Means were compared using the Wilcoxon rank sum test or Student's A total of 458 patients with a case record diagnosis of HF and COPD were identified. The SPSS program for Windows, version 9.0, was used for the statistical analysis.All quantitative variables are expressed as mean±SD (standard deviation), maximum and minimum values, and number of cases. The limited numbers increase the risk of Type II statistical error, namely of missing a real difference. Mean doses achieved in various studies on beta blockers in heart failure Achieving this figure appears to have therapeutic advantages. The Cardiac Insufficiency Bisoprolol Study (CIBIS)..Packer M, Bristow MR, Cohn JN, Colucci WS, Fowler MB, Gilbert EM, et al, for the U.S..S. Carvedilol Heart Failure Study Group. These reactions developed in 50 patients and, apart from those leading to withdrawal, were limited to asthenia, dizziness and increased dyspnea. 1, 2 The combination presents many diagnostic and therapeutic dilemmas. Name must be less than 100 characters Dosing algorithm for bisoprolol in patients with chronic heart failureIn addition to the dose adjustment visits (three optional visits the first month and another during the second month), all patients were seen after 1, 3, and 6 months.
endobj 63% of the patients attained the maximum targeted dose; the mean dose at the end of follow-up was 8.5 mg. Functional status, quality of life and ejection fraction improved significantly between the beginning and the end of the study.
For example, the current sample size provides 63% power to detect a reduction in mean SF‐36 PCS of 6.0 (the accepted minimal important difference) using the observed standard deviation of 7.7. Abrupt Cessation of Therapy.
El Palmar. Se incluyeron 334 pacientes con insuficiencia cardíaca sistólica estable con tratamiento habitual.
Bisoprolol can be used for therapy in a high percentage of outpatients with stable chronic heart failure, with acceptable tolerability at the maximum recommended dose. España.Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. *��7Z����*"�g Hospital General Yagüe. Initial and final New York Heart Association (NYHA) functional class, expressed as percentage of total (final class for the 2 patients who underwent surgery: Class IV; final class for 32 withdrawals because of adverse effects: same as baseline).
Free PMC article Unable to load your collection due to an error Other studies were either limited in number of patients or not randomized. España.Servicio de Cardiología-Hemodinámica. Members of SEC : use the Society's website login and password Journal Citation Reports and Science Citation Index Expanded / Current Contents / MEDLINE / Index Medicus / Embase / Excerpta Medica / ScienceDirect / ScopusThe Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.CiteScore measures average citations received per document published.
(s��z�`J�f���O��8w$���z�EF�f!�7��^(s�� �a�=��ܣ�Q�h?�Y>��>�}�'I�G2K���_t�US�$��\�B�L��*ҕ����4 :����H��8�z:�bE�E$�0� �0���k�.srߒ߆ s�1g�P��g� )�l�`>Qyh����fAy�E�l"*p� Clipboard, Search History, and several other advanced features are temporarily unavailable. 7 } e�M��`0V%3X��X��B5�����L9���k ��b�G=^U ��D����u�.�}�p��+BN�7ZjSB,���^�b��AH��n��x=�|�W�X��U��`�@��^����:�&�'N������/Y�_�A�T`GL�i�)W���f����%��H� yB�ءL�ԡ��k��( %PDF-1.5 The final visit took place 9 months after the start of therapy.The main endpoint was compliance with the bisoprolol doses during the study, with the mean dose for the group compared to the target dose at each visit. Secondary endpoints were quality of life assessment (Minnesota Living with Heart Failure Questionnaire), functional status (New York Heart Association), ejection fraction change, and side effects during the 9-month follow-up period. Only 4 patients had severe adverse effects. %���� The differences between the first and last visits were significant (Fig. There was no difference in morbidity and mortality between sub-groups of patients receiving first bisoprolol or enalapril. Pamplona. The starting dose of 1.25 mg once daily was increased successively to 2.5, 5.0, 7.5, and 10 mg according to tolerance. España.Servicio de Cardiología. {���(�(=��Fā����8�_�l#͝9�(�q� "�E���GO>����߆!�t'���$A��R�M�_�Ȳ���yp�RY̳�顳|�W�wr��z�����UOu �SQ�.�X��/N3��;��,xӜ�Y�� ����zR�# Unable to load your delegates due to an error The same assessment was also performed after separating the data on physical well-being (sum of items 2 to 7, 12 and 13) and psychological well-being (items 17 to 21).The study included 334 patients (69% men) between 29 and 89 years of age (64 ± 11 years). SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Thus, the proven benefits of BB therapy can probably be extended to many patients for whom this treatment is potentially useful.