Cross-Sectional Analyses to Assess the Clinical Safety and Effectiveness of Bisoprolol in Patients With Non-obstructive Coronary Artery Disease Who Underwent Percutaneous Coronary Intervention: A Post-hoc Analysis
2024

Effectiveness of Bisoprolol in Patients with Non-obstructive Coronary Artery Disease

Sample size: 800 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Pinto Brian, Kulkarni Girish R, Kumar Soumitra, Deb Arup, Fischer Louie, Khandelwal Amit, Korukonda Krishnaprasad R, Nair Rathish

Primary Institution: Torrent Pharmaceuticals Ltd.

Hypothesis

Does bisoprolol improve clinical outcomes in patients with non-obstructive coronary artery disease who underwent percutaneous coronary intervention?

Conclusion

Bisoprolol is effective in reducing resting heart rate and improving left ventricular ejection fraction in Indian patients with non-obstructive coronary artery disease after percutaneous coronary intervention.

Supporting Evidence

  • Bisoprolol significantly reduced resting heart rate by 12.14 bpm in non-obstructive coronary artery disease patients.
  • Left ventricular ejection fraction improved by 4.68% after 24 weeks of bisoprolol treatment.
  • Adverse events were mild and did not require treatment withdrawal.

Takeaway

This study shows that a medicine called bisoprolol can help people with heart problems feel better and have healthier hearts.

Methodology

Post-hoc analyses of patients with non-obstructive coronary artery disease from cross-sectional studies across 80 centers in India.

Potential Biases

Potential bias due to the observational nature of the study.

Limitations

The study has a smaller sample size and a relatively short follow-up duration.

Participant Demographics

Mean age of participants was 58.63 years, with 76.37% males and 23.63% females.

Statistical Information

P-Value

<0.01

Confidence Interval

(-14.90, -13.10)

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.7759/cureus.75021

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