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β-Blocker pharmacogenetics in heart failure

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Abstract

β-Blockers (metoprolol, bisoprolol, and carvedilol) are a cornerstone of heart failure (HF) treatment. However, it is well recognized that responses to a β-blocker are variable among patients with HF. Numerous studies now suggest that genetic polymorphisms may contribute to variability in responses to a β-blocker, including left ventricular ejection fraction improvement, survival, and hospitalization due to HF exacerbation. This review summarizes the pharmacogenetic data for β-blockers in patients with HF and discusses the potential implications of β-blocker pharmacogenetics for HF patients.

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Acknowledgments

This work was supported in part by NIH grants HL68834, HL74730, GM74492 Bethesda, MD, and American Heart Association postdoctoral fellowship grant 0525474B, St. Petersburg, FL.

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Correspondence to Julie A. Johnson.

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Shin, J., Johnson, J.A. β-Blocker pharmacogenetics in heart failure. Heart Fail Rev 15, 187–196 (2010). https://doi.org/10.1007/s10741-008-9094-x

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