Polak F
Z Gesamte Inn Med. 1978 Jun 15;33(12):395-9.
In this article shall be referred to a special form of reaction of the ST-T-complexes in the propranolol test. Instead of a normalisation of this section of the ECG an inverse reaction develops. It consists in the fact that after application of propranolol the negativities of the T-waves increase and the lowerings of the ST-distances deepen. They appear most frequently after an acute heart attack, such as after a spontaneous angina pectoris, and they can be reproduced only during some days. It is supposed that the cooperation of acute ischaemic myocardial processes with negative sequelae of the blockade of beta-receptors are responsible for this inverse reaction.
本文将提及普萘洛尔试验中ST-T复合波的一种特殊反应形式。心电图的这一部分没有恢复正常,而是出现了相反的反应。其表现为,应用普萘洛尔后,T波的负向波增大,ST段压低加深。这种情况最常出现在急性心肌梗死后,如自发性心绞痛发作后,且仅在数天内可重现。据推测,急性缺血性心肌过程与β受体阻滞剂的负面后遗症共同作用导致了这种相反的反应。