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Śro 13:09, 16 Mar 2011
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Temat postu: tory burch outlet Carvedilol Heart Failure his Luo

He Luo carvedilol in the high heart disease Heart Failure


Size; ECG ST-T changes observed; (5) color Doppler echocardiography,[link widoczny dla zalogowanych], cardiac index, stroke volume (VS), cardiac output (co), cardiac index (CI),[link widoczny dla zalogowanych], ejection fraction (EF .) 1.4 Clinical Judgement: 2 weeks medication to alleviate the symptoms,[link widoczny dla zalogowanych], blood pressure markedly decreased to normal range; medication 4 weeks blood pressure dropped to normal range is effective; drop in blood pressure after 1 month of treatment was not obvious to be invalid. 1.5 Observation Method: 1 to 3 days after treatment every morning at 9 o'clock, 16 o'clock each blood pressure measurement 1; after one day of blood pressure measured 1, 1 week, 1 day after blood pressure measurement. 1.6 Statistics and treatment: before and after treatment using paired t test, t test between two groups of clinical antihypertensive efficacy of 2 Results 2.1: In the treatment group,[link widoczny dla zalogowanych], 30 cases were markedly effective in 12 cases (40%), effective in 16 cases (53 .3%), 2 cases (6.6%), the total effective rate was 93.3%; control group of 30 cases were markedly effective in 7 cases (23.3%), 10 cases (33.3%), invalid 13 patients (43.3%),[link widoczny dla zalogowanych], the total effective rate was 56.6%. Antihypertensive effect of the treatment group than the control group (P <0.01). Treatment group, 3 cases of diabetes complicated by heart failure, high blood pressure, heart failure is difficult to control, followed by worsening renal failure, after the addition of carvedilol, heart failure tends to ease, the condition to be stable. 2.2 pairs of blood lipids and blood sugar: two groups of patients before and after treatment lipids, glucose no significant change. 2.3t2 Table 1, two groups of cardiac function changes after treatment (S) group projects the number of cases SV (ml / beat) CO (L / min) CI (L / rain.) EF Note: before and after treatment, P <O. 05, compared with the control group, P <0.052.4 size of the heart: before treatment, 26 cases of cardiac enlargement, reduced after treatment, 21 patients, reduced heart rate was 80.7%; control group, 24 patients before treatment cardiac enlargement. Reduced after treatment, six cases, reduce the heart rate of 25%. Reduce the rate of the treatment group was significantly higher than the heart (P <005). 3 Discussion of carvedilol as a new p-blockers, which not only has the role of B adrenergic receptor blockade, but also has a receptor blocking effect, so it is by reducing heart rate, myocardial contractility and total peripheral resistance lower blood pressure; reduce myocardial oxygen consumption, improve heart function n. And B-receptor blocker atenolol, compared with a stronger heart and a significant protective effect of the vasodilator '. We are in the clinical observation that carvedilol in patients with heart failure can improve clinical symptoms and hemodynamic changes, with the reported Carvedilol can improve the survival rate of patients with heart failure line, worthy of clinical application. Heart failure there is oxidative stress involved in a variety of factors, including oxygen free radicals such as oxides of stimulation and cardiac hypertrophy, myocardial ischemia, heart exhaustion on l. Carvedilol has antioxidant effects, inhibiting the inflammatory cells release free radicals that damage vascular endothelium, inhibition of apoptosis triggered by oxygen free radicals, and apoptosis in cardiac remodeling plays an important role as a bridge l. Carvedilol's unique antioxidant, can prevent the occurrence of left ventricular remodeling and reverse cardiac hypertrophy, long-term oral administration can improve left ventricular systolic and diastolic function observed in this group of patients from patients treated with CO, CI, SV, EF indicators improved, says Ming Kawei carvedilol can improve the prognosis of patients with heart failure, is a promising new type of 8-receptor blockers.
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