Lesson 4
2. The Atenolol
Study
What is the basis for this recommendation? Mangano
et. al. in the Effect of atenolol on mortality and cardiovascular
morbidity after noncardiac surgery. N Engl J Med 1997 did a prospective,
randomized, double blinded, placebo-controlled clinical trial
in 200 patients They did H&P, ECG's, Holter monitoring, CPK
with MB, hemodynamics, and then looked to see what happened.
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Atenolol Study.
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Randomize, Double Blinded,
Placebo Controlled, Clinical Trial in 200 patients |
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H&P, Holter ECG
for 7 Days, ECG q Day, CPK with MB, Hemodynamic |
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Outcome:
- Incidence
and Severity of ST changes on Holter
- Hemodynamics
- Safety
(Death, MI, CHF, Broncospasm, Unstable angina, Dysrhythmias)
- Hospital
D/C, 2 Year, 5 Year Followup
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