This study is to test the feasibility and tolerability of the metoprolol optimal dosing pathway by observing the percentage of patients achieving target dose followed the pathway on ACS patients during hospitalization.
Acute coronary syndrome(ACS) is one of the main manifestations of cardiovascular disease and one of the main causes for hospitalization in adults. Previous studies showed that β-receptor blockers can reduce ACS patients' cardiovascular risk in both acute phase and secondary prevention. We summarized the metoprolol optimal dosing pathway based on Chinese and foreign guidelines as well as Chinese clinical practice. Primary endpoint is the percentage of patients achieving target dose at time of discharge. Secondary endpoints are the mean HR \& BP at discharge and during the follow up period of the Patients who have achieved target dose at discharge.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1,000
Patients with acute coronary syndrome take metoprolol during hospital and after discharge in the optimal dosing pathway.
The General Hospital of PLA
Beijing, China
RECRUITINGpercentage of patients achieving target dose
The percentage of patients achieving target dose of 95mg/d at the time of discharge
Time frame: 1 month
mean heart rate
The mean HR after achieving target dose
Time frame: 1 month
mean blood pressure
The mean BP after achieving target dose
Time frame: 1 month
percentage of patients who experienced bradycardia with symptoms
The percentage of patients who experienced bradycardia with symptoms during hospitalization and for 1 month after discharge, respectively
Time frame: 1 month
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