Metoprolol, a selective β1-adrenergic receptor blocker, is widely recognized for its role in reducing infarct size and improving cardiac function in acute myocardial infarction (AMI). Beyond its traditional focus on cardiomyocytes, recent research highlights its action on neutrophils. By disrupting neutrophil-platelet interactions and migration, metoprolol reduces inflammation and microvascular obstruction (MVO) during reperfusion. Clinical trials like METOCARD-CNIC show a 40% reduction in MVO, positioning metoprolol as a vital tool in minimizing ischemia/reperfusion (IR) injury and long-term cardiac damage.
García-Prieto, J., Villena-Gutiérrez, R., Gómez, M., Bernardo, E., Pun-García, A., García-Lunar, I., Crainiciuc, G., Fernández-Jiménez, R., Sreeramkumar, V., Bourio-Martínez, R., García-Ruiz, J.M., Serrano del Valle, A., Sanz-Rosa, D., Pizarro, G., Fernández-Ortiz, A., Hidalgo, A., Fuster, V., & Ibanez, B. (2017) 'Neutrophil stunning by metoprolol reduces infarct size', Nature Communications.
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García-Prieto, J., Villena-Gutiérrez, R., Gómez, M., Bernardo, E., Pun-García, A., García-Lunar, I., Crainiciuc, G., Fernández-Jiménez, R., Sreeramkumar, V., Bourio-Martínez, R., García-Ruiz, J.M., Serrano del Valle, A., Sanz-Rosa, D., Pizarro, G., Fernández-Ortiz, A., Hidalgo, A., Fuster, V., & Ibanez, B. (2017) 'Neutrophil stunning by metoprolol reduces infarct size', Nature Communications.
García-Prieto, J., Villena-Gutiérrez, R., Gómez, M., Bernardo, E., Pun-García, A., García-Lunar, I., Crainiciuc, G., Fernández-Jiménez, R., Sreeramkumar, V., Bourio-Martínez, R., García-Ruiz, J.M., Serrano del Valle, A., Sanz-Rosa, D., Pizarro, G., Fernández-Ortiz, A., Hidalgo, A., Fuster, V., & Ibanez, B. (2017) 'Neutrophil stunning by metoprolol reduces infarct size', Nature Communications.
García-Prieto, J., Villena-Gutiérrez, R., Gómez, M., Bernardo, E., Pun-García, A., García-Lunar, I., Crainiciuc, G., Fernández-Jiménez, R., Sreeramkumar, V., Bourio-Martínez, R., García-Ruiz, J.M., Serrano del Valle, A., Sanz-Rosa, D., Pizarro, G., Fernández-Ortiz, A., Hidalgo, A., Fuster, V., & Ibanez, B. (2017) 'Neutrophil stunning by metoprolol reduces infarct size', Nature Communications.