Observation of spironolactone in treating chronic heart failure
Xiao Xuan Lei
Abstract
Xiao Xuan Lei
Abstract
Objective:To compare the effectiveness and safety of spironolactone in treating chronic heart failure in addition to benazepril and betaloc therapy.Methods:84 patients with chronic heart failure were randomly divided into two groups,spironolactone group(42 cases) and control group(42 cases).After 6 months' therapy,blood pressure,blood biochem istry,left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular ejection fraction(LVEF) and VE/VA were measued.The incidence of high kalium was recorded.Results:LVEDV,LVESV,LVEF and VE/VA of the patients in the spironolactone group were significantly improved(P0.05),which were significantly different from that of the control group(P0.05).The heart function of the patients was found much improved compared with controls.Conclusion:Adding spironolactone to benazepril and betaloc therapy is effective and safe in improving left ventricular function of patients with chronic heart failure.
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Objective:To compare the effectiveness and safety of spironolactone in treating chronic heart failure in addition to benazepril and betaloc therapy.Methods:84 patients with chronic heart failure were randomly divided into two groups,spironolactone group(42 cases) and control group(42 cases).After 6 months' therapy,blood pressure,blood biochem istry,left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular ejection fraction(LVEF) and VE/VA were measued.The incidence of high kalium was recorded.Results:LVEDV,LVESV,LVEF and VE/VA of the patients in the spironolactone group were significantly improved(P0.05),which were significantly different from that of the control group(P0.05).The heart function of the patients was found much improved compared with controls.Conclusion:Adding spironolactone to benazepril and betaloc therapy is effective and safe in improving left ventricular function of patients with chronic heart failure.
Key concepts: Spironolactone, Medicine, Benazepril, Ejection fraction, Heart failure, Internal medicine, Cardiology, Blood pressure