Research Article

The Impact of Beta Blockers on Survival in Heart Transplant Recipients: Insights from the Zabrze HTx Registry

Table 1

Patient characteristics.

Beta blockers: no
n = 242
Beta blockers: yes
n = 138

Hypertension, n (%)188 (78)114 (83)0.253
Atrial fibrillation, n (%)18 (7)10 (7)0.945
Supraventricular tachycardia, n (%)12 (5)90 (65)≤0.001
Ventricular tachycardia, n (%)6 (2)14 (10)≤0.001
Reduced left ventricular ejection fraction <55%, n (%)30 (12)40 (29)≤0.001
Two or more indications, n (%)54 (22)94 (68)≤0.001
Age (years), mean ± SD52.70 ± 15.3556.94 ± 14.680.008
Women, n (%)53 (22)32 (23)0.772
Dilated cardiomyopathy, n (%)107 (44)42 (30)0.008
Ischemic cardiomyopathy, n (%)83 (34)50 (36)0.704
Other etiologies of heart failure, n (%)52 (21)46 (33)0.011
Time from HTx (years), mean ± SD7.24 ± 5.7811.65 ± 7.04≤0.001
Left ventricular ejection fraction (%), mean ± SD57.08 ± 4.4955.89 ± 5.040.884
Heart rate (1/min), mean ± SD90.88 ± 12.32101.09 ± 12.26≤0.001
Coronary artery vasculopathy grade 0, n (%)139 (57)82 (59)0.706
Coronary artery vasculopathy grade 1, n (%)54 (22)24 (17)0.253
Coronary artery vasculopathy grade 2, n (%)30 (12)16 (12)0.818
Coronary artery vasculopathy grade 3, n (%)18 (7)18 (13)0.073
Cause of death—any cause, n (%)16 (7)11 (8)0.620
Cause of death—cardiovascular, n (%)5 (2)7 (5)0.107
Cause of death—infection, n (%)7 (3)2 (1)0.374
Cause of death—malignancy, n (%)2 (1)1 (1)0.914
Cause of death—rejection, n (%)1 (0)1 (1)0.687
Cause of death—other cause, n (%)1 (0)0 (0)0.450
Start point of BBs after HTx (years), mean ± SD, (IQR)n/a5.76 ± 5.67 (0.75–9.50)n/a
Time duration of BBs use (years), mean ± SD, (IQR)n/a5.91 ± 4.74 (2.57–7.77)n/a
Atenolol daily dose, mean ± SDn/a43.75 ± 11.31n/a
Bisoprolol daily dose (mg), mean ± SDn/a4.11 ± 2.88n/a
Carvedilol daily dose (mg), mean ± SDn/a27.08 ± 18.40n/a
Nebivolol daily dose (mg), mean ± SDn/a3.25 ± 1.68n/a
Metoprolol daily dose (mg), mean ± SDn/a57.14 ± 52.05n/a
Angiotensin-converting enzyme inhibitors97 (40)60 (43)0.518
Angiotensin receptor blockers42 (17)16 (12)0.133
Calcium channel blocker (CCB)85 (35)62 (45)0.059
Dihydropyridine CCBs83 (34)61 (44)0.056
Non-dihydropyridine CCBs2 (1)1 (1)0.914
Statins235 (97)133 (96)0.695
Acetylsalicylic acid233 (96)134 (97)0.672
Ivabradine0 (0)0 (0)n/a
Loop diuretics67 (28)42 (30)0.569

SD: standard deviation; BBs: beta blockers; CCBs: calcium channel blockers; HTx: heart transplantation; IQR: interquartile range; n/a: not applicable; FU: follow-up.