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慢心律治疗老年及高龄期前收缩患者有效性的临床研究

[Clinical study of the effectiveness of mexitil in the treatment of patients with extrasystole in old and advanced age].

作者信息

Korkuschko O W, Butenko A G, Schatilo W B

出版信息

Z Gerontol. 1987 May-Jun;20(3):149-53.

PMID:2442897
Abstract

The antiarrhythmic efficacy and action of mexitil on minute volume, myocardial function and vegetative regulation of cardiac activity were studied in 25 patients aged 60-89 years, suffering from chronic IHD with stable ventricular extrasystoles. With mexitil dosage of 400-600 mg orally per day there was a marked antiarrhythmic effect in 68% of patients. A similar effect in 64% of patients was observed with a single dose of mexitil (300 mg orally per day) as early as 1-2 h after its administration and maintained for 8-10 h. The above dose of mexitil produced a statistically significant slowing down of cardiac rhythm without changing atrioventricular conductivity. No effect of mexitil on arterial blood pressure was found, nor did it exert cardiodepressive action or any purposeful effect on the vegetative regulation of the heart.

摘要

对25例年龄在60 - 89岁、患有慢性缺血性心脏病且伴有稳定室性期前收缩的患者,研究了慢心律对每分输出量、心肌功能及心脏活动自主调节的抗心律失常疗效和作用。每日口服慢心律400 - 600毫克时,68%的患者有明显的抗心律失常作用。单次口服慢心律(每日300毫克)时,早在给药后1 - 2小时,64%的患者就出现类似作用,并持续8 - 10小时。上述剂量的慢心律使心律在统计学上显著减慢,而不改变房室传导。未发现慢心律对动脉血压有影响,也未对心脏自主调节产生心脏抑制作用或任何有针对性的作用。

相似文献

1
[Clinical study of the effectiveness of mexitil in the treatment of patients with extrasystole in old and advanced age].慢心律治疗老年及高龄期前收缩患者有效性的临床研究
Z Gerontol. 1987 May-Jun;20(3):149-53.
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引用本文的文献

1
Mexiletine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in the treatment of arrhythmias.美西律。对其药效学和药代动力学特性以及在心律失常治疗中的治疗用途的综述。
Drugs. 1990 Sep;40(3):374-411. doi: 10.2165/00003495-199040030-00005.