[The use of verapamil for correcting the hemodynamic disorders in the acute period of a myocardial infarct].

A study of 40 patients with acute myocardial infarction indicates that in those without circulatory insufficiency phynoptin did not reduce cardiac ejection but reduced postloads, energy expenditures and work of the left ventricle myocardium, favoured early stabilization of the cardiovascular system. In cases with cardiac insufficiency phynoptin reduced the contractile capacity of the left ventricle, stasis in the lesser circulation. Associated use of phynoptin and nitrates in acute myocardial infarction with circulatory insufficiency allowed to avoid depressive effect of phynoptin on myocardial contractility and to avoid progression of cardiac insufficiency.