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[乙胺碘呋酮及其与地高辛和谷氨酸联合应用对心律失常患者血流动力学指标及心肌收缩能力的作用特点]

[The characteristics of the action of ethacizine and its combination with digoxin and glutamic acid on the hemodynamic indices and myocardial contractile capacity in patients with a heart rhythm disorder].

作者信息

Zapevina V V, Poliakova L A, Nikolaeva S A

出版信息

Ter Arkh. 1990;62(9):51-4.

PMID:1980753
Abstract

A study was made of the effect of ethacizine administered in a single dose and continuously on myocardial contractility and hemodynamics in 78 patients with coronary heart disease, neurocirculatory dystonia and myocardiodystrophy suffering from impaired cardiac rhythm. In 28 patients, ethacizine was administered in combination with glutamic acid and in 23 with digoxin. In patients with coronary heart disease, particularly in those with heart failure, ethacizine produced a negative inotropic effect. Introduction into the treatment of digoxin or glutamic acid smoothed over the cardiodepressive action of the drug. When administered continuously in a dose of 150-300 mg/day, ethacizine is an effective antiarrhythmic drug.

摘要

对78例患有心律失常的冠心病、神经循环性肌张力障碍和心肌营养不良患者,研究了单次给药和连续给药乙吗噻嗪对心肌收缩力和血流动力学的影响。28例患者将乙吗噻嗪与谷氨酸联合使用,23例与地高辛联合使用。在冠心病患者中,尤其是心力衰竭患者,乙吗噻嗪产生负性肌力作用。将地高辛或谷氨酸引入治疗可减轻该药物的心脏抑制作用。当以150 - 300毫克/天的剂量连续给药时,乙吗噻嗪是一种有效的抗心律失常药物。

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