Source:http://linkedlifedata.com/resource/pubmed/id/18784654
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2008-12-18
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pubmed:abstractText |
Several beta-blockers are metabolized by the polymorphic enzyme cytochrome P450 2D6 (CYP2D6). CYP2D6*4 is the main polymorphism leading to decreased enzyme activity. The clinical significance of impaired elimination of beta-blockers is controversial, and most studies suffer from inclusion of small numbers of poor metabolizers (PMs) of CYP2D6. In this study, the association between CYP2D6*4 and blood pressure or heart rate was examined in 1,533 users of beta-blockers in the Rotterdam Study, a population-based cohort study. In CYP2D6 *4/*4 PMs, the adjusted heart rate in metoprolol users was 8.5 beats/min lower compared with *1/*1 extensive metabolizers (EMs) (P < 0.001), leading to an increased risk of bradycardia in PMs (odds ratio = 3.86; 95% confidence interval 1.68-8.86; P = 0.0014). The diastolic blood pressure in PMs was 5.4 mm Hg lower in users of beta-blockers metabolized by CYP2D6 (P = 0.017) and 4.8 mm Hg lower in metoprolol users (P = 0.045) compared with EMs. PMs are at increased risk of bradycardia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1532-6535
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
45-50
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pubmed:meshHeading |
pubmed-meshheading:18784654-Adrenergic beta-Antagonists,
pubmed-meshheading:18784654-Aged,
pubmed-meshheading:18784654-Blood Pressure,
pubmed-meshheading:18784654-Cross-Sectional Studies,
pubmed-meshheading:18784654-Cytochrome P-450 CYP2D6,
pubmed-meshheading:18784654-Female,
pubmed-meshheading:18784654-Genetics, Population,
pubmed-meshheading:18784654-Genotype,
pubmed-meshheading:18784654-Heart Rate,
pubmed-meshheading:18784654-Humans,
pubmed-meshheading:18784654-Hypertension,
pubmed-meshheading:18784654-Male,
pubmed-meshheading:18784654-Metoprolol,
pubmed-meshheading:18784654-Netherlands,
pubmed-meshheading:18784654-Polymorphism, Genetic
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pubmed:year |
2009
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pubmed:articleTitle |
Genetic variation in the CYP2D6 gene is associated with a lower heart rate and blood pressure in beta-blocker users.
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pubmed:affiliation |
Department of Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article
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