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당뇨를 동반한 심부전 환자에 대한 beta-blocker의 유효성 평가
Retrospective Evaluation for Efficacy and Tolerance of beta-blocker in Heart Failure Patients with Concomitant Diabetes

첫 페이지 보기
  • 발행기관
    한국임상약학회 바로가기
  • 간행물
    한국임상약학회지 KCI 등재 바로가기
  • 통권
    제16권 제2호 (2006.12)바로가기
  • 페이지
    pp.113-122
  • 저자
    장선미, 강민희, 임성실, 이준섭, 이명구
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A89698

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원문정보

초록

영어
Purpose: A retrospective study was performed to assess the efficacy and tolerance of administration in patients with heart failure and diabetes. Method: Records of 164 patients who were treated for the heart failure condition more than a year were studied retrospectively. Patients were divided into 4 groups based on their diabetes(DM) status and the administration of ( group: 14, DM w/o : 19, No DM + : 62, No DM + no : 69). All patients had been receiving conventional therapy such as digoxin, ACE-I, ARB, diuretics, nitrates, aspirin, anticoagulants or lipid-lowering agents. The primary endpoints (death and hospital admission) were recorded during 1 year period and hemodynamic factors (HR, LVEF, SBP, DBP) were obtained from all patient groups before and after 12 months of treatment. To evaluate toxicity of , SCr, BUN, AST, ALT and Alkaline phosphatase were obtained. Result: There were less death and hospital admission in DM + group than in DM without group (p=0.014). Relative risk of hospital admission for group over no DM group was 1.17. Long term administration was associated with an improvement of heart rate in patients with DM (P< 0.02) with no significant improvement of LVEF, SBP, DBP. in DM patient. In patient without DM, was associated with improvement in LVEF, HR and DBP (P<0.01, P<0.03), but not in SBP. The incidence of toxicity was similar between the four group with no significant difference. Conculsion: Treatment of heart failure patients with appears to be beneficial in terms of hospital admission event and several hemodynamic factors. The toxicities of treatment were not significant and the treatment is generally well-tolerated in most of the heart failure patients.

목차

영문요약
 연구방법
 연구대상
 자료 수집 및 분석 내용
 통계방법
 연구결과
  환자 특성
  Primary end point의 그룹 간 차이 비교
  혈류 역학적 인지(Hemodynamic factor)에 대한 영향
  부작용에 대한 평가
 고찰
 결론
 감사의 말씀
 참고문헌

키워드

CHF DM B-blocker efficacy Toxicity

저자

  • 장선미 [ Sun Mi Jang | 효성병원 약제부 ]
  • 강민희 [ Min Hee Kang | 충북대학교 약학대학 ]
  • 임성실 [ Sung Cil Lim | 충북대학교 약학대학 ]
  • 이준섭 [ Jun Seop Lee | 충북대학교병원 약제부 ]
  • 이명구 [ Myung Koo Lee | 충북대학교 약학대학 ]

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국임상약학회 [Korean College of Clinical Pharmacy]
  • 설립연도
    1
  • 분야
    의약학>약학
  • 소개
    합리적 약물치료(rational pharmacotherapy)의 보장 및 증진을 궁극목적으로 하며 이를 달성하기 위해 임상약학의 발전과 회원 상호간의 친목을 도모한다.

간행물

  • 간행물명
    한국임상약학회지 [Korean Journal of Clinical Pharmacy]
  • 간기
    계간
  • pISSN
    1226-6051
  • 수록기간
    1991~2026
  • 등재여부
    KCI 등재
  • 십진분류
    KDC 518 DDC 615

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