Heart failure pharmacogenetics: Past, present, and future

被引:8
作者
Davis H.M. [1 ]
Johnson J.A. [1 ,2 ,3 ]
机构
[1] Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville
[2] Department of Medicine, College of Medicine, University of Florida, Gainesville
[3] Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL 32610
关键词
β; blocker; ACE inhibitor; Heart failure; Left ventricular ejection fraction; Mortality; Pharmacogenetics;
D O I
10.1007/s11886-011-0181-6
中图分类号
学科分类号
摘要
Heart failure is an increasingly common disease associated with significant morbidity and mortality in the aging population. Recent advances in heart failure pharmacotherapy have established several agents as beneficial to disease progression and outcomes. However, current consensus guideline-recommended pharmacotherapy may not represent an optimal treatment strategy in all heart failure patients. Specifically, individuals with genetic variation in regions central to mediation of beneficial response to standard heart failure agents may not receive optimal benefit from these drugs. Additionally, targeted approaches in phase 3 clinical trials that select patients for inclusion based on the genotype most likely to respond might advance the currently stalled drug development pipeline in heart failure. This article reviews the literature in heart failure pharmacogenetics to date, opportunities for discovery in recent and upcoming clinical trials, as well as future directions in this field. © 2011 Springer Science+Business Media, LLC.
引用
收藏
页码:175 / 184
页数:9
相关论文
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