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[波纳可静脉给药的抗心律失常作用及血流动力学效应]

[The anti-arrhythmia effect and hemodynamic effects of Bonnecor in intravenous administration].

作者信息

Volkmann H, Kühnert H, Dannberg G, Küch N, Büttner A

机构信息

Klinik für Innere Medizin, Bereiches Medizin der Friedrich-Schiller-Universität Jena.

出版信息

Z Gesamte Inn Med. 1989 Dec 1;44(23):707-11.

PMID:2629366
Abstract

For testing the efficiency of Bonnecor in intravenous administration (0.3 mg/kg) 36 patients were examined electrophysiologically (31 with paroxysmal supraventricular tachycardias, 5 with ventricular tachycardias). In other 6 patients haemodynamic investigations were performed by means of right-heart catheterization and thermodilution. The supraventricular tachycardias induced by programmed electrostimulation could be interrupted by administration of Bonnecor in 45% of the cases. After the administration of Bonnecor the inducibility of supraventricular tachycardias was suppressed in 11 of the 31 patients. In 2 of the 5 patients with ventricular tachycardia an evocation of ventricular tachycardias was no more possible after an intravenous application of Bonnecor; a medicamentous termination of the ventricular tachycardias had been tried only in one case. Clinically relevant negatively inotropic effects could not be proved. Apart from insignificant malaises in few cases, no side-effects occurred.

摘要

为测试博内科尔静脉给药(0.3毫克/千克)的效果,对36例患者进行了电生理检查(31例阵发性室上性心动过速患者,5例室性心动过速患者)。另外6例患者通过右心导管插入术和热稀释法进行了血流动力学研究。程序电刺激诱发的室上性心动过速在45%的病例中可通过博内科尔给药中断。给药后,31例患者中有11例的室上性心动过速诱发能力受到抑制。5例室性心动过速患者中有2例在静脉注射博内科尔后不再能诱发室性心动过速;仅在1例中尝试了药物终止室性心动过速。未证实有临床相关的负性肌力作用。除少数病例出现轻微不适外,未发生副作用。

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