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[心肌梗死患者在β受体阻滞剂治疗前后心肌收缩功能及血流动力学指标的变化]

[Changes in myocardial contractile function and in the hemodynamic indices in patients with myocardial infarct before and after beta-blockader treatment].

作者信息

Kaloianova A, Beloev I, Chaushev A

出版信息

Vutr Boles. 1978;17(4):87-92.

PMID:358604
Abstract

The changes in the basic hemdynamic indices and in the phase structure of the cardiac cycle in patients with acute infarction prior to and post treatment with beta-blockers (Obsidan and Trasicor) were studied. Manifested changes in the hemodynamics were established, namly: pulse rate and cardiac flow decrease, the total peripheral resistance grows; veloqcilty of blood flow is slowed down. The preparations used have a negative effect upon the phase structure of left ventricle as well. The authors underline that beta-blockers administration in acute myocardial infarction should be evaluated very carefully and in the presence of clinical signs for cardiac insufficiency, it should be carried out on the background of cardiotonic treatment.

摘要

研究了急性心肌梗死患者在使用β受体阻滞剂(奥昔坦和心得宁)治疗前后基本血液动力学指标和心动周期相结构的变化。确定了血液动力学方面的明显变化,即:脉搏率和心输出量降低,总外周阻力增加;血流速度减慢。所用制剂对左心室的相结构也有负面影响。作者强调,在急性心肌梗死中使用β受体阻滞剂应非常谨慎地评估,并且在存在心脏功能不全的临床体征时,应在强心治疗的背景下进行。

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