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比索洛尔对冠心病患者运动耐量的影响:安慰剂对照双盲交叉研究。

Effect of bisoprolol on exercise tolerance in patients with coronary heart disease: placebo-controlled double-blind crossover study.

作者信息

Schnellbacher K, Marsovszky E, Roskamm H

出版信息

J Cardiovasc Pharmacol. 1986;8 Suppl 11:S143-7. doi: 10.1097/00005344-198511001-00026.

DOI:10.1097/00005344-198511001-00026
PMID:2439786
Abstract

Twelve patients with stable angina pectoris due to coronary heart disease received single oral doses of 5, 10, and 20 mg bisoprolol in a placebo-controlled double-blind crossover study. A significant, dose-related increase in exercise tolerance in symptom-limited bicycle exercise tests performed 2.5 h after administration (p less than 0.05) was demonstrated. The dose-effect relationship was especially marked in reduction of heart rate, rate-pressure product, and ischemic ST-segment depression at the highest comparable workload (p less than 0.01). Compared with placebo, mean improvements in work performance (determined by the maximal workload attained, i.e., W X minutes) increased to 105% with 5 mg, to 122% with 10 mg, and to 131% with 20 mg bisoprolol. The lower incidence rate of exercise-induced symptoms of angina pectoris at an identical workload was marked at the 10- and 20-mg dose.

摘要

在一项安慰剂对照的双盲交叉研究中,12例因冠心病导致稳定型心绞痛的患者接受了单次口服5毫克、10毫克和20毫克比索洛尔治疗。结果显示,给药后2.5小时进行的症状限制性自行车运动试验中,运动耐量有显著的剂量相关增加(p<0.05)。在最高可比工作量下,心率、心率-血压乘积和缺血性ST段压低的降低方面,剂量效应关系尤为明显(p<0.01)。与安慰剂相比,工作表现的平均改善(由达到的最大工作量确定,即W×分钟)在服用5毫克比索洛尔时增至105%,10毫克时增至122%,20毫克时增至131%。在相同工作量下,10毫克和20毫克剂量时运动诱发的心绞痛症状发生率较低。

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Effect of bisoprolol on exercise tolerance in patients with coronary heart disease: placebo-controlled double-blind crossover study.比索洛尔对冠心病患者运动耐量的影响:安慰剂对照双盲交叉研究。
J Cardiovasc Pharmacol. 1986;8 Suppl 11:S143-7. doi: 10.1097/00005344-198511001-00026.
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引用本文的文献

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Bisoprolol. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy in hypertension and angina pectoris.比索洛尔。对其药效学和药代动力学特性以及在高血压和心绞痛治疗中的疗效的初步综述。
Drugs. 1988 Sep;36(3):256-85. doi: 10.2165/00003495-198836030-00002.
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A randomized double-blind study of bisoprolol versus atenolol in mild to moderate essential hypertension.
Eur J Clin Pharmacol. 1990;38(1):21-4. doi: 10.1007/BF00314797.
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Hemodynamic evaluation of bisoprolol after coronary artery surgery in patients with altered left ventricular function.左心室功能改变患者冠状动脉搭桥术后比索洛尔的血流动力学评估
Cardiovasc Drugs Ther. 1991 Jun;5(3):629-33. doi: 10.1007/BF03029731.