Fahri
AU  - YILMAZ, Mehmet Mustafa
AU  - Tascanov, Mustafa  Begenc
AU  - Çetinarslan, Özge
AU  - TANIK, VEYSEL OZAN
AU  - candemir, alper
AU  - Ozturk, Onder
AU  - Oz, Ahmet
AU  - caliskan, serhat
AU  - Çoner, Ali
AU  - Eren, Hayati
AU  - çakmak karaaslan, özge
AU  - DOĞAN, YASEMİN
AU  - Kocabas, Umut
AU  - ALTIN, Cihan
AU  - harbalıoğlu, hazar
AU  - Sinan, Umit Yasar
AU  - Kış, Mehmet
AU  - Yüce, Elif ilkay
AU  - Ulus, Taner
AU  - Boyuk, Ferit
AU  - YENERÇAĞ, Mustafa
AU  - Çekici, Yusuf
AU  - TANRIVERDİ, Zülkif
AU  - bekar, lütfü
AU  - cerşit, sinan
AU  - TURK, UGUR ONSEL
AU  - Yeni, Mehtap
AU  - Aydın, Gökhan
AU  - okyay, kaan
AU  - GÜZEL, TUNCAY
AU  - BEDİR, Ömer
AU  - Zoghi, Mehdi
DO  - 10.5543/tkda.2022.21237
PY  - 2022
JO  - Türk Kardiyoloji Derneği Arşivi
VL  - 50
IS  - 8
SN  - 1016-5169
SP  - 568
EP  - 575
DB  - TRDizin
UR  - http://search/yayin/detay/1171263
ER  -