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The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease

Background The cornerstone of pharmaceutical therapy for obstructive airway illnesses involves inhalation of bronchodilators, such as ipratropium bromide (IP) and salbutamol (SB). The heart rate regulation may be changed by β-2 agonists and anticholinergic medications. Investigating the impact of in...

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Autores principales: Akhtar, Ayesha, Abbas, Syed Ali, Zaidi, Syed Haris M, Sohail, Adeel, Alam, Muhammad I, Raza, Liaquat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620622/
https://www.ncbi.nlm.nih.gov/pubmed/37927692
http://dx.doi.org/10.7759/cureus.46409
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author Akhtar, Ayesha
Abbas, Syed Ali
Zaidi, Syed Haris M
Sohail, Adeel
Alam, Muhammad I
Raza, Liaquat
author_facet Akhtar, Ayesha
Abbas, Syed Ali
Zaidi, Syed Haris M
Sohail, Adeel
Alam, Muhammad I
Raza, Liaquat
author_sort Akhtar, Ayesha
collection PubMed
description Background The cornerstone of pharmaceutical therapy for obstructive airway illnesses involves inhalation of bronchodilators, such as ipratropium bromide (IP) and salbutamol (SB). The heart rate regulation may be changed by β-2 agonists and anticholinergic medications. Investigating the impact of inhaled SB and IP on the heart rate was the goal of this study. Methods A total of 304 patients were enrolled in this investigation. Baseline demographic characteristics, medical history, and adverse events were documented. Their heart rates were monitored before and after bronchodilator administration. SB and IP were selected based on historical usage. Blood pressure readings were also taken before and after each session. Results There was a significant increase in heart rates after SB from a mean of 106.69 to 117.20. Similarly, the heart rate of the patients in the IP group increased to a mean of 106.95 from 93.44, with a statistically significant p-value. Moreover, tremors were the most common adverse effect, accounting for 85.3% of the patients in the IP group and 75% in the SB group. In contrast, palpitation was more common in the SB group 25% vs. 14.7% with a significant p-value. Conclusion Frequently administered dosages of SB and IP caused a considerable increase in heart rates, as well as tremors and palpitation.
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spelling pubmed-106206222023-11-03 The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease Akhtar, Ayesha Abbas, Syed Ali Zaidi, Syed Haris M Sohail, Adeel Alam, Muhammad I Raza, Liaquat Cureus Internal Medicine Background The cornerstone of pharmaceutical therapy for obstructive airway illnesses involves inhalation of bronchodilators, such as ipratropium bromide (IP) and salbutamol (SB). The heart rate regulation may be changed by β-2 agonists and anticholinergic medications. Investigating the impact of inhaled SB and IP on the heart rate was the goal of this study. Methods A total of 304 patients were enrolled in this investigation. Baseline demographic characteristics, medical history, and adverse events were documented. Their heart rates were monitored before and after bronchodilator administration. SB and IP were selected based on historical usage. Blood pressure readings were also taken before and after each session. Results There was a significant increase in heart rates after SB from a mean of 106.69 to 117.20. Similarly, the heart rate of the patients in the IP group increased to a mean of 106.95 from 93.44, with a statistically significant p-value. Moreover, tremors were the most common adverse effect, accounting for 85.3% of the patients in the IP group and 75% in the SB group. In contrast, palpitation was more common in the SB group 25% vs. 14.7% with a significant p-value. Conclusion Frequently administered dosages of SB and IP caused a considerable increase in heart rates, as well as tremors and palpitation. Cureus 2023-10-03 /pmc/articles/PMC10620622/ /pubmed/37927692 http://dx.doi.org/10.7759/cureus.46409 Text en Copyright © 2023, Akhtar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Akhtar, Ayesha
Abbas, Syed Ali
Zaidi, Syed Haris M
Sohail, Adeel
Alam, Muhammad I
Raza, Liaquat
The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease
title The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease
title_full The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease
title_fullStr The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease
title_full_unstemmed The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease
title_short The Acute Effects of the Use of Salbutamol and Ipratropium on the Heart Rates of Patients With Obstructive Airway Disease
title_sort acute effects of the use of salbutamol and ipratropium on the heart rates of patients with obstructive airway disease
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620622/
https://www.ncbi.nlm.nih.gov/pubmed/37927692
http://dx.doi.org/10.7759/cureus.46409
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