Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction

Aim. To study the effects of long-term bisoprolol (B) therapy on exercise capacity (EC) dynamics, ventricular arrhythmia (VA), and clinical course in patients with myocardial infarction (MI). Material and methods. The study included 114 men with MI (age 30-63 years), receiving long-term B treatment...

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Main Authors: R. T. Shukurov, R. D. Kurbanov
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2011-04-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1662
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author R. T. Shukurov
R. D. Kurbanov
author_facet R. T. Shukurov
R. D. Kurbanov
author_sort R. T. Shukurov
collection DOAJ
description Aim. To study the effects of long-term bisoprolol (B) therapy on exercise capacity (EC) dynamics, ventricular arrhythmia (VA), and clinical course in patients with myocardial infarction (MI). Material and methods. The study included 114 men with MI (age 30-63 years), receiving long-term B treatment (2,5-10 mg once a day). The parameters assessed included EC dynamics, VA, and clinical course of the disease. Results. Patients with sub-acute MI were characterised by low EC and VA presence, including life-threatening VA forms. Long-term B treatment was associated with a significant reduction in angina attack rate (by 3,9 times) and in the number of nitroglycerin tablets per week (by 4,3 times). In most patients (79,7%), B therapy increased the work performed during stress test (+99%), EC (+43,4%), and exercise time (+52%). In 44 patients (55,7%), an antiarrhythmic effect was observed, including the individuals with high-grade VA (13 out of 15). Long-term B treatment also improved the clinical course of the disease, significantly reducing the end-point rates (in 86,1%). Conclusion. Early started, adequate-dose long-term B therapy improved clinical course of the disease and demonstrated good anti-ischemic, antianginal, and antiarrhythmic effects in MI patients, including those with life-threatening VA forms.
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spelling doaj.art-0c2b0eb1bd7342468fa4faf6a26b0db82023-03-13T07:23:19Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252011-04-01102606810.15829/1728-8800-2011-2-60-681380Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarctionR. T. Shukurov0R. D. Kurbanov1Республиканский специализированный центр кардиологииРеспубликанский специализированный центр кардиологииAim. To study the effects of long-term bisoprolol (B) therapy on exercise capacity (EC) dynamics, ventricular arrhythmia (VA), and clinical course in patients with myocardial infarction (MI). Material and methods. The study included 114 men with MI (age 30-63 years), receiving long-term B treatment (2,5-10 mg once a day). The parameters assessed included EC dynamics, VA, and clinical course of the disease. Results. Patients with sub-acute MI were characterised by low EC and VA presence, including life-threatening VA forms. Long-term B treatment was associated with a significant reduction in angina attack rate (by 3,9 times) and in the number of nitroglycerin tablets per week (by 4,3 times). In most patients (79,7%), B therapy increased the work performed during stress test (+99%), EC (+43,4%), and exercise time (+52%). In 44 patients (55,7%), an antiarrhythmic effect was observed, including the individuals with high-grade VA (13 out of 15). Long-term B treatment also improved the clinical course of the disease, significantly reducing the end-point rates (in 86,1%). Conclusion. Early started, adequate-dose long-term B therapy improved clinical course of the disease and demonstrated good anti-ischemic, antianginal, and antiarrhythmic effects in MI patients, including those with life-threatening VA forms.https://cardiovascular.elpub.ru/jour/article/view/1662инфаркт миокардабисопрололтолерантность к физической нагрузкежелудочковая аритмия
spellingShingle R. T. Shukurov
R. D. Kurbanov
Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction
Кардиоваскулярная терапия и профилактика
инфаркт миокарда
бисопролол
толерантность к физической нагрузке
желудочковая аритмия
title Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction
title_full Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction
title_fullStr Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction
title_full_unstemmed Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction
title_short Anti-ischemic and antiarrhythmic effectiveness of long-term bisoprolol therapy in patients with myocardial infarction
title_sort anti ischemic and antiarrhythmic effectiveness of long term bisoprolol therapy in patients with myocardial infarction
topic инфаркт миокарда
бисопролол
толерантность к физической нагрузке
желудочковая аритмия
url https://cardiovascular.elpub.ru/jour/article/view/1662
work_keys_str_mv AT rtshukurov antiischemicandantiarrhythmiceffectivenessoflongtermbisoprololtherapyinpatientswithmyocardialinfarction
AT rdkurbanov antiischemicandantiarrhythmiceffectivenessoflongtermbisoprololtherapyinpatientswithmyocardialinfarction