Advances in the Pharmaceutical Treatment of Cardiovascular Disease

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Clinical Pharmaceutics".

Deadline for manuscript submissions: 10 January 2025 | Viewed by 4090

Special Issue Editors


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Guest Editor
Department of Pharmacology, Faculty of Pharmacy, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
Interests: clinical pharmacology; hypertension; cardiovascular diseases; lipid metabolism; nutrition
Department of Biochemistry, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
Interests: endothelial dysfunction mechanisms; cardiovascular diseases; oxidative stress; biomarkers; homocysteine; anticoagulants

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Guest Editor
Department of Biochemistry, Faculty of Pharmacy, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
Interests: cardiovascular diseases; antioxidants; polyphenols; drugs; nanoparticles

Special Issue Information

Dear Colleagues,

It is important to note that while cardiovascular disease is a significant health problem worldwide, many cases can be prevented or effectively managed with the right lifestyle choices and medical interventions. Regular check-ups and discussions with health professionals are crucial for the early detection, prevention, and treatment of cardiovascular disease. Preventive measures for cardiovascular disease include adopting a healthy lifestyle with a balanced diet and regular exercise, avoiding tobacco and excessive alcohol consumption, and managing underlying medical conditions such as high blood pressure and diabetes. Treatment may involve lifestyle changes, medication, and, in severe cases, surgical interventions. It is widely acknowledged that the latest progress in pharmaceutics has enabled the creation of novel medications targeting cardiovascular illnesses. These advancements have the potential to markedly enhance both immediate and extended prognoses, as well as avert untimely fatalities. Consequently, we cordially invite you to submit your original articles and/or review papers to this Special Issue, whose primary objective is to highlight the advances made in contemporary pharmaceutics for cardiovascular diseases over the past few years.

In this Special Issue, entitled “Advances in the Pharmaceutical Treatment of Cardiovascular Disease”, research areas will include, but are not limited to, the following: drug delivery systems, targeted therapy for cardiovascular treatment, potential biomarkers in cardiovascular disease, drug design, drug–drug interaction, and mechanism studies.

We look forward to receiving your contributions.

Dr. Magdalena Cuciureanu
Dr. Nina Filip
Dr. Cristina-Elena Iancu
Guest Editors

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Keywords

  • targeted therapy
  • biomarkers
  • cardiovascular diseases
  • hypertension
  • nanotechnology
  • stem cells
  • treatment modality
  • drugs

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Published Papers (2 papers)

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Research

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13 pages, 1113 KiB  
Article
The Impact of Chronic Oral Beta-Blocker Intake on Intravenous Bolus Landiolol Response in Hospitalized Intensive Care Patients with Sudden-Onset Supraventricular Tachycardia—A Post Hoc Analysis of a Cross-Sectional Trial
by Felix Eibensteiner, Emmilie Mosor, Daniel Tihanyi, Sonja Anders, Andrea Kornfehl, Marco Neymayer, Julia Oppenauer, Christoph Veigl, Valentin Al Jalali, Hans Domanovits, Patrick Sulzgruber and Sebastian Schnaubelt
Pharmaceutics 2024, 16(6), 839; https://doi.org/10.3390/pharmaceutics16060839 - 20 Jun 2024
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Abstract
Background: Landiolol, a highly cardioselective agent with a short half-life (2.4–4 min), is commonly used as a perfusor or bolus application to treat tachycardic arrhythmia. Some small studies suggest that prior oral β-blocker use results in a less effective response to intravenous β-blockers. [...] Read more.
Background: Landiolol, a highly cardioselective agent with a short half-life (2.4–4 min), is commonly used as a perfusor or bolus application to treat tachycardic arrhythmia. Some small studies suggest that prior oral β-blocker use results in a less effective response to intravenous β-blockers. Methods: This study investigated whether prior chronic oral β-blocker (Lβ) or no prior chronic oral β-blocker (L–) intake influences the response to intravenous push-dose Landiolol in intensive care patients with acute tachycardic arrhythmia. Results: The effects in 30 patients (67 [55–72] years) were analyzed, 10 (33.3%) with and 20 (66.7%) without prior oral β-blocker therapy. Arrhythmias were diagnosed as tachycardic atrial fibrillation in 14 patients and regular, non-fluid-dependent, supraventricular tachycardia in 16 cases. Successful heart rate control (Lβ 4 vs. L– 7, p = 1.00) and rhythm control (Lβ 3 vs. L– 6, p = 1.00) did not significantly differ between the two groups. Both groups showed a significant decrease in heart rate when comparing before and after the bolus administration, without significant differences between the two groups (Lβ −26/min vs. L– −33/min, p = 0.528). Oral β-blocker therapy also did not influence the change in mean arterial blood pressure after Landiolol bolus administration (Lβ −5 mmHg vs. L– −4 mmHg, p = 0.761). Conclusions: A prior chronic intake of β-blockers neither affected the effectiveness of push-dose Landiolol in heart rate or rhythm control nor impacted the difference in heart rate or mean arterial blood pressure before and after the Landiolol boli. Full article
(This article belongs to the Special Issue Advances in the Pharmaceutical Treatment of Cardiovascular Disease)
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Review

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16 pages, 991 KiB  
Review
An Overview of the Pharmacokinetics and Pharmacodynamics of Landiolol (an Ultra-Short Acting β1 Selective Antagonist) in Atrial Fibrillation
by Mariana Floria, Alexandru Florinel Oancea, Paula Cristina Morariu, Alexandru Burlacu, Diana Elena Iov, Cristina Petronela Chiriac, Genoveva Livia Baroi, Celina Silvia Stafie, Magdalena Cuciureanu, Viorel Scripcariu and Daniela Maria Tanase
Pharmaceutics 2024, 16(4), 517; https://doi.org/10.3390/pharmaceutics16040517 - 8 Apr 2024
Cited by 1 | Viewed by 1669
Abstract
Landiolol is an ultra-short-acting, selective β1-adrenergic receptor blocker that was originally approved in Japan for the treatment of intraoperative tachyarrhythmias. It has gained attention for its use in the management of tachyarrhythmias and perioperative tachycardia, especially atrial fibrillation for both cardiac and non-cardiac [...] Read more.
Landiolol is an ultra-short-acting, selective β1-adrenergic receptor blocker that was originally approved in Japan for the treatment of intraoperative tachyarrhythmias. It has gained attention for its use in the management of tachyarrhythmias and perioperative tachycardia, especially atrial fibrillation for both cardiac and non-cardiac surgeries. It can be the ideal agent for heart rate control due to its high β1-selectivity, potent negative chronotropic effect, a limited negative inotropic potential, and an ultrashort elimination half-life (around 4 min); moreover, it may have a potential therapeutic effects for sepsis and pediatric patients. Landiolol seems to be superior to other short-acting and selective beta-blockers such as esmolol. This review aims to provide a comprehensive overview of landiolol, a new ultra-short-acting β1 selective antagonist, including its pharmacology, clinical applications, efficacy, safety profile, and future directions in research and clinical data. Full article
(This article belongs to the Special Issue Advances in the Pharmaceutical Treatment of Cardiovascular Disease)
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