TABLE 13

Patients’ response to β-blockers in dependence of variations in the β1-adrenoceptor

Data are an overview of candidate gene studies investigating ≥100 individuals.

Parameter (β-Blocker)CohortNumber of SubjectsPopulation OriginVariation EffectReference
c.145A>G (p.Ser49Gly)
 Improvement in LVEF (carvedilol)CHF135AustralianSer = GlyChen et al. (2007)
 1-yr survival (not detailed)CABG185GermanSer = GlyFrey et al. (2011)
 Improvement of LVEF (carvedilol or bisoprolol)CHF199FrenchSer = Glyde Groote et al. (2005)
 SBP/DBP response (atenolol)HT267ItalianSer = GlyFiligheddu et al. (2004)
 5-yr survival (not detailed)DCM375 (492 controls)SwedishSer < Gly carriersMagnusson et al. (2005)
 2.8-yr survival (carvedilol or metoprolol)CHF637AmericanSer = GlySehnert et al. (2008)
c.1165C>G (p.Arg389Gly)
 Improvement in LVEF (carvedilol)CHF135AustralianArg > Gly carriersChen et al. (2007)
 BP and HR response (bisoprolol/atenolol)HT147BritishArg = GlyO’Shaughnessy et al. (2000)
 HR reduction (atenolol)164AmericanArg > GlyKurnik et al. (2008)
 BP and HR response (metoprolol)CHF165ChineseArg > GlyLuo et al. (2007)
 Improvement of LVEF (carvedilol)CHF183ItalianArg = GlyMetra et al. (2010)
 1-yr survival (not detailed)CABG185GermanArg = GlyFrey et al. (2011)
 Improvement of LVEF (carvedilol or bisoprolol)CHF199FrenchArg = Glyde Groote et al. (2005)
 BP response (bisoprolol)HT233FinnishArg = GlySuonsyrjä et al. (2010)
 Improvement of LVEF (carvedilol)CHF224AmericanArg carriers > GlyMialet Perez et al. (2003)
 SBP/DBP response (atenolol)HT255ItalianArg = GlyFiligheddu et al. (2004)
 5-yr survival (not detailed)DCM 375 (492 controls)SwedishArg = GlyMagnusson et al. (2005)
 Heart rate response (bisoprolol/carvedilol)CHF 421CaucasianArg = GlyRau et al. (2012)
 HR reduction, survival and adverse effects (metoprolol CR/XL) (MERIT-HF)CHF 600British and DutchArg = GlyWhite et al. (2003)
 2.8-yr survival (carvedilol or metoprolol)CHF 637AmericanArg = GlySehnert et al. (2008)
 3.5-yr survival (carvedilol or metoprolol)CHF859AmericanArg = GlyCresci et al. (2009)
 5-yr survival (bucindolol, BEST study)CHF1040AmericanArg > Gly carriersLiggett et al. (2006)
 Risk of cardiac event (bucindolol, BEST substudy)CHF1040AmericanArg > GlyO’Connor et al. (2012)
 Prevention of new-onset AF (bucindolol, BEST substudy)HFREF1040AmericanArg > GlyAleong et al. (2013)
 Treatment response (atenolol)CAD 2973AmericanArg > GlyPacanowski et al. (2008a)
  • AF, atrial fibrillation; BEST, β-Blocker Evaluation of Survival Trial; BP, blood pressure; CABG, coronary artery bypass graft; CAD, coronary artery disease; CHF, chronic heart failure; CR/XL, controlled release/extended release; DBP, diastolic blood pressure; DCM, dilated cardiomyopathy; HFREF, heart failure with reduced left ventricular ejection fraction; HR, heart rate; HT, hypertensive; LVEF, left ventricular ejection fraction; MERIT-HF, Metoprolol CR/XL Randomised Intervention Trial in Congestive Heart Failure; SBP, systolic blood pressure.