Three Generation β-Blockers for Atrial Fibrillation Treatment

The efficiency of blood flowing from the heart depends on its electrical properties. Myocardial electrical activity is associated with generating cardiac action potentials in isolated myocardial cells and their coordinated propagation, which are mediated by gap junctions. Atrial fibrillation (AF) is a common cardiac arrhythmia which causes an aggressive disturbance in cardiac electromechanical function. Moreover, AF increases the risk of stroke and mortality and is a major cause of death. The mechanisms underlying AF involve electrophysiological changes in ion channel expression and function. beta-blockers may be useful in patients with chronic AF or in preventing postoperative AF in subjects undergoing coronary artery bypass grafting (CABG) or other types of surgery. The reduction in heart rate induced by beta(1)-adrenergic receptor antagonists may be associated with the beneficial effect of this drug class. Second generation beta-blockers may be considered superior to the first generation due to their selectivity to the beta(1) receptor as well as avoiding pulmonary or metabolic adverse effects. Third generation beta-blockers may be considered a great option for their vasodilation and antioxidant properties. There is also a new beta-blocker, named landilol that also results on reduced risk of post operative AF without adverse effects and its use has been increasing in clinical trials.

Automated summary

The efficiency of blood flow from the heart depends on its electrical properties, with myocardial electrical activity playing a crucial role. Atrial fibrillation (AF) is a common cardiac arrhythmia that disrupts electromechanical function and increases the risk of stroke and death. The mechanisms underlying AF involve changes in ion channel expression and function. Beta-blockers, particularly second and third generation, show promising results in treating AF and reducing the risk of postoperative AF without adverse effects. The new beta-blocker landilol has also shown efficacy in clinical trials.