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β-blocker therapy and heart rate control during exercise testing in the general population: role of a common G-protein β-3 subunit variant
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3161368
Author(s) Dörr, Marcus; Schmidt, Carsten O.; Spielhagen, Thomas; Bornhorst, Alexa; Hentschel, Katharina; Franz, Christina; Empen, Klaus; Kocher, Thomas; Diehl, Scott R.; Kroemer, Heyo K.; Völzke, Henry; Ewert, Ralf; Felix, Stephan B.; Rosskopf, Dieter
Author(s) at UniBasel Prestin, Katharina
Year 2010
Title β-blocker therapy and heart rate control during exercise testing in the general population: role of a common G-protein β-3 subunit variant
Journal Pharmacogenomics
Volume 11
Number 9
Pages / Article-Number 1209-21
Abstract

Impaired heart rate (HR) response to exercise is associated with increased cardiovascular morbidity and mortality. We analyzed whether common variants (rs5443/C825T and rs5442/G814A) in the G-protein β3 subunit (GNB3) gene modulate interindividual variation in β-blocker responses with respect to HR.; Among 1614 subjects (347 current β-blocker users) of a population-based study, HR during symptom-limited exercise testing was analyzed by multilevel linear regression models adjusted for potential confounders.; In β-blocker users, but not in nonusers, HR was attenuated in rs5443 T allele carriers (TC/TT vs CC) with lower adjusted HR over the entire exercise period from rest to peak workload (3.5 bpm; 95% CI: 1.1-5.8; p < 0.01), and during recovery (4.2 bpm; 95% CI: 0.6-7.8; p = 0.02). The genotype-related HR reducing effect at peak exercise varied by up to 7.5 bpm (CC vs TT), more than a third (35.9%) of the total β-blocker effect (20.9 bpm). By contrast, rs5442 had no impact on any HR-related parameter.; In this population-based sample, a common GNB3 polymorphism (C825T) was significantly related with response to β-blocker therapy with respect to HR during exercise and HR recovery, respectively. Further prospective studies are needed to confirm these associations and to examine their potential clinical relevance.

Publisher Future Medicine
ISSN/ISBN 1462-2416 ; 1744-8042
edoc-URL http://edoc.unibas.ch/44014/
Full Text on edoc No
Digital Object Identifier DOI 10.2217/pgs.10.88
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/20860462
ISI-Number WOS:000282673600013
Document type (ISI) Journal Article
 
   

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