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钙拮抗剂与缺血心肌

Calcium antagonists and the ischemic myocardium.

作者信息

Nayler W G

出版信息

Int J Cardiol. 1987 Jun;15(3):267-85. doi: 10.1016/0167-5273(87)90332-9.

DOI:10.1016/0167-5273(87)90332-9
PMID:3298079
Abstract

Recent laboratory studies have shown that the calcium antagonists (slow channel blockers) can protect the myocardium against the consequences of experimentally induced ischemia and reperfusion. With one recent exception, however, clinical trials relating to the effectiveness of these drugs in the management of patients with myocardial infarction have been disappointing. This paper explores this apparent discrepancy.

摘要

近期的实验室研究表明,钙拮抗剂(慢通道阻滞剂)可保护心肌免受实验性诱导的缺血和再灌注后果的影响。然而,除了最近的一个例外,有关这些药物在心肌梗死患者治疗中有效性的临床试验一直令人失望。本文探讨了这一明显的差异。

相似文献

1
Calcium antagonists and the ischemic myocardium.钙拮抗剂与缺血心肌
Int J Cardiol. 1987 Jun;15(3):267-85. doi: 10.1016/0167-5273(87)90332-9.
2
Why Ca2+ antagonists will be most useful before or during early myocardial ischaemia and not after infarction has been established.为什么钙拮抗剂在心肌缺血早期或期间最为有用,而在梗死形成后则不然。
Eur Heart J. 1986 Apr;7(4):270-8. doi: 10.1093/oxfordjournals.eurheartj.a062064.
3
Effects of calcium-channel blockers on myocardial preservation during experimental acute myocardial infarction.
Am J Cardiol. 1985 Jan 25;55(3):107B-115B. doi: 10.1016/0002-9149(85)90619-8.
4
Pharmacologic management of ischemic heart disease with beta-blockers and calcium channel blockers.使用β受体阻滞剂和钙通道阻滞剂对缺血性心脏病进行药物治疗。
Am Heart J. 1990 Sep;120(3):739-42; discussion 743-5. doi: 10.1016/0002-8703(90)90046-z.
5
[Pharmacological introduction to the clinical use of calcium antagonists].[钙拮抗剂临床应用的药理学介绍]
G Ital Cardiol. 1988 Nov;18(11):956-69.
6
Calcium antagonists and myocardial protection.钙拮抗剂与心肌保护
Am J Cardiol. 1989 Sep 19;64(11):10F-17F. doi: 10.1016/0002-9149(89)90740-6.
7
[Cardioprotection with drugs. 1: Coronary heart disease].[药物心脏保护作用。1:冠心病]
Fortschr Med. 1990 Jan 30;108(3):40-4.
8
Calcium antagonists and coronary artery disease: an opportunity missed?钙拮抗剂与冠状动脉疾病:错失的机遇?
J Neural Transm Suppl. 1990;31:17-38.
9
[Calcium channel blockers in ischemic cardiopathies].[缺血性心脏病中的钙通道阻滞剂]
Therapie. 1989 May-Jun;44(3):155-9.
10
Effects of calcium antagonists on infarcting myocardium.钙拮抗剂对梗死心肌的影响。
Am J Cardiol. 1987 Jan 30;59(3):84B-94B. doi: 10.1016/0002-9149(87)90087-7.

引用本文的文献

1
Role of the sodium-hydrogen exchanger in ischemia-reperfusion injury in diabetes.钠氢交换体在糖尿病缺血再灌注损伤中的作用
J Thromb Thrombolysis. 1999 Jul;8(1):45-52. doi: 10.1023/a:1008994631084.
2
Effects of felodipine on the ischemic heart: insight into the mechanism of cytoprotection.非洛地平对缺血性心脏的影响:对细胞保护机制的深入了解。
Cardiovasc Drugs Ther. 1996 Sep;10(4):425-37. doi: 10.1007/BF00051107.
3
How do calcium antagonists differ in clinical practice?钙拮抗剂在临床应用中有何不同?
Cardiovasc Drugs Ther. 1994 Aug;8 Suppl 3:565-75. doi: 10.1007/BF00877225.
4
Postinfarct treatment with verapamil. Effect of verapamil in patients with hypertension.心肌梗死后使用维拉帕米治疗。维拉帕米对高血压患者的影响。
Drugs. 1993;46 Suppl 2:54-60. doi: 10.2165/00003495-199300462-00011.
5
Calcium channel antagonists. Part II: Use and comparative properties of the three prototypical calcium antagonists in ischemic heart disease, including recommendations based on an analysis of 41 trials.钙通道拮抗剂。第二部分:三种典型钙通道拮抗剂在缺血性心脏病中的应用及比较特性,包括基于41项试验分析的推荐意见。
Cardiovasc Drugs Ther. 1988 Jan;1(5):461-91. doi: 10.1007/BF02125731.
6
Calcium antagonists: whither now?
Cardiovasc Drugs Ther. 1988 Mar;1(6):617-9. doi: 10.1007/BF02125748.
7
The role of beta-receptor and calcium-entry-blocking agents in acute myocardial infarction in the thrombolytic era: can the results of thrombolytic reperfusion be enhanced?β受体阻滞剂和钙通道阻滞剂在溶栓时代急性心肌梗死中的作用:溶栓再灌注的结果能否得到改善?
Cardiovasc Drugs Ther. 1988 Dec;2(5):601-7. doi: 10.1007/BF00054199.
8
The potential for added benefits with beta-blockers and calcium antagonists in treating cardiovascular disorders.β受体阻滞剂和钙拮抗剂在治疗心血管疾病方面带来额外益处的可能性。
Drugs. 1988;35 Suppl 4:1-8. doi: 10.2165/00003495-198800354-00003.
9
Verapamil. An updated review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in hypertension.维拉帕米。对其药效学和药代动力学特性以及在高血压治疗中的应用的最新综述。
Drugs. 1989 Jul;38(1):19-76. doi: 10.2165/00003495-198938010-00003.
10
Effect of amlodipine on myocardial functional and metabolic recovery following coronary occlusion and reperfusion in dogs.氨氯地平对犬冠状动脉闭塞及再灌注后心肌功能和代谢恢复的影响。
Cardiovasc Drugs Ther. 1989 Aug;3(4):535-43. doi: 10.1007/BF01865513.