{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:21:29Z","timestamp":1787840489540,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Congestive heart failure (CHF) is a serious cardiovascular condition that lowers quality of life (QoL) and impairs exercise tolerance. In terms of morbidity and mortality, beta-blockers, which are often employed in the treatment of CHF, have demonstrated notable advantages. The purpose of this study was to assess how beta-blockers affected the exercise tolerance and QoL of CHF patients. Materials and Methods: In a prospective observational trial, 100 CHF patients between the ages of 40 and 70 were divided into two groups: 50 in the beta-blocker treatment group and 50 in the control group. The 6-minute walk test (6MWT) was used to measure exercise tolerance, and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) was used to measure QoL. Evaluations were conducted both at baseline and 6 months during treatment. Independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests for differences between groups and paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests for comparisons within groups were used in the statistical study.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The beta-blocker group\u2019s mean distance traveled during the 6MWT at baseline was 300 \u00b1 50 meters, while the control group was 310 \u00b1 45 meters (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.25). The beta-blocker group improved significantly to 380 \u00b1 40 meters (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) after 6 months, whereas the control group only slightly improved (320 \u00b1 48 meters,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.07). The beta-blocker group\u2019s QoL ratings (MLHFQ) increased from a baseline of 45 \u00b1 5 to 30 \u00b1 4 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), but the control group improved somewhat from 44 \u00b1 6 to 42 \u00b1 5 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.2). After 6 months, both outcomes showed statistically significant differences between groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Beta-blocker therapy significantly improves exercise tolerance and QoL in CHF patients over a 6-month period. These findings support the integration of beta-blockers as a cornerstone of CHF management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1817_24","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T01:02:22Z","timestamp":1750208542000},"page":"S1532-S1534","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Effects of Beta Blockers on Exercise Tolerance and Quality of Life in Congestive Heart Failure Patient"],"prefix":"10.4103","volume":"17","author":[{"given":"Mrinal","family":"Kunj","sequence":"first","affiliation":[{"name":"Department of Cardiology RIMS, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divakar","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Medicine, RIMS, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshu","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, Manipal Tata Medical College (MTMC), Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"R1-20250618","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1161\/CIRCRESAHA.113.300268","article-title":"Epidemiology of heart failure","volume":"113","author":"Roger","year":"2013","journal-title":"Circ Res"},{"key":"R2-20250618","doi-asserted-by":"crossref","first-page":"1877","DOI":"10.1016\/S0140-6736(05)66621-4","article-title":"Heart failure","volume":"365","author":"McMurray","year":"2005","journal-title":"Lancet"},{"key":"R3-20250618","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1146\/annurev.me.37.020186.001315","article-title":"The autonomic nervous system in congestive heart failure","volume":"37","author":"Francis","year":"1986","journal-title":"Annu Rev Med"},{"key":"R4-20250618","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1161\/01.CIR.0000055013.92097.40","article-title":"Exercise and heart failure:A statement from the American heart association committee on exercise, rehabilitation, and prevention","volume":"107","author":"Pina","year":"2003","journal-title":"Circulation"},{"key":"R5-20250618","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.ejheart.2005.07.003","article-title":"Exploring symptoms in chronic heart failure","volume":"7","author":"Ekman","year":"2005","journal-title":"Eur J Heart Fail"},{"key":"R6-20250618","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1093\/eurheartj\/ehr306","article-title":"Effects of person-centered care in patients with chronic heart failure:The PCC-HF study","volume":"33","author":"Ekman","year":"2012","journal-title":"Eur Heart J"},{"key":"R7-20250618","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1161\/01.CIR.101.5.558","article-title":"Beta-adrenergic receptor blockade in chronic heart failure","volume":"101","author":"Bristow","year":"2000","journal-title":"Circulation"},{"key":"R8-20250618","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1016\/S0140-6736(99)04440-2","article-title":"MERIT-HF Study Group. Effect of metoprolol CR\/XL in chronic heart failure:Metoprolol CR\/XL randomized intervention trial in congestive heart failure (MERIT-HF)","volume":"353","year":"1999","journal-title":"Lancet"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1817_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:23:52Z","timestamp":1787837032000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1817_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":8,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1817_24","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2024-12-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}