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Printer Friendly Print COMET results released at Heart Failure / ISHR-ES 2003 support superiority of carvedilol in the treatment of chronic heart failure in major European trial

COMET results released at Heart Failure / ISHR-ES 2003 support superiority of carvedilol in the treatment of chronic heart failure in major European trial

June 23, 2003

Monday 23 June 2003, Strasbourg, France: According to results presented today at the Heart Failure / ISHR-ES 2003, the non-selective beta blocking agent carvedilol is more effective in the treatment of patients with chronic heart failure than the '¢-1 selective beta blocker metoprolol.

These results were presented at this morning's Hot Line Session at Heart Failure / ISHR-ES 2003, the meeting of the European Society of Cardiology's Working Group on Heart Failure, held jointly this year with the Annual Congress of the European Section of the International Society for Heart Research.




COMET, The Carvedilol or Metoprolol European Trial (COMET), is the largest and longest study to date in chronic heart failure and the first head-to-head survival study comparing two beta blocking agents in patients with chronic heart failure, including more than 14,000 patient years of follow-up across 15 European countries. Beta-blocking agents are recommended in the ESC Guidelines for the treatment of mild, moderate and severe chronic heart failure.

Professor John Cleland, University of Hull, UK, member of the COMET Steering Committee and a Fellow of the ESC, comments, "This is a major European trial which will help doctors deliver improved care for their patients. It is the first time two agents for heart failure have been compared, head to head, in a large outcome study. And the results show a substantial difference between the two. For less than one euro per day, carvedilol increased life expectancy by almost 1.5 years - an effect greater than that of coronary artery bypass surgery for three vessel coronary disease".

On the implications of the results, Professor Cleland continues, "These results will lead to a real benefit for patients and a rationalization of their treatment. COMET is a landmark study in heart failure and should take its place amongst the top 20 studies that are the basis for modern clinical management of heart failure. The medical community should now implement the findings of the study".

* ends *

European Society of Cardiology (ESC)



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