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索他洛尔治疗高血压(作者译)

[Treatment of hypertension with Sotalol (author's transl)].

作者信息

Fillastre J P, Godin M, Joire J E, Gauthier A

出版信息

Sem Hop. 1979;55(39-40):1825-31.

PMID:232780
Abstract

Sotalol is a new beta-adrenoceptor blocking drug without membrane stabilizing activity, without intrinsic sympathomimetic activity and with a low cardio-depressive effect. This beta-blocking agent has an half-life much longer than the other beta-blockers (T 1/2 from 10 to 13 hours). The antihypertensive effect and tolerance of 160 mg tablets of sotalol were studied in 35 hypertensive patients aged 18 to 60 years. The drug was administred once daily in the morning. Sotalol prescribed as the only antihypertensive drug lowered the blood pressure to normal values in 21 cases with a single daily of 1 to 3 tablets. In 8 patients a partial response was obtained (25 % reduction of the initial systolic and diatolic pressure). Six patients did not respond. The clinical and biological tolerances were good; Sotalol was only discontinued in three cases. Sotalol appears to be an effective and well tolerated antihypertensive agent, specially for the treatment of moderate and recent essential hypertension in young patients.

摘要

索他洛尔是一种新型的β-肾上腺素能受体阻滞剂,无膜稳定活性,无内在拟交感活性,且心脏抑制作用较弱。这种β受体阻滞剂的半衰期比其他β受体阻滞剂长得多(半衰期为10至13小时)。对35名年龄在18至60岁的高血压患者研究了索他洛尔160毫克片剂的降压效果和耐受性。该药每天早晨服用一次。作为唯一的降压药,索他洛尔每日单次服用1至3片,使21例患者的血压降至正常水平。8例患者有部分反应(初始收缩压和舒张压降低25%)。6例患者无反应。临床和生物学耐受性良好;仅3例患者停用索他洛尔。索他洛尔似乎是一种有效且耐受性良好的降压药,尤其适用于治疗年轻患者的中度和近期原发性高血压。

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