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[Perioperative heart rate in patients taking beta-blockers: reality and efficiency of the treatment]. / Analyse des fréquences cardiaques durant la période péri-opératoire chez des patients prenant des bêtabloquants: réalité et efficacité du traitement.
Danton, N; Ferretti, C; Benoist, M; Crozon, J; Rimmelle, T; Gueugniaud, P-Y; Piriou, V.
Afiliación
  • Danton N; Service d'anesthésie-réanimation 1, centre hospitalier Lyon-Sud, Pierre-Benite cedex, France.
Ann Fr Anesth Reanim ; 26(9): 769-73, 2007 Sep.
Article en Fr | MEDLINE | ID: mdl-17643926
OBJECTIVE: To compare perioperative heart rate (HR) control of patients chronically exposed to beta-blockers (BB) with those of patients whom BB treatment was initiated one week preoperatively. METHODS: HR was noticed at three successive time periods: the anaesthesia visit, just before induction of anaesthesia, and during surgery (maximum and minimum HR). HR, presented as mean+/-SD, was compared among 3 groups of patients: BB chronic treatment, preoperative BB, and a control group not taking BB. RESULTS: Four hundred (and) six patients were included: 181 chronic BB patients, 20 preoperative BB, and 205 control patients. As compared to the control group, HR of chronic BB patients were lower (P<0.05) than those of the control group at the three time period of the study. In the preoperative BB patient group, one week BB treatment resulted in a mean 30% reduction of HR. Just before induction of anaesthesia, HR of preoperative BB patients was lower than that of chronic BB patients (55+/-11 vs 67+/-13 b/min; P<0.05). CONCLUSION: Beta-blockers treatment initiated one week before surgery could be more effective on perioperative HR control than chronic BB treatment.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Preoperatorios / Antagonistas Adrenérgicos beta / Cardiopatías / Frecuencia Cardíaca / Periodo Intraoperatorio Tipo de estudio: Etiology_studies Límite: Humans Idioma: Fr Revista: Ann Fr Anesth Reanim Año: 2007 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Preoperatorios / Antagonistas Adrenérgicos beta / Cardiopatías / Frecuencia Cardíaca / Periodo Intraoperatorio Tipo de estudio: Etiology_studies Límite: Humans Idioma: Fr Revista: Ann Fr Anesth Reanim Año: 2007 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia