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[各种β-肾上腺素能阻滞剂对甲状腺功能亢进症和单纯性甲状腺肿患者心率及左心室收缩时间间期变化的影响]

[Effect of various beta-adrenolytic drugs on heart rate and changes in left-ventricular systolic time intervals in patients with hyperthyroidism and simple goiter].

作者信息

Gasińska T, Nowak S, Prochaczek F, Izbicka M, Matuszewska-Radwańska J

出版信息

Endokrynol Pol. 1989;40(2):69-78.

PMID:2576401
Abstract

The effects of a short-term application of various beta-adrenolytic drugs on heart rate and on the changes in subperiods of left ventricle contraction have been studied in 71 patients with untreated hyperthyroidism and in 72 patients with simple goiter. The following drugs were used: propranolol, metoprolol, atenolol, pindolol, nadolol and acebutolol. It was found that those betaadrenolytic drugs which have no sympathomimetic action cause a significant decrease in heart rate both in patients with hyperthyroidism and in those with simple goiter. The effect of these drugs on heart rate was not related to the changes in blood serum concentrations of thyroxine and triiodothyronine. None of the drugs tested influenced appreciably the contraction subperiods of left heart ventricle, both in the patients with hyperthyroidism and in those with simple goiter.

摘要

在71例未经治疗的甲状腺功能亢进患者和72例单纯性甲状腺肿患者中,研究了短期应用各种β-肾上腺素能阻滞剂对心率及左心室收缩各亚期变化的影响。使用了以下药物:普萘洛尔、美托洛尔、阿替洛尔、吲哚洛尔、纳多洛尔和醋丁洛尔。结果发现,那些没有拟交感神经作用的β-肾上腺素能阻滞剂,在甲状腺功能亢进患者和单纯性甲状腺肿患者中均能使心率显著降低。这些药物对心率的影响与血清甲状腺素和三碘甲状腺原氨酸浓度的变化无关。所测试的药物均未对甲状腺功能亢进患者和单纯性甲状腺肿患者的左心室收缩亚期产生明显影响。

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