Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (5): 70-73.doi: 10.6040/j.issn.1671-7554.0.2018.185

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Efficacy of atenolol on the treatment of acute coronary syndrome complicated with arrhythmia and the prognosis

GENG Erdong1, NING Juan2   

  1. 1. Department of Emergency, International Hospital of Peking University, Beijing 102206, China;
    2. Department of Oncology, Beijing Huairou Hospital of University of Chinese Academy of Sciences, Beijing 101400, China
  • Received:2018-02-05 Published:2022-09-27

Abstract: Objective To explore the efficacy of atenolol in the treatment of acute coronary syndrome complicated with arrhythmia and its effect on the prognosis. Methods According to the admission time, 200 patients with acute coronary syndrome complicated with arrhythmia treated during Dec. 2013 and Jan. 2017 were divided into two groups: control group(n=100, received conventional treatment)and treatment group(n=100, received atenolol besides conventional treatment). After 2-week treatment, the levels of blood lipid, high-sensitivity C-reactive protein(hsCRP), interleukin-6(IL-6), tumor necrosis factor-α(TNF-α)and mortality of the two groups were observed. Results The total effective rate was 95% in the treatment group and 79% in the control group, and the difference was statistically significant(P<0.05). After treatment, the levels of lipid, hsCRP, IL-6 and TNF-α in both groups were significantly higher than those before treatment, and these were superior in the treatment group than in the control group(P<0.05). The mortality was 5% in the treatment group and 20% in the control group(P<0.05). The incidences of grade III and grade IV cardiac function were significantly lower in the treatment group than in the control group(P<0.05). Conclusion Atenolol can not only reduce blood lipid but also inhibit inflammatory reaction and reduce mortality in patients with acute coronary syndrome complicated with arrhythmia.

Key words: Atenolol, Acute coronary syndrome, Arrhythmia, Clinical efficacy, Inflammatory factors

CLC Number: 

  • R451.2
[1] Makki N, Brennan TM, Girotra S. Acute coronary syndrome[J]. J Intensive Care Med, 2015, 30(4): 186-200.
[2] 娄唯鸣. 他汀类药物在急性冠状动脉综合征中抗炎作用的研究进展[J]. 中国临床新医学, 2013, 6(4): 380-384. LOU Weiming. Advances in the study of anti-inflammatory effects of statins in acute coronary syndrome[J]. New Clinical Medicine in China, 2013, 6(4): 380-384.
[3] Jackson BL, Adin DB, Lehmkuhl LB. Effect of atenolol on heart rate, arrhythmias, blood pressure, and dynamic left ventricular outflow tract obstruction in cats with subclinical hypertrophic cardiomyopathy[J]. J Vet Cardiol, 2015, 17(Suppl 1): 296-305.
[4] 黄景, 熊龙根, 李国强. 瑞舒伐他汀和阿托伐他汀对急性冠脉综合征hs-CRP 和心血管事件的影响[J]. 广西医学, 2013, 35(4): 411-412. HUANG Jing, XIONG Longgen, LI Guoqiang. Effects of resuvastatin and atorvastatin on hs-CRP and cardiovascular events in patients with acute coronary syndrome[J]. Guangxi Medicine, 2013, 35(4): 411-412.
[5] 王海伦, 肖娜, 付金国, 等. 阿托伐他汀对急性冠脉综合征合并心律失常患者炎性因子水平的影响[J]. 现代中西医结合杂志, 2015, 24(34): 3853-3854. WANG Hailun, XIAO Na, FU Jinguo, et al. Effect of atorvastatin on inflammatory factor levels in patients with acute coronary syndrome complicated with arrhythmia[J]. Journal of Modern Chinese and Western Medicine, 2015, 24(34): 3853-3854.
[6] 肖姗姗, 张思雯. 自拟平脉定悸方联合硫酸镁对急性冠脉综合征合并顽固性室性心律失常患者炎性反应及24 h动态心电图的影响[J]. 现代中西医结合杂志, 2017, 26(22): 2465-2467. XIAO Shanshan, ZHANG Siwen. Effects of Pingmaiting palpitation recipe combined with magnesium sulfate on inflammatory response and 24 h ambulatory electrocardiogram in patients with acute coronary syndrome complicated with intractable ventricular arrhythmia[J]. Modern Journal of Integrated Chinese and Western Medicine, 2017, 26(22): 2465-2467.
[7] 金彦彦, 张新勇, 艾辉, 等. BNP、CRP与急性心肌梗死并发恶性室性心律失常的相关分析[J]. 临床心血管病杂志, 2014, 30(11): 983-986. JIN Yanyan, ZHANG Xinyong, AI Hui, et al. Relationship between BNPP CRP and malignant ventricular arrhythmias in acute myocardial infarction[J]. Journal of Clinical Cardiovascular Disease, 2014, 30(11): 983-986.
[8] 韩世华. 急性冠状动脉综合征患者CD40L、TNF-L、IL-6及hs-CRP水平与室性心律失常相关性研究[J]. 中国现代医药杂志, 2016, 18(5): 57-59. HAN Shihua. Correlation between CD40L, TNF-α, IL-6 and hs-CRP levels and ventricular arrhythmia in patients with acute coronary syndrome[J]. Chinese Journal of modern medicine, 2016, 18(5): 57-59.
[9] 王骁骊, 张利民, 李永灵. 老年急性冠脉综合征的特点分析[J]. 中西医结合心血管病杂志, 2014, 2(12): 197-198. WANG Xiaoli, ZHANG Limin, LI Yongling. Analysis of the characteristics of senile acute coronary syndrome[J]. Journal of Cardiovascular Disease of Integrated Chinese and Western Medicine, 2014, 2(12): 197-198.
[10] 王青涛, 王志维. 超敏C反应蛋白和肿瘤坏死因子α应对急性冠脉综合征合并心律失常患者射频导管消融治疗效果的影响研究[J]. 实用心脑肺血管病杂志, 2015, 23(5): 9-12. WANG Qingtao, WANG Zhiwei. Effects of hypersensitive C-reactive protein and tumor necrosis factor crosis factor factor factor ctor tion in patients with acute coronary syndrome complicated with arrhythmia[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2015, 23(5): 9-12.
[11] 张科, 谭红霞, 卢建刚, 等. 老年冠心病患者PCI 后hs-CRP 和脑钠肽水平改变[J]. 贵阳医学院学报, 2014, 39(1): 67-69. ZHANG Ke, TAN Hongxia, LU Jiangang, et al. Changes of hs-CRP and brain natriuretic peptide after PCI in elderly patients with coronary heart disease[J]. Journal of Guiyang Medical College, 2014, 39(1): 67-69.
[12] 王哲颖, 孙剑锋, 王锐. 瑞舒伐他汀对急性冠脉综合征患者hs-CRP、IL-18水平及预后的影响[J]. 中国老年学杂志, 2013, 61(12): 77-80. WANG Zheying, SUN Jianfeng, WANG Rui. Effect of resuvastatin on the level and prognosis of hs-CRP-IL-18 in patients with acute coronary syndrome[J]. Chinese Journal of Gerontology, 2013, 61(12): 77-80.
[13] 曹芳芳, 张海涛, 冯雪, 等. 早期应用阿替洛尔注射液治疗急性冠脉综合征的Meta分析[J]. 解放军医学杂志, 2014, 39(1): 35-38. CAO Fangfang, ZHANG Haitao, FENG Xue, et al. Meta analysis of early application of atenolol injection in the treatment of acute coronary syndrome[J]. Medical Journal of Chinese Peoples Liberation Army, 2014, 39(1): 35-38.
[14] Sharma KK, Mathur M, Gupta R, et al. Epidemiology of cardioprotective pharmacological agent use in stable coronary heart disease[J]. Indian Heart J, 2013, 65(3): 250-255.
[15] DiNicolantonio JJ, Lavie CJ, Fares H, et al. Meta-analysis of carvedilol versus beta 1 selective beta-blockers(atenolol, bisoprolol, metoprolol, and nebivolol)[J]. Am J Cardiol, 2013, 111(5): 765-769.
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