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醋丁洛尔治疗心绞痛:采用分级运动试验的客观评估

Acebutolol in angina pectoris: objective assessment using graded treadmill testing.

作者信息

Kimchi A, Gotsman M S, Lewis B S

出版信息

Isr J Med Sci. 1978 Sep;14(9):941-7.

PMID:363642
Abstract

The clinical effects of a new cardioselective beta-adrenergic blocking drug, acebutolol hydrochloride (SECTRAL), were studied in 18 patients with angina pectoris, using graded treadmill testing according to a modified Bruce protocol. Measurements were made in the control state, after two weeks' treatment with placebo and after two more weeks of constant oral dose of the drug. Acebutolol produced a significant increase in the treadmill work performed before the onset of ischemic ECG changes and chest pain. The heart rate and blood pressure responses to exercise were depressed, so that the greater work load was achieved at a lower double product. Graded treadmill testing is a useful method for assessing the efficacy of treatment with a beta-blocking drug.

摘要

采用改良的布鲁斯方案进行分级运动平板试验,对18例心绞痛患者研究了一种新型心脏选择性β-肾上腺素能阻滞剂盐酸醋丁洛尔(心得静)的临床疗效。在对照状态、服用安慰剂两周后以及继续口服该药物两周恒定剂量后进行测量。醋丁洛尔使缺血性心电图改变和胸痛发作前的运动平板功显著增加。运动时的心率和血压反应降低,因此在较低的双乘积下能达到更大的工作量。分级运动平板试验是评估β-阻滞剂治疗效果的一种有用方法。

相似文献

1
Acebutolol in angina pectoris: objective assessment using graded treadmill testing.醋丁洛尔治疗心绞痛:采用分级运动试验的客观评估
Isr J Med Sci. 1978 Sep;14(9):941-7.
2
Effect of acebutolol on dynamic ischemic ECG changes: a study using ambulatory twenty-four-hour ECG monitoring.醋丁洛尔对动态缺血性心电图改变的影响:一项使用24小时动态心电图监测的研究。
Isr J Med Sci. 1979 Mar;15(3):207-11.
3
[Acute effects of oral acebutolol on exercise tolerance in patients with stable angina pectoris (author's transl)].口服醋丁洛尔对稳定型心绞痛患者运动耐量的急性影响(作者译)
G Ital Cardiol. 1981;11(3):364-72.
4
Evaluation of the beta-blocking drug acebutolol in angina pectoris.β受体阻滞剂醋丁洛尔治疗心绞痛的评估。
Am Heart J. 1979 Nov;98(5):604-12. doi: 10.1016/0002-8703(79)90286-2.
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Dissociation between clinical and exercise responsiveness to beta-blockade in angina.心绞痛患者中临床与运动对β受体阻滞剂反应性之间的分离现象。
Int J Clin Pharmacol Biopharm. 1978 Nov;16(11):508-12.
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[Cardiac ischemia on exercise. Effect of nifedipine and acebutolol singly and in combination (author's transl)].运动时的心肌缺血。硝苯地平与醋丁洛尔单独及联合应用的效果(作者译)
MMW Munch Med Wochenschr. 1981 Aug 28;123(35):1303-6.
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Pulmonary effects of acebutolol, a "cardioselective" beta adrenergic blocking agent.
Int J Clin Pharmacol Ther Toxicol. 1982 Jan;20(1):1-7.
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Comparative haemodynamic dose-response effects of intravenous propranolol, acebutolol and penbutolol in angina pectoris.静脉注射普萘洛尔、醋丁洛尔和喷布洛尔治疗心绞痛的血流动力学剂量-反应比较效应
Herz. 1984 Feb;9(1):57-64.
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[Evaluation by exercise test of effects of a single oral dose of atenolol in patients with stable angina (author's transl)].单次口服阿替洛尔对稳定型心绞痛患者影响的运动试验评估(作者译)
G Ital Cardiol. 1981;11(12):2088-96.
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Effect of acebutolol, a new beta-receptor antagonist on heart rate and rate-pressure product in normal subjects.新型β受体拮抗剂醋丁洛尔对正常受试者心率及心率-血压乘积的影响。
Int J Clin Pharmacol Biopharm. 1976 Dec;14(4):290-7.

引用本文的文献

1
Acebutolol. A review of its pharmacological properties and therapeutic efficacy in hypertension, angina pectoris and arrhythmia.醋丁洛尔。其药理学特性及在高血压、心绞痛和心律失常治疗中的疗效综述。
Drugs. 1985 Jun;29(6):531-69. doi: 10.2165/00003495-198529060-00003.