Antalóczy Z, Kékes E
Second Department of Medicine, Postgraduate Medical School, Budapest.
Ther Hung. 1992;40(2):58-63.
The anti-anginal effect of Tenormin (atenolol) has been examined besides placebo control by single blind method in 20 patients with ischaemic heart disease, suffering from stable effort angina proved by coronarography. It has been observed that atenolol significantly decreases the weekly number of anginal attacks, and the amount of sublingual nitroglycerin consumption. It has been proved that atenolol successfully prevents the exercise-induced elevation of blood pressure and heart rate, increases exercise tolerance, decreases myocardial O2 consumption. The place among beta-blockers of the cardioselective, low lipophilic atenolol, which lacks membrane stabilizing and partial agonist activity, has been discussed. The administration of a single daily dose (one 100-mg tablet), selective cardiac effect, lack of unwanted side-effects (cold extremity, nightmare, insomnia, etc.) are the advantages of the drug.
除了安慰剂对照外,还采用单盲法对20例经冠状动脉造影证实患有稳定劳力型心绞痛的缺血性心脏病患者,研究了天诺敏(阿替洛尔)的抗心绞痛作用。观察到阿替洛尔能显著减少每周心绞痛发作次数和舌下硝酸甘油的用量。已证实阿替洛尔成功预防了运动引起的血压和心率升高,提高了运动耐量,降低了心肌耗氧量。文中还讨论了具有心脏选择性、低亲脂性、缺乏膜稳定和部分激动剂活性的阿替洛尔在β受体阻滞剂中的地位。每日单次给药(一片100毫克片剂)、选择性心脏作用、无不良副作用(肢体发冷、噩梦、失眠等)是该药的优点。