Brief Article
Study on use of β-blocker and resting heart rate control among patients with coronary disease in community medical institutions
Wang Chenghuan, Wang Hongyan, Liu Yujiang, Zhao Fengmei, Jiang Yue
Published 2022-12-04
Cite as Chin J Gen Pract, 2022, 21(12): 1169-1173. DOI: 10.3760/cma.j.cn114798-20220314-00181
Abstract
A cross-sectional study was conducted on 1 052 patients with coronary heart disease (CHD) who visited 10 community health service centers in Chaoyang and Haidian districts of Beijing from March 2019 to September 2019. Basic information, medical history, cardiovascular risk factors, β-blocker use, height, weight, blood pressure level and resting heart rate were collected by face-to-face interview;biochemical tests and on-site physical examination were performed;and the influencing factors of heart rate control were analyzed by logistic regression. There were 563 males (53.5%) and 489 females(46.5%),with a mean age of (66.7±9.5) years. The rate of β-blockers use was 43.6% (459/1 052). The average resting heart rate was (70±8)/min, and only 14.5% (153/ 1 052) patients had the heart rate under control. The resting heart rate control rate in patients with β-blockers use was 17.9% (82/459), higher than that of those without β-blockers use [12.0% (71/593), χ2=7.23, P=0.007]. Moderate leisure activities were beneficial to the control of resting heart rate (OR=2.14, 95%CI: 1.26-3.62). The study shows that β-blockers use and resting heart rate control in CHD patients in Beijing community health institutions were both at low levels, and the resting heart rate was not well controlled even in patients taking beta-blockers.
Key words:
Coronary heart disease; Resting heart rate; Hypertension; β-blocker
Contributor Information
Wang Chenghuan
Department of General Practice, Beijing Yangfangdian Hospital, Beijing 100038, China
Wang Hongyan
Taiyanggong Community Health Service Center, Chaoyang District, Beijing 100028, China
Liu Yujiang
Gaobeidian Community Health Service Center, Chaoyang District, Capital Medical University, Beijing 100124, China
Zhao Fengmei
Yayuncun Community Health Service Center, Chaoyang District, Beijing 100101, China
Jiang Yue
Department of General Practice, the First Hospital of Tsinghua University, Beijing 100016, China