Document Detail


Propranolol and the morning increase in sudden cardiac death: (the beta-blocker heart attack trial experience).
MedLine Citation:
PMID:  2239715     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To provide insight into the protective effect of propranolol on mortality after myocardial infarction observed in the beta-Blocker Heart Attack Trial, the time of occurrence of sudden cardiac death was examined in this population. Between 5 A.M. and 11 A.M., 25 of the 56 total deaths (38%) occurred in the placebo patients compared with 11 of 45 (24%) in the propranolol patients. Excluding this period, there were nearly equal numbers of sudden cardiac deaths in the propranolol and placebo groups. This retrospective analysis suggests that beta blockade is protective during the morning hours when a surge of sympathetic activity may increase the risk of sudden cardiac death.
Authors:
R W Peters
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The American journal of cardiology     Volume:  66     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1990-12-13     Completed Date:  1990-12-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  57G-59G     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiology, University of Maryland, Baltimore.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Circadian Rhythm*
Death, Sudden / epidemiology*
Double-Blind Method
Humans
Middle Aged
Myocardial Infarction / drug therapy,  mortality*
Propranolol / therapeutic use*
Retrospective Studies
Chemical
Reg. No./Substance:
525-66-6/Propranolol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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