Episode 301: 300. A New Trial On Beta Blockers and COPD

Episode 301: 300. A New Trial On Beta Blockers and COPD

The problems with observation data is real—

randomized trial, U.K. researchers identified 519 patients (mean age, 68) with mostly moderate COPD (mean forced expiratory volume in 1 second [FEV1], 50%), ≥2 exacerbations during the previous year, and no cardiovascular (CV) indications for β-blockers.

Patients were randomized to receive the cardioselective β-blocker bisoprolol (initially 1.25 mg daily, titrated to 5 mg if tolerated) or placebo.

At 1 year, no significant differences were noted between groups in incidence of COPD exacerbations or in other important benefits or harms.



Cardioselective β-blockers remain appropriate for COPD patients who have valid cardiovascular indications for their use, but taken these two studies together suggests that COPD patients without such indications should avoid bblockers—even cardio selective beta blockers

https://jamanetwork.com/journals/jama/article-abstract/2819083

Episoder(387)

87. HPV, Self Swab, Intermittent Fasting and More

87. HPV, Self Swab, Intermittent Fasting and More

https://www.bmj.com/content/363/bmj.k4823 self swabs workhttps://onlinelibrary.wiley.com/doi/full/10.1002/oby.22345 intermittent fastinghttps://jamanetwork.com/journals/jama/article-abstract/2718066 V...

17 Feb 201923min

86. Top Articles of 2018 part 3

86. Top Articles of 2018 part 3

My view of some of the top articles and medical headlines from 2018.

10 Feb 201919min

85. Part 2- More Articles From 2018

85. Part 2- More Articles From 2018

Mechanical thrombectomy, FDA and concussion. HPV vaccine and more on this episodes covering top articles from 2018.

3 Feb 201920min

84. Top Articles of 2018

84. Top Articles of 2018

1 of many in which I break down what I think are articles or titles of 2018 you need to know about (hint: my have been discussed on QM before)

24 Jan 201924min

Repost 82. Mammograms and Breast Cancer Screening Part 2

Repost 82. Mammograms and Breast Cancer Screening Part 2

This is a heated debate but the numbers tell the whole story. So let's dig into the numbers a little more and find the real benefit of the screening mammogram.

6 Nov 201822min

81. Mammograms, Pink Ribbons, and Screening part 1

81. Mammograms, Pink Ribbons, and Screening part 1

It is time to tackle screening mammograms. I warn you, this is evidence, try not to listen with emotion.

24 Okt 20184min

80. Articles and What to do with Statins, CRP, and Calcium Score

80. Articles and What to do with Statins, CRP, and Calcium Score

Heading to FMX and the bags are packed!! Here is a little something to hold you down till I return! If you are going to be there then tweet me @andrewbuelt

8 Okt 201838min

78. Hep C and ESRD along with so much more

78. Hep C and ESRD along with so much more

Another hard hitting Questioning Medicine packed with all sorts of articles and gems. Times are changing for those that have to sit in a chair 3 days a week and it is coming from those with hep. C

15 Sep 201828min

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