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急性心肌梗死序贯性应用倍他乐克治疗的临床意义 被引量:2

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摘要 目的探讨序贯性应用倍他乐克治疗急性心肌梗死的临床意义。方法分析100例急性心肌梗死患者接受序贯性倍他乐克治疗的胸痛持续时间、心电图ST段回落时间和心肌酶、心率、血压等变化及心率失常发生率、病死率等结果,并与100例急性心肌梗死患者仅接受口服倍他乐克的对照组相比较。结果序贯性应用倍他乐克治疗急性心肌梗死与对照组相比,胸痛持续时间缩短,心电图ST段回落时间缩短,心肌酶峰提前,24小时心率、血压下降,心律失常及致死性心律失常发生率减少,病死率减低(P<0.05)。结论序贯性应用倍他乐克治疗急性心肌梗死能明显缩小心肌梗死面积、改善心脏重构,缓解缺血导致的胸痛、减少总病死率和心脏性猝死,改善预后,并且安全性,耐受性好。
作者 周新民
出处 《右江医学》 2007年第5期508-509,共2页 Chinese Youjiang Medical Journal
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  • 1CIBIS - Ⅱ investigators and committees. The cardiac insufficiency bisoprolol Study Ⅱ ( CIBIS-Ⅱ ) : a randomized trial. Lancet, 1999,353:9-13.
  • 2MERIT-HF study group. Effect of metoprolol CR/XL in chronic heart failure. Metoprolol CR/XL randomized intervention trial in congestive heart failure( MERIT-HF). Lancet, 1999,353:2001-2007.
  • 3Packer M, Coats MS, Fowler MB, et al. for the carvedilol prospective randomized cumulative survival study group. Effect of carvedilol on survival in severe chronic heart failure. N Engl J Med,2001,344:1651-1658.
  • 4Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines( Committee to Revised the 1995 Guideline for the Evaluation and Management of Heart Failure ) ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult 2002 Available from:Http://www. acc. org.
  • 5Remme W J, Swedberg K. For the task force for the diagnosis and the treatment of chronic heart failure, European Society of Cardiology. Guidelines for the diagnosis and treatment of chronic heart failure. Eur Heart J,2001,22 : 1527-1560
  • 6Lopez SJ,Swedbert K, McMurray J, et al. Expert consensus document on beta-adrenergic receptor blockers. Eur Heart J, 2004,25 ( 15 ) : 1341-1362.
  • 7Olsson G, Rehnqvist N. Long-term with metoprolol after myocardial infarction: effect on 3 years mortality and morbidity [J].J Am Coll Cardiol, 1985, 5:1428-1437.
  • 8Gonzalez A, Garcia A, Jimenez F,et al. Heart rate variability during the 24 hours of myocardial infarction [J]. Med Clin Barc, 1998,31:81-85.
  • 9Francesco Borrello,Maribeth Beahan. Reappraisal of β-blocker therapy in the acute and chronic post-myocardial infarction period [J]. Rev Cardiovasc Med,2003,l4:13-24.
  • 10Olsson G, Rehnqvist N. Reduction in nonfatal reinfarction in patients with a history of hypertension by postinfarctuin treatment with metoprolol [J]. Acta Med Stand,1986,220:33-38.

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