Table 5.
Study population | β-blocker | N | Duration | Gene | Polymorphism | Outcomes | Results | P-value | References |
---|---|---|---|---|---|---|---|---|---|
DCM | Various | 375 | 37–60 months | ADRB1 | Ser49Gly | Death or heart transplantation | Among patients on <50% of the target dose for the given β-blocker, Gly49 carrier was associated with the longer survival than Ser49Ser (HR = 0.24, 95% CI 0.07–0.80) | 0.014 | [41] |
Arg389Gly | ns | ||||||||
Among patients on a high dose of a β-blocker, no genetic association was detected | |||||||||
Systolic | Various | 328 | Median | ACE | I/D | Death or heart transplantation | D allele associated with higher risk for outcomes than I/I (HR = 1.80) | 0.04 | [42] |
HF | 21 months | No association in patients on a β-blocker | ns | ||||||
Various | Various | 220 | Median | Seven genes | Eight polymorphisms | Death or heart transplantation | Homozygotes for both Arg16Arg and Gln27Gln in the ADRB2 gene were associated with increased risk (HR = 1.91) | 0.02 | [43] |
34 months | Among patients on a β-blocker, none of the genetic polymorphisms were associated with the outcomes | ns |
HF, heart failure; DCM, dilated cardiomyopathy; N, sample size; ns, not significant; Arg, arginine; Gly, glycine; Ser, serine; Glu, glutamate; Gln, glutamine; I/D, insertion/deletion; ADRB1, β1-adrenergic receptor gene; ADRB2, β2-adrenergic receptor gene; ACE, angiotensin-converting enzyme gene; CI, confidence interval