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心肌梗死后的钙拮抗剂:关于潜在致命性早期缺血性室性心律失常实验研究的意义

Calcium antagonists post-infarction: the significance of experimental studies on potentially lethal early ischemic ventricular arrhythmias.

作者信息

Opie L H

出版信息

Cardiovasc Drugs Ther. 1991 Aug;5(4):671-5. doi: 10.1007/BF03029739.

Abstract

The DAVIT-II trial has shown that the verapamil type of calcium antagonist can beneficially be used in post-infarct patients. A recent re-analysis suggests that verapamil may also prevent post-infarct sudden death. There are good theoretical reasons to suppose that calcium antagonists should help prevent ventricular fibrillation. If calcium antagonist agents could be found which have negligible negative inotropic effects, such drugs might be ideal for further testing in the post-infarct phase.

摘要

DAVIT-II试验表明,维拉帕米类钙拮抗剂可有效地用于心肌梗死后的患者。最近的一项重新分析表明,维拉帕米还可能预防心肌梗死后的猝死。有充分的理论依据推测钙拮抗剂应有助于预防心室颤动。如果能找到负性肌力作用可忽略不计的钙拮抗剂药物,这类药物可能是在心肌梗死后阶段进行进一步试验的理想选择。

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