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Analysis of Application Value of Irbesartan Hydrochlorothiazide Combined with Metoprolol in Elderly Patients with Heart Failure |
He Lei, Xing Ying, Wang Haiyang |
Nanyang Central Hospital; Nanyang 473000 Henan,China |
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Abstract Objective To explore the efficacy of Irbesartan hydrochlorothiazide combined with metoprolol in elderly patients with heart failure.Methods 74 elderly patients with heart failure were selected and divided into a combination group(n=37)and a single group(n=37)according to the random number table method.The single group was given metoprolol,and the combined group was given metoprolol + Irbesartan hydrochlorothiazide.The curative effect,B-type brain natriuretic peptide(BNP),heart rate(HR),6-min walking test,high-sensitivity C-reactive protein(hs-CRP)level and adverse reactions were compared between the two groups.Results Compared with 72.97%(27/37)of the single group,the total effective rate of the combined group94.59%(35/37)washigher(P<0.05);Compared with the single group,the HR of the combined group after treatment was lower,the 6-min walking test was longer,and the levels of BNP and hs-CRP were lower(P<0.05);The incidence of adverse reactions in the combined group 8.11%(3/37)was lower than that in the single group 27.03%(10/37)(P<0.05).Conclusion Irbesartan and hydrochlorothiazide combined with metoprolol in the treatment of elderly patients with heart failure can improve the curative effect,improve thecardiac function,and cardiac function,and is safe and reliable.
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Received: 29 September 2022
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