PMID- 24639821 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140318 LR - 20220330 IS - 1682-024X (Print) IS - 1681-715X (Electronic) IS - 1681-715X (Linking) VI - 30 IP - 1 DP - 2014 Jan TI - Analysis of therapeutic effect and safety of target-dose metoprolol in the treatment of patients with diabetes mellitus with chronic heart failure. PG - 7-11 LID - 10.12669/pjms.301.3908 [doi] AB - OBJECTIVE: To explore the therapeutic effect and safety of target-dose metoprolol in treating chronic heart failure (CHF) patients complicated with diabetes mellitus (DM). Method s : One hundred and fifty-four elderly patients were randomly divided into an observation group and a control group (n=77), which were treated with target-dose metoprolol and conventional therapy, and routinely treated respectively. The New York Heart Association (NYHA) classification, left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), 6-min walking distance and medication safety of the two groups were compared. RESULTS: Compared with the results before treatment, the NYHA classification, LVESD, LVEDD, LVEF and 6-minutes walking distance of both groups were significantly improved (P<0.05), with significantly better results in the observation group than those in the control group after treatment (P<0.05). In the 6 months of follow-up, the incidence of cardiac events in the observation group (3.90%) was significantly lower than that of the control group (14.29%) (P<0.05). The levels of average fasting blood sugar and glycosylated hemoglobin in the groups showed no significant differences (P>0.05). CONCLUSION: Treating CHF patients complicated with DM with target-dose metoprolol can obviously boost the cardiac function and exercise tolerance, leading to satisfactory clinical therapeutic effect, high security and moderate tolerance. FAU - Liu, Xuyang AU - Liu X AD - Xuyang Liu, Department of Endocrinology, 252 Hospital of PLA, Baoding 071000, P. R. China. FAU - Zhong, Chengfu AU - Zhong C AD - Chengfu Zhong, Department of Endocrinology, 252 Hospital of PLA, Baoding 071000, P. R. China. FAU - Zhao, Pengtai AU - Zhao P AD - Pengtai Zhao, Department of Endocrinology, 252 Hospital of PLA, Baoding 071000, P. R. China. FAU - Zhang, Zhihua AU - Zhang Z AD - Zhihua Zhang, Department of Endocrinology, 252 Hospital of PLA, Baoding 071000, P. R. China. FAU - Jia, Ning AU - Jia N AD - Ning Jia, Department of Endocrinology, 252 Hospital of PLA, Baoding 071000, P. R. China. FAU - Su, Sheng'ou AU - Su S AD - Sheng'ou Su, Department of Endocrinology, Second Hospital of Hebei Medical University, Shijiazhuang 050000, P. R. China. FAU - Zou, Benliang AU - Zou B AD - Benliang Zou, Department of Endocrinology, Xiyuan Hospital CACMS, Beijing 010000, P. R. China. FAU - Song, Yuming AU - Song Y AD - Yuming Song, Department of Traditional Chinese Medicine, First Center Hospital of Baoding, Baoding 071000, P. R. China. LA - eng PT - Journal Article PL - Pakistan TA - Pak J Med Sci JT - Pakistan journal of medical sciences JID - 100913117 PMC - PMC3955532 OTO - NOTNLM OT - Chronic heart failure OT - Diabetes mellitus OT - Metoprolol OT - Safety OT - Therapeutic effect EDAT- 2014/03/19 06:00 MHDA- 2014/03/19 06:01 PMCR- 2014/01/01 CRDT- 2014/03/19 06:00 PHST- 2013/06/04 00:00 [received] PHST- 2013/10/28 00:00 [received] PHST- 2013/11/06 00:00 [accepted] PHST- 2014/03/19 06:00 [entrez] PHST- 2014/03/19 06:00 [pubmed] PHST- 2014/03/19 06:01 [medline] PHST- 2014/01/01 00:00 [pmc-release] AID - 10.12669/pjms.301.3908 [doi] PST - ppublish SO - Pak J Med Sci. 2014 Jan;30(1):7-11. doi: 10.12669/pjms.301.3908.