Department of Cardiology, Okazaki City Hospital, Aichi, Japan.
Clin Interv Aging. 2010 Nov 26;5:365-8. doi: 10.2147/CIA.S15158.
Despite the well-understood importance of beta-blocker therapy in heart failure, it is sometimes not possible to use beta-blockers in elderly patients due to poor tolerance. In this report, we describe the case of an 83-year-old patient with severe systolic heart failure complicated by aortic valve stenosis and atrial fibrillation. A simple therapeutic approach involving discontinuation of beta-blockers remarkably alleviated the symptoms such as left ventricular ejection fraction, and improved the chest radiography and laboratory findings; further, atrial fibrillation converted to sinus rhythm. It is important to carefully administer beta-blocker therapy to elderly patients with heart failure, especially after considering cardiac output.
尽管β受体阻滞剂在心衰治疗中的重要性已被充分认识，但由于老年患者耐受性差，有时无法使用β受体阻滞剂。在本报告中，我们描述了一位 83 岁的患者，患有严重的收缩性心力衰竭，合并主动脉瓣狭窄和心房颤动。一种简单的治疗方法，包括停用β受体阻滞剂，显著缓解了左心室射血分数等症状，并改善了胸部 X 线和实验室检查结果；此外，心房颤动转为窦性心律。对于心力衰竭的老年患者，β受体阻滞剂治疗需要谨慎，特别是在考虑心输出量后。
