Regenthal R, Voigt H, Preiss R
Institut für Klinische Pharmakologie, Bereiches Medizin der Universität Leipzig.
Z Gesamte Inn Med. 1991 Jan-Feb;46(1-2):1-5.
From clinico-pharmacological view the present paper gives a survey of the important drug group of the beta-receptor blockers. While non-selective blockers effect a global depression of the sympathico-adrenergic activity of the organism, the beta 1-selective blockers are characterized by a dose-dependent preferred affinity to the cardiac and renal beta 1-receptors. Thus in low and moderate dosages undesired pulmonary, vascular and metabolic effects can be avoided. Main indications for beta-receptor blockers are the arterial hypertension, the coronary heart disease and the tachycardiac disturbances of the cardiac rhythm. Apart from the increase of the life-quality of the patient the prognosis improving effect in clinical long-term studies confirmed for several beta-receptor blockers should be used therapeutically.
从临床药理学角度来看,本文综述了β受体阻滞剂这一重要药物类别。非选择性阻滞剂会导致机体交感肾上腺素能活性全面降低,而β1选择性阻滞剂的特点是对心脏和肾脏的β1受体具有剂量依赖性的优先亲和力。因此,在低剂量和中等剂量时,可以避免不良的肺部、血管和代谢效应。β受体阻滞剂的主要适应证为动脉高血压、冠心病和心律失常。除了提高患者的生活质量外,几种β受体阻滞剂在临床长期研究中证实的改善预后的效果也应用于治疗。