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尼可地尔与硝酸甘油急性血流动力学及冠状动脉扩张作用的比较。

Comparison of the acute hemodynamic and coronary vasodilating effects between nicorandil and glyceryl trinitrate.

作者信息

Chibana T, Nagamine F, Sunagawa R, Oshiro K, Nakada Y, Shimabukuro M, Shinzato T, Murakami K, Mimura G, Sakanashi M

机构信息

Second Department of Internal Medicine, School of Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.

出版信息

Arzneimittelforschung. 1991 Jun;41(6):591-4.

PMID:1834065
Abstract

Acute hemodynamic and coronary vasodilating effects of nicorandol (SG-75, Sigmat; CAS 65141-46-0) and glyceryl trinitrate (GTN, nitroglycerin) were examined in 20 subjects under cardiac catheterization and coronary arteriography. Nicorandil 4 mg i.v. produced significant increases in heart rate, cardiac index and stroke volume index and significant decreases in systolic, diastolic and mean blood pressure, pulmonary capillary wedge pressure, left ventricular enddiastolic pressure, systemic vascular resistance and total pulmonary resistance. Degree of percent changes in these parameters by nicorandil were similar to that by GTN 0.3 mg i.v. Coronary vasodilating effects of both drugs were also at the same degree. Results indicate that nicorandil has cardiovascular and coronary vasodilating effects similar to those of GTN when administered intravenously.

摘要

在20例接受心导管检查和冠状动脉造影的受试者中,研究了尼可地尔(SG-75,西格玛;化学物质登记号65141-46-0)和硝酸甘油(GTN,硝酸甘油)的急性血流动力学和冠状动脉舒张作用。静脉注射4毫克尼可地尔可使心率、心脏指数和每搏量指数显著增加,使收缩压、舒张压和平均血压、肺毛细血管楔压、左心室舒张末期压力、全身血管阻力和总肺阻力显著降低。尼可地尔引起的这些参数的百分比变化程度与静脉注射0.3毫克GTN相似。两种药物的冠状动脉舒张作用程度也相同。结果表明,静脉给药时,尼可地尔具有与GTN相似的心血管和冠状动脉舒张作用。

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Arzneimittelforschung. 1991 Jun;41(6):591-4.
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引用本文的文献

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Nicorandil normalizes prolonged repolarisation in the first transgenic rabbit model with Long-QT syndrome 1 both in vitro and in vivo.尼可地尔使长 QT 综合征 1 转基因兔模型的心肌细胞复极延长得到纠正:在体、离体实验研究。
Eur J Pharmacol. 2011 Jan 10;650(1):309-16. doi: 10.1016/j.ejphar.2010.10.016. Epub 2010 Oct 17.
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Impact of nicorandil in angina: subgroup analyses.尼可地尔对心绞痛的影响:亚组分析。
Heart. 2004 Dec;90(12):1427-30. doi: 10.1136/hrt.2003.026310.
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Trial to show the impact of nicorandil in angina (IONA): design, methodology, and management.
评估尼可地尔对心绞痛影响的试验(IONA):设计、方法与管理
Heart. 2001 Jun;85(6):E9. doi: 10.1136/heart.85.6.e9.
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Nicorandil. A review of its pharmacology and therapeutic efficacy in angina pectoris.尼可地尔。其在心绞痛中的药理学及治疗效果综述。
Drugs. 1992 Oct;44(4):625-55. doi: 10.2165/00003495-199244040-00008.