Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population

China, Indonesia, and Malaysia have the highest age-standardized rates of heart failure in Asia, according to the Global Burden of Disease study. While numerous systematic reviews and meta-analyses have compared bisoprolol and carvedilol in HFrEF, most have focused on Western populations. To address...

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Main Authors: Yedy Purwandi Sukmawan, Tita Nofianti, Anisa Pebiansyah
Format: Article
Language:English
Published: Pensoft Publishers 2025-01-01
Series:Pharmacia
Online Access:https://pharmacia.pensoft.net/article/142130/download/pdf/
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author Yedy Purwandi Sukmawan
Tita Nofianti
Anisa Pebiansyah
author_facet Yedy Purwandi Sukmawan
Tita Nofianti
Anisa Pebiansyah
author_sort Yedy Purwandi Sukmawan
collection DOAJ
description China, Indonesia, and Malaysia have the highest age-standardized rates of heart failure in Asia, according to the Global Burden of Disease study. While numerous systematic reviews and meta-analyses have compared bisoprolol and carvedilol in HFrEF, most have focused on Western populations. To address this gap, we conducted a meta-analysis of RCTs and cohort studies involving Asian patients with HFrEF from PubMed and Cochrane databases that reported all-cause mortality, hospital admission, and left ventricular ejection fraction (LVEF) increase. The search result identified five eligible studies, primarily from Taiwan, Japan, and South Korea, with a total of 11,577 participants. The meta-analysis revealed no significant difference between bisoprolol and carvedilol in terms of all-cause mortality (RR 1.04, p 0.62, I2 = 0%), hospitalization (RR 1.23, p. 0.23, I2 = 0%), and LVEF increase (RR -1.40, p. 0.50, I2 = 0%). These findings suggest that both drugs have comparable efficacy in the Asian population.
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spelling doaj-art-611ddfc6c5754bcda7569466ad67058a2025-01-29T08:30:51ZengPensoft PublishersPharmacia2603-557X2025-01-01721810.3897/pharmacia.72.e142130142130Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian populationYedy Purwandi Sukmawan0Tita Nofianti1Anisa Pebiansyah2University of Bakti Tunas HusadaUniversity of Bakti Tunas HusadaUniversity of Bakti Tunas HusadaChina, Indonesia, and Malaysia have the highest age-standardized rates of heart failure in Asia, according to the Global Burden of Disease study. While numerous systematic reviews and meta-analyses have compared bisoprolol and carvedilol in HFrEF, most have focused on Western populations. To address this gap, we conducted a meta-analysis of RCTs and cohort studies involving Asian patients with HFrEF from PubMed and Cochrane databases that reported all-cause mortality, hospital admission, and left ventricular ejection fraction (LVEF) increase. The search result identified five eligible studies, primarily from Taiwan, Japan, and South Korea, with a total of 11,577 participants. The meta-analysis revealed no significant difference between bisoprolol and carvedilol in terms of all-cause mortality (RR 1.04, p 0.62, I2 = 0%), hospitalization (RR 1.23, p. 0.23, I2 = 0%), and LVEF increase (RR -1.40, p. 0.50, I2 = 0%). These findings suggest that both drugs have comparable efficacy in the Asian population.https://pharmacia.pensoft.net/article/142130/download/pdf/
spellingShingle Yedy Purwandi Sukmawan
Tita Nofianti
Anisa Pebiansyah
Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population
Pharmacia
title Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population
title_full Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population
title_fullStr Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population
title_full_unstemmed Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population
title_short Comparison of carvedilol vs. bisoprolol for heart failure with reduced ejection fraction (HFrEF): A systematic review and meta-analysis from the Asian population
title_sort comparison of carvedilol vs bisoprolol for heart failure with reduced ejection fraction hfref a systematic review and meta analysis from the asian population
url https://pharmacia.pensoft.net/article/142130/download/pdf/
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AT titanofianti comparisonofcarvedilolvsbisoprololforheartfailurewithreducedejectionfractionhfrefasystematicreviewandmetaanalysisfromtheasianpopulation
AT anisapebiansyah comparisonofcarvedilolvsbisoprololforheartfailurewithreducedejectionfractionhfrefasystematicreviewandmetaanalysisfromtheasianpopulation