Metoprolol treatment of elderly heart failure Clinical analysis of 42 cases of.docVIP

 PAGE \* MERGEFORMAT 4 Metoprolol treatment of elderly heart failure Clinical analysis of 42 cases of [Abstract] Objective To investigate the β -receptor blockers in heart failure in the application. Methods 42 cases of our department in patients with heart failure by clinical application of cardiac diuretic vasodilator drugs, cardiac function in patients with no obvious improvement, plus after treatment with metoprolol, with its comparisons of the clinical indicators of changes before and after treatment to assess their clinical effectiveness and safety. The results after application of metoprolol in the treatment of cardiac function significantly improved the efficiency of 47.6% with 2 weeks, 6 weeks effective 66.7%. Conclusion elderly patients with severe heart failure, in the conventional anti-heart failure therapy based on the increase of cardiac function can be improved with the metoprolol enhance the quality of life. [Keywords:] Heart failure; β -receptor blocker; Betaloc Applications Waagstein first proposed in 1975, β -blocker treatment of dilated cardiomyopathy, improves clinical symptoms in all patients, heart function improved, the heart of small size, thus opening a β -blocker treatment of heart failure (CHF ) is a prelude, since 1998, our routine anti-heart failure therapy had no significant effect of 42 cases of retired cadres, Canada with metoprolol achieved good results, are reported as follows. 1 Data and methods 1.1 General Information of this set of data from the retired cadres in April 1998 ~ June 2004 retired cadres, a total of 42 cases, male 32 cases, 10 females, aged 68 to 82 years old, 18 cases of rheumatic heart disease, crown heart disease 24 cases. According to history, physical examination, electrocardiogram, echocardiography, chest X-ray examination, diagnosed as heart failure, according to the New York Heart Association NYHA cardiac function grading standards, cardiac function in 28 cases of grade Ⅲ , Ⅳ grade in 14 c