0
ARTICLE |

β-Blockade in Older Patients With Myocardial Infarction

Daniel E. Forman, MD; Jeanne Y. Wei, MD
JAMA. 1991;266(16):2222. doi:10.1001/jama.1991.03470160054021.
Text Size: A A A
Published online

To the Editor.  — Despite the consistent demonstration of benefit produced by β-blockade in the peri-infarct period,1,2 a benefit that may be enhanced in the aged,3 many clinicians seem to avoid this class of medications when treating older patients. To test the hypothesis that β-blockers may be underused in older cardiac patients, we conducted a retrospective study to determine whether use of β-blockers in the elderly is decreased out of proportion to the prevalence of contraindications.We studied all patients 50 years and older who were hospitalized sometime between 1984 and 1990 at Beth Israel Hospital, Boston, Mass, for acute myocardial infarction. Of 4387 patients, 831 (19%) were prescribed propranolol hydrochloride, atenolol, timolol, or metoprolol therapy, at a decreasing rate with advancing age (Table). Prevalence of congestive heart failure, chronic obstructive pulmonary disease, or delirium increased with age: 30% among those aged 50 to 59 years, 42% among

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();