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肌苷的血流动力学效应。一种用于治疗人类心力衰竭的新药?

Haemodynamic effects of inosine. A new drug for failing human heart?

作者信息

Czarnecki W, Czarnecki A

机构信息

II Department of Cardiology, Grochowski Hospital, Warsaw, Poland.

出版信息

Pharmacol Res. 1989 Sep-Oct;21(5):587-94. doi: 10.1016/1043-6618(89)90200-4.

DOI:10.1016/1043-6618(89)90200-4
PMID:2594615
Abstract

Haemodynamic effects of inosine were studied in intact dogs and subsequently in patients suffering from prolonged otherwise intractable cardiogenic shock. The nucleoside significantly improve myocardial performance in patients with an extremely low cardiac index by 63 +/- 29% as well as animals with no signs of haemodynamic deterioration, increasing cardiac output by 12.2 +/- 4.3%. These results suggest that inosine may become a promising inotropic agent. Further studies though are necessary to elucidate the mechanism of inosine action.

摘要

在完整的狗身上研究了肌苷的血流动力学效应,随后又在患有长期难治性心源性休克的患者身上进行了研究。该核苷显著改善了心脏指数极低的患者的心肌功能,改善幅度为63±29%,对于没有血流动力学恶化迹象的动物,心输出量增加了12.2±4.3%。这些结果表明,肌苷可能成为一种有前景的正性肌力药物。不过,还需要进一步研究以阐明肌苷的作用机制。

相似文献

1
Haemodynamic effects of inosine. A new drug for failing human heart?肌苷的血流动力学效应。一种用于治疗人类心力衰竭的新药?
Pharmacol Res. 1989 Sep-Oct;21(5):587-94. doi: 10.1016/1043-6618(89)90200-4.
2
[Effect of a nucleoside, hypoxanthine-d-ribosode or inosine on cardiac hemodynamics in the normal or pathologic animal].[核苷、次黄嘌呤 -D-核糖苷或肌苷对正常或病理动物心脏血流动力学的影响]
Ann Pharm Fr. 1975 Feb;33(2):99-107.
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[Hemodynamics of the insufficient heart following myocardial infarct during diuresis with furosemide].[心肌梗死后使用速尿利尿期间心脏功能不全的血流动力学]
Z Kardiol. 1974 Dec;63(12):1077-86.
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Haemodynamic effects of glucagon.胰高血糖素的血流动力学效应。
Br Heart J. 1970 May;32(3):307-15. doi: 10.1136/hrt.32.3.307.
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Use and misuse of vasoactive agents in acute circulatory failure.
Arch Int Physiol Biochim. 1984 Nov;92(4):S5-9. doi: 10.3109/13813458409071162.
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Haemodynamic evaluation of ibopamine in severe congestive heart failure.异波帕胺在严重充血性心力衰竭中的血流动力学评估。
Eur J Clin Pharmacol. 1984;26(1):19-22. doi: 10.1007/BF00546702.
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Haemodynamic effects of insulin and beta receptor blockade during acute left ventricular failure in dogs.
Eur Heart J. 1986 Mar;7(3):227-33. doi: 10.1093/oxfordjournals.eurheartj.a062056.
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[Effect of digitalis on hemodynamics in acute myocardial infarct. II. Myocardial infarct associated with acute severe insufficiency of the left heart and cardiogenic shock].[洋地黄对急性心肌梗死血流动力学的影响。II. 与急性严重左心功能不全及心源性休克相关的心肌梗死]
Klin Wochenschr. 1970 May 15;48(10):591-7. doi: 10.1007/BF01485392.
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Angiotensin converting enzyme inhibition in patients with congestive heart failure.充血性心力衰竭患者的血管紧张素转换酶抑制作用
Circulation. 1978 Nov;58(5):770-6. doi: 10.1161/01.cir.58.5.770.
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Inosine : a naturally occurring cardiotonic agent.肌苷:一种天然存在的强心剂。
J Pharmacol. 1983;14 Suppl 3:47-71.

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1
Inosine enhances axon sprouting and motor recovery after spinal cord injury.肌苷促进脊髓损伤后的轴突发芽和运动功能恢复。
PLoS One. 2013 Dec 2;8(12):e81948. doi: 10.1371/journal.pone.0081948. eCollection 2013.
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Promoting axonal rewiring to improve outcome after stroke.促进轴突重连以改善中风后的预后。
Neurobiol Dis. 2010 Feb;37(2):259-66. doi: 10.1016/j.nbd.2009.11.009. Epub 2009 Nov 26.
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Comparison of the haemodynamic effects of adenosine monophosphate with sodium nitroprusside in a canine model of acute global left ventricular dysfunction.
急性全心左心室功能不全犬模型中磷酸腺苷与硝普钠血流动力学效应的比较。
Br J Pharmacol. 1991 Jul;103(3):1691-6. doi: 10.1111/j.1476-5381.1991.tb09848.x.