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The CIBIS II trial was based on the first CIBIS study, which showed a non-significant 20% reduction in mortality but a significant reduction in hospital admissions as a result of worsening heart failure. 6 7 CIBIS II was a much larger trial, comprising a total of 2647 patients.
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1. CIBIS-II Investigators and Committees The Cardiac Insufficiency Bisoprolol II (CIBIS-II): a randomised trial. Lancet. 1999; 353: 9-13 View in Article Scopus (4219) PubMed Summary
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CIBIS-II Investigators and Committees. The Cardiac Insufficiency Bisoprolol Study II (CIBIS II): a randomised trial.. 8. Sackner-Bernstein J, Krum H, Goldsmith RL, et al. Should worsening heart.
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Findings: CIBIS-II was stopped early, after the second interim analysis, because bisoprolol showed a significant mortality benefit.. (156 [11.8%] vs 228 [17.3%] deaths with a hazard ratio of 0..
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A recently derived 8-item version of the SIB—the SIB-8—which takes about 3 minutes to administer, may represent a more convenient tool for use in clinical practice. The current analyses further explored the SIB-8 scale with respect to its validity and sensitivity. Methods
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CIBIS II trial The CIBIS II trial was based on the first CIBIS study, which showed a non-significant 20% reduction in mortality but a significant reduc-tion in hospital admissions as a result of wors-ening heart failure.67CIBIS II was a much larger trial,comprising a total of 2647 patients. It was the first of the very large trials with suf-
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Bisoprolol reduced all cause mortality by 32% (11.8% vs 17.3%, p=0.002). Sudden death was reduced by 45% (3.6% vs 6.4%, p=0.001).. CIBIS-II was the first randomized controlled trial with sufficient power to address all cause mortality as a primary objective. The mortality benefit of low-dose beta blockade in congestive heart failure is.
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Bisoprolol was the first beta-blocker shown to have beneficial effects on outcomes in the Cardiac Insufficiency Bisoprolol Study II (CIBIS-II) ( CIBIS-II Investigators and Committees 1999 ). The aim of this article is to review its main pharmacological characteristics with respect to its use in the patients with HF. Go to:
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The 1999 Cardiac Insufficiency Bisoprolol Study II (CIBIS-II) demonstrated that in patients with HFrEF (defined as LVEF ≤35%) and NYHA class III-IV symptoms, the beta blocker bisoprolol results in a 34% relative risk reduction in all-cause mortality (5% absolute reduction) when added to standard therapy including ACE inhibitors and diuretics.
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The landmark Cardiac Insufficiency Bisoprolol Study (CIBIS) II was the first trial to show a mortality benefit in moderate-to-severe stable CHF (NYHA III or IV; LVEF ≤35%). 8 It was followed by the Metoprolol CR/XL Randomized Intervention Trial in Congestive Heart Failure 9 (MERIT-HF) in mild-to-moderate, stable, systolic CHF, and by the.
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The third Cardiac Insufficiency Bisoprolol Study (CIBIS III) 13, 14 challenged commonly accepted practice by investigating whether a beta-blocker-first strategy was non-inferior to an ACE-inhibitor-first strategy in the initiation of CHF treatment in patients in NYHA classes II and III.
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In CIBIS, idiopathic dilated cardiomyopathy was diagnosed when no known cause of cardiomyopathy could be found. Patients were classified as having ischaemia when there was a typical history of coronary artery disease, a history of myocardial infarction, or the presence of a coronary stenosis greater than 70% shown by coronary angiography.
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The Cardiac Insufficiency Bisoprolol Study II (CIBIS-II): a randomised trial Summary Background In patients with heart failure, β-blockade has improved morbidity and left-ventricular function, but the impact on survival is uncertain.
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The investigators randomized 1010 patients with mild to moderate heart failure, and an ejection fraction <35%, to open-label monotherapy with either bisoprolol (target dose 10 mg/day) or enalapril (target dose 10 mg twice daily) for 6 months followed by uptitration of the second drug for 6 to 24 months.
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Comparison of CIBIS meta-analysis with more recently published trials. The results of the CIBIS and CIBIS II meta-analysis were evaluated and combined with the results for total death of comparable older 5 and more recently published trials in which other β-blockers were tested 6, 7, 8 in a further meta-analysis (Figure 7).