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利多氟嗪治疗或体育锻炼后的心肌梗死后运动能力

Postinfarction exercise capacity after lidoflazine treatment or physical training.

作者信息

Degré S, Lenaers A, Messin R, Vandermoten P, Salhadin P, Limage M, Denolin H

出版信息

Cardiology. 1979;64(1):35-47. doi: 10.1159/000170576.

Abstract

44 male postinfarction volunteers were divided into 4 groups and submitted to performance tests. Groups I and II consisted of 24 patients, 12 of whom followed a 2-month physical training program, while the other 12 served as controls. Groups III and IV (10 patients each) were included in a 10-month double-blind crossover study with lidoflazine 240 mg/day vs. placebo. The cardiovascular adaptation of the patients treated for 5 months with lidoflazine had two features in common with that observed after 2 months of physical training, namely an increase in maximal exercise capacity and, during submaximal exercise tests, a decrease in heart rate compensated for by an increase in stroke volume. In contrast to physical training, treatment with lidoflazine did not improve the peripheral oxygen consumption by the muscles.

摘要

44名男性心肌梗死后志愿者被分为4组,并接受性能测试。第一组和第二组由24名患者组成,其中12名患者进行了为期2个月的体育训练计划,而另外12名作为对照组。第三组和第四组(每组10名患者)纳入了一项为期10个月的双盲交叉研究,比较每天服用240毫克利多氟嗪与安慰剂的效果。接受利多氟嗪治疗5个月的患者的心血管适应性与体育训练2个月后观察到的情况有两个共同特征,即最大运动能力增加,以及在次最大运动测试期间,心率下降,同时心输出量增加以进行代偿。与体育训练不同的是,利多氟嗪治疗并没有改善肌肉的外周氧消耗。

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