Cserhalmi L, Istvánffy M, Hideg L, Török E
Hungarian Institute of Cardiology, Budapest.
Acta Physiol Hung. 1988;72 Suppl:85-91.
Tensiomin (captopril) was tested in 23 patients with chronic heart failure for 7.5 months on the average. In 9 outpatients suffering from congestive cardiomyopathy the effect of Tensiomin as an adjuvant to digitalis, diuretic, vasodilator etc. was evaluated by non-invasive methods. During the 3-month follow-up period the heart rate was decreased and the PEP/LVET ratio was improved. The parameters calculated from the X-ray examination (cardiothoracic index, cardiac volume index) indicated the regression of cardiomegaly. Radioisotopic circulatory examinations (systolic volume index, cardiac output index) indicated an increase in cardiac performance. In addition to the significant changes of these parameters the patients' clinical state was also improved in all cases as assessed according to the NYHA classification. Significant side effects were not observed during the treatment.
对23例慢性心力衰竭患者进行了甲巯丙脯酸(开博通)试验,平均为期7.5个月。对9例充血性心肌病门诊患者,采用非侵入性方法评估了甲巯丙脯酸作为洋地黄、利尿剂、血管扩张剂等辅助药物的疗效。在3个月的随访期内,心率下降,PEP/LVET比值改善。X线检查计算的参数(心胸指数、心脏容积指数)表明心脏扩大有所消退。放射性同位素循环检查(收缩期容积指数、心输出量指数)表明心脏功能增强。除了这些参数的显著变化外,根据纽约心脏病协会(NYHA)分级评估,所有患者的临床状况也均有改善。治疗期间未观察到明显的副作用。