Metoprolol in the treatment of dilated cardiomyopathy with heart failure of 34 cases.docVIP

 PAGE \* MERGEFORMAT 5 Metoprolol in the treatment of dilated cardiomyopathy with heart failure of 34 cases [Abstract] Objective metoprolol treatment of dilated cardiomyopathy heart failure patients. Methods 34 patients were routinely given a rest, oxygen, diuretics, digoxin, angiotensin-converting enzyme inhibitor (ACEI) drugs conventional treatment, to be in stable condition, no fluid retention, the addition of metoprolol tablets, the initial dose of 12.5 mg / d, 2 times / d, dose was doubled every 2 weeks, to the target amount of 100 mg / d, gradually reduced traditional anti-heart failure drugs. Results 34 patients could tolerate the treatment .34 metoprolol patients had significantly improved heart function. Conclusion 34 patients taking metoprolol on cardiac function has played a significant effect. However, the early -blocker therapy on cardiac function significantly inhibited, only patients with stable hemodynamics, long-term treatment after 2 to 3 months before effective, patients need to have good compliance. treatment small doses should be gradually achieve the target dose, can not suddenly stop, and close monitoring of clinical conditions. [Keywords:] metoprolol; dilated cardiomyopathy; heart failure -blockers due to inhibition of myocardial contractility is disabled for the treatment of heart failure, but with the completion of several large clinical trials show that long-term use of -blockers can improve symptoms and left ventricular function, reduce the dead morbidity and mortality [1]. cardiac function is recommended for all grade ~ patients, disease stabilized -blockers must be applied. unless there are contraindications or who can not tolerate and should be applied as soon as possible [2] . In this paper, metoprolol treatment of dilated cardiomyopathy with heart failure caused by analysis of 34 cases as follows. 1 Materials and Methods 1.1 Clinical data from 34 patients in this hospital from 2003 to 2009, hospitalized patients