Heart rate control with single administration of a long-acting β-blocker at bedtime before coronary computed tomography angiography

Heart rate control with single administration of a long-acting β-blocker at bedtime before coronary computed tomography angiography
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DOI:
10.1016/j.jjcc.2014.07.007
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发表时间:
2015-03-01
影响因子:
2.5
通讯作者:
Yoshida, Keiki
Yoshida, Keiki
中科院分区:
医学3区
文献类型:
--
作者:
Sadamatsu, Kenji;Koide, Sachiko;Yoshida, Keiki

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背景:β受体阻滞剂用于冠状动脉计算机断层扫描(CT)血管造影前控制心率。然而,回顾性收集行冠状动脉CT血管造影的患者,住院给药耗时长,且难以将心率降至60bpm。166例患者在前一天晚上口服比索洛尔或阿替洛尔(β组),其余148例患者(对照组)不给予其他药物治疗。当到达时心率为bbb60bpm时,根据医生的判断口服受体阻滞剂或维拉帕米。虽然两组之间的基线心率没有显著差异,但在到达医院和血管造影时,前一晚接受β受体阻滞剂治疗的患者的心率明显低于对照组。达到心率的速率
Background: Beta-blockers are used to control the heart rate prior to coronary computed tomography (CT) angiography. However, in-hospital administration is time-consuming, and it is hard to decrease the heart rate to 60 bpm who underwent coronary CT angiography were retrospectively collected. Either bisoprolol or atenolol was orally administered the night before to 166 patients (beta group), and no additional medication was administered to the other 148 patients (control group). When the heart rate was >60 bpm on arrival, a beta-blocker or verapamil was orally administered at the discretion of the physician. Although the baseline heart rate was not significantly different between the groups, the beta-blocker treatment the night before significantly reduced the heart rate compared to control group upon arrival at the hospital and at the time of angiography. The rate of achievement of a heart rate