Arrhythmias & electrophysiology

Diltiazem reduces levels of NT-proBNP and improves symptoms compared with metoprolol in patients with permanent atrial fibrillation

Eur Heart J Cardiovasc PharmacotherPublished Randomised controlled trial

Primary result · NT-proBNPResult — go to the resultBetween-group difference 409.8 pg/mL 95% CI 230.6–589.1

Authors' conclusion

Diltiazem reduced NT-proBNP levels and improved rhythm-related symptoms. Metoprolol increased peptide levels but had no impact on symptoms despite similar heart rate reduction.

Study context

Population
Men and women with permanent atrial fibrillation (AF) and preserved LV systolic functionmean age 71 ± 7 years, 28 women
Participants
93 men
Comparison
Diltiazem vs metoprolol for rate control
Primary endpoint
NT-proBNP level
Follow-up
6 months

Primary result

NT-proBNP

Between-group difference

409.8 pg/mL

95% CI 230.6–589.1

P < 0.001

Diltiazemvs Metoprolol
between-group difference 409.8 pg/mL (95% CI 230.6–589.1); P < 0.001

As reported in the abstract

Secondary outcomes

Rhythm-related symptoms · 6 months

Diltiazem significantly reduced rhythm-related symptoms vs baseline; no change with metoprolol

Heart rate and exercise capacity

Similar effects with diltiazem and metoprolol

Original publication

Diltiazem reduces levels of NT-proBNP and improves symptoms compared with metoprolol in patients with permanent atrial fibrillation. Eur Heart J Cardiovasc Pharmacother. Published 3 May 2024. doi:10.1093/ehjcvp/pvae032

Composed by AI from the published abstract and checked against it. How Briefs are made →

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