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[福立多和硝苯地平在静息及运动时的血流动力学效应]

[Hemodynamic effect of foridon and nifedipine at rest and during exercise].

作者信息

Zateĭshchikov D A, Berzak N V, Agapov A A, Ivanishvili L O, Kocherga E Iu

出版信息

Kardiologiia. 1988 Oct;28(10):40-4.

PMID:3226046
Abstract

In an acute experiment, hemodynamic effects of ryodipine, 30 mg, were compared with those of nifedipine, 30 mg, in 22 patients with circulatory failure at rest (n = 22) and during bicycle ergometer exercise testing (n = 10). During exercise, the two drugs significantly increased the maximal cardiac index values. Ryodipine induced no increment in elevated pulmonary diastolic pressure, whereas nifedipine significantly diminished the increase. Total pulmonary resistance increased during the initial load exercise, remained unaltered with ryodipine, while nifedipine decreased this parameter in response to the load exercise. Thus, hemodynamic effects of ryodipine and nifedipine were similar at rest, the latter drug being more efficient during exercise. The effects of the drugs in question were similar to those of peripheral arteriolar vasodilators such as hydralazine.

摘要

在一项急性实验中,对22例静息时(n = 22)及在自行车测力计运动试验期间(n = 10)的循环衰竭患者,比较了30毫克的雷奥地平与30毫克硝苯地平的血流动力学效应。运动期间,两种药物均显著提高了最大心脏指数值。雷奥地平未使升高的肺舒张压增加,而硝苯地平则显著降低了其升高幅度。初始负荷运动期间总肺阻力增加,雷奥地平使其保持不变,而硝苯地平则使该参数在负荷运动时降低。因此,雷奥地平和硝苯地平在静息时的血流动力学效应相似,后者在运动期间更有效。所讨论药物的效应与外周小动脉血管扩张剂如肼屈嗪的效应相似。

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