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Heidenreich, P.A., Hernandez, A.F., Yancy, C.W., Liang, L., Peterson, E.D. and Fonarow, G.C. (2012) Get with the guidelines program participation, process of care, and outcome for medicare patients hospitalized with heart failure. Circulation Cardiovascular Quality and Outcome, 5, 37-43.

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• TITLE: Discharge heart rate and future events among Japanese patients with acute heart failure receiving beta-blocker therapy

  AUTHORS: Kazuki Oshima, Shun Kohsaka, Kimi Koide, Yuji Nagatomo, Toshiyuki Nagai, Yutaka Endo, Tsutomu Yoshikawa, Keiichi Fukuda

  KEYWORDS: Heart Failure; Beta-Blocker; Heart Rate; Pharmaceutical Preparations

  JOURNAL NAME: World Journal of Cardiovascular Diseases, Vol.3 No.1A, March 29, 2013

  ABSTRACT: Background: Randomized trials have demonstrated the efficacy of beta-blockers (BBs) in heart failure (HF) patients. We sought to assess the impact of BBs on long-term outcome; in particular, we assessed the association between outcome and BB dose and discharge heart rate. Methods and Results: Prescriptions for dispensed medication and outcomes were identified from a prospective, single-institution HF registry. Long-term prognosis was compared between users and non-users of BBs. BB users were further divided into 2 groups based on dose (full and non-full dose) and discharge heart rate (70 bpm was significantly associated with impaired long-term outcome (HR = 1.872, P = 0.04). Conclusions: Optimizing heart rate, rather than maximizing BB dose, appears to be an appropriate treatment strategy for the beta-sensitive Japanese population.