β-blockers in Post ST Elevation Myocardial Infarction Patient with Low Left Ventricular Systolic Function: A Retrospective Study at Shahid Gangalal National Heart Centre, Kathmandu, Nepal.
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Date
2014-07
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Abstract
Aims: Despite well developed guidelines in the management of ST elevation myocardial
infarction with low left ventricular ejection fraction, β-blockers remain an underutilized
therapy. We aim to assess the adherence of β-blocker use during the discharge in Shahid
Gangalal National Heart Centre, Kathmandu, Nepal.
Study Design: Retrospective, Observational study.
Place and Duration of Study: Department of cardiology, Shahid Gangalal National Heart
Centre, Kathmandu, Nepal. Between January 2012 to December 2012.
Methodology: Medical records of 160ST elevation myocardial infarction patients with left
ventricular ejection fraction ≤40% and discharged from our centre were retrospectively
reviewed regarding the use of β-blocker. Results: Among the 160 patients, 112 (70%) were males and 48 (30%) were females,
mean age was 59.1±13.4 years. Anterior wall myocardial infarction followed by extensive
anterior wall was the common in patient with low left ventricular ejection fraction after ST
elevation myocardial infarction. Only in 67.5% patients β-blockers were prescribed.
Metoprolol tartrate was the most commonly used β-blocker.
Conclusion: β-blocker use in patients ST elevation myocardial infarction patients with low
left ventricular ejection fraction in our study is comparable to international studies. We still
need some more effort to improve our prescription rate.
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Keywords
ST elevation myocardial infarction, low left ventricular ejection fraction, β-blocker, guidelines
Citation
Adhikari Chandra Mani, Rajbhandari Sujeeb, Prajapati Dipanker, Shrestha Nagma, Baniya Bibek, Bogati Amrit, Gurung Prakash, Thapaliya Suman. β-blockers in Post ST Elevation Myocardial Infarction Patient with Low Left Ventricular Systolic Function: A Retrospective Study at Shahid Gangalal National Heart Centre, Kathmandu, Nepal. Cardiology and Angiology An International Journal. 2014 Jul-Sep: 2(3): 140-146.