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维拉帕米长效新衍生物阿尼帕米的抗高血压、抗钙化和抗动脉硬化特性

Antihypertensive, anticalcinotic, and antiarteriosclerotic properties of anipamil, a long-acting new derivative of verapamil.

作者信息

Frey M, Zorn J, Fleckenstein-Grün G, Fleckenstein A

机构信息

Physiological Institute, University of Freiburg, F.R.G.

出版信息

J Cardiovasc Pharmacol. 1989;13 Suppl 4:S23-8. doi: 10.1097/00005344-198900134-00006.

Abstract

The classical indication for calcium antagonists has for a long time been coronary heart disease. However, more recent experimental data as well as a host of clinical observations now encourage a broader use of these drugs also for antihypertensive purposes and for prevention of concomitant sclerotic vascular injury. Needless to say, for the treatment of hypertensive crises rapidly acting calcium antagonists are required, whereas for chronic therapy of hypertension calcium antagonists with a long duration of action on blood pressure are advantageous. In this context anipamil seems to be particularly suited for long-term control of elevated blood pressure. Thus, anipamil justifies good therapeutic expectations regarding the clinical management of essential or renal hypertension.

摘要

长期以来,钙拮抗剂的经典适应证一直是冠心病。然而,最近的实验数据以及大量临床观察结果,如今促使人们更广泛地将这些药物用于抗高血压目的以及预防伴发的硬化性血管损伤。不用说,治疗高血压危象需要速效钙拮抗剂,而对于高血压的长期治疗,作用于血压持续时间长的钙拮抗剂则具有优势。在这种情况下,阿尼帕米似乎特别适合长期控制血压升高。因此,阿尼帕米在原发性或肾性高血压的临床治疗方面有理由获得良好的治疗预期。

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