Bolte H D
MMW Munch Med Wochenschr. 1978 Nov 3;120(44):1461-6.
Within the last 10 years the indications for a therapeutic regimen with beta-blocking-agents have been differentiated: coronary heart disease with angina pectoris (interval regimen), essential hypertension, especially in younger persons; hyperkinetic heart syndrome; thyreotoxikosis, symptomatic therapy; heart rhythm disorders, extrasystolic or tachysystolic; neurologic-psychiatric diseases. The development of the newer beta-blocking-agents has effected different kinetic data (f.i. long acting effects of Tenormin) and a increased cardioselectivity. The recommendations for the therapeutic regimen have to be outlined to the underlying diseases. The sensitivity against the drugs depends on remarkable individual differences, with the consequence of a careful and low dosage in the beginning in each case. The side-effects of beta-blocking-agents are presumably: bradycardia, bronchospasm, fatigue, adynamia, myocardial insufficiency, gastrointestinal symptoms, hypoglycemia, hypotension.
在过去10年中,β受体阻滞剂治疗方案的适应证已有所区分:伴有心绞痛的冠心病(间歇治疗方案)、原发性高血压,尤其是年轻人;高动力性心脏综合征;甲状腺毒症的症状性治疗;心律失常,早搏或快速性心律失常;神经精神疾病。新型β受体阻滞剂的研发带来了不同的动力学数据(如倍他乐克的长效作用)以及更高的心脏选择性。治疗方案的建议必须根据基础疾病来制定。对药物的敏感性存在显著个体差异,因此每种情况开始时都要谨慎且低剂量用药。β受体阻滞剂的副作用可能有:心动过缓、支气管痉挛、疲劳、乏力、心肌功能不全、胃肠道症状、低血糖、低血压。