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索他洛尔对志愿者动态心电图的影响。

Effects of sotalol on ambulatory electrocardiography in volunteers.

作者信息

Kantelip J P, Trolese J F, Cadilhac M, Pechadre J C, Duchêne-Marullaz P

出版信息

Clin Pharmacol Ther. 1986 Nov;40(5):554-60. doi: 10.1038/clpt.1986.223.

DOI:10.1038/clpt.1986.223
PMID:3769386
Abstract

The effects of sotalol dosing, 160, 240, and 320 mg/day, for 10 days in seven healthy volunteers were studied. Twenty-four-hour ECG was recorded continuously under placebo and on days 2, 4, 6, 8, 10, 11, 13, and 14. Sotalol at the three doses significantly lowered mean heart rate, reducing mean diurnal heart rate significantly between noon and 6:00 PM and decreasing mean nocturnal heart rate between midnight and 6:00 AM at 320 mg/day. Although there was no change in plasma sotalol between days 4 and 10, at high doses a significant decrease in bradycardiac effect occurred. PR intervals and QTc intervals were lengthened at all doses during the daytime. At the highest dose, the PR interval was lengthened during the nighttime.

摘要

研究了索他洛尔剂量分别为160、240和320mg/天,连续10天对7名健康志愿者的影响。在服用安慰剂期间以及第2、4、6、8、10、11、13和14天连续记录24小时心电图。三个剂量的索他洛尔均显著降低平均心率,在320mg/天剂量下,显著降低中午至下午6点之间的平均日间心率,并降低午夜至凌晨6点之间的平均夜间心率。虽然第4天至第10天血浆索他洛尔水平没有变化,但高剂量时心动过缓效应显著降低。白天所有剂量下PR间期和QTc间期均延长。在最高剂量时,夜间PR间期延长。

相似文献

1
Effects of sotalol on ambulatory electrocardiography in volunteers.索他洛尔对志愿者动态心电图的影响。
Clin Pharmacol Ther. 1986 Nov;40(5):554-60. doi: 10.1038/clpt.1986.223.
2
Rate dependence of sotalol-induced prolongation of ventricular repolarization during exercise in humans.索他洛尔在人体运动期间诱导心室复极延长的心率依赖性。
Circulation. 1991 Feb;83(2):536-45. doi: 10.1161/01.cir.83.2.536.
3
[Plasma level and action of sotalol-HCL on the ECG interval after parenteral administration in healthy subjects].[健康受试者静脉注射盐酸索他洛尔后血浆水平及对心电图间期的作用]
Arzneimittelforschung. 1987 Sep;37(9):1058-62.
4
Comparability of the electrophysiologic responses and plasma and myocardial tissue concentrations of sotalol and its d stereoisomer in the dog.
J Cardiovasc Pharmacol. 1990 Aug;16(2):204-11. doi: 10.1097/00005344-199008000-00005.
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A comparison of the cardiovascular effects of (+)-sotalol and (+/-)-sotalol following intravenous administration in normal volunteers.正常志愿者静脉注射后(+)-索他洛尔与(±)-索他洛尔心血管效应的比较。
Br J Clin Pharmacol. 1985 Nov;20(5):507-10. doi: 10.1111/j.1365-2125.1985.tb05109.x.
6
Multicenter trial of sotalol for suppression of frequent, complex ventricular arrhythmias: a double-blind, randomized, placebo-controlled evaluation of two doses.索他洛尔抑制频发、复杂室性心律失常的多中心试验:两种剂量的双盲、随机、安慰剂对照评估。
J Am Coll Cardiol. 1986 Oct;8(4):752-62. doi: 10.1016/s0735-1097(86)80414-4.
7
Prediction of sotalol-induced maximum steady-state QTc prolongation from single-dose administration in healthy volunteers.在健康志愿者中通过单剂量给药预测索他洛尔诱导的最大稳态QTc延长。
Clin Pharmacol Ther. 1992 Oct;52(4):417-26. doi: 10.1038/clpt.1992.165.
8
Sotalol prolongation of the QTc interval in hypertensive patients.
Clin Pharmacol Ther. 1982 Jul;32(1):25-32. doi: 10.1038/clpt.1982.122.
9
A mechanism of D-(+)-sotalol effects on heart rate not related to beta-adrenoceptor antagonism.D-(+)-索他洛尔对心率的影响机制与β-肾上腺素能受体拮抗作用无关。
Br J Clin Pharmacol. 1990 Aug;30(2):195-202. doi: 10.1111/j.1365-2125.1990.tb03765.x.
10
Comparison of QT Interval Readings in Normal Sinus Rhythm Between a Smartphone Heart Monitor and a 12-Lead ECG for Healthy Volunteers and Inpatients Receiving Sotalol or Dofetilide.针对健康志愿者以及正在接受索他洛尔或多非利特治疗的住院患者,比较智能手机心脏监测仪与12导联心电图在正常窦性心律下的QT间期读数。
J Cardiovasc Electrophysiol. 2016 Jul;27(7):827-32. doi: 10.1111/jce.12976. Epub 2016 Apr 29.

引用本文的文献

1
Sotalol. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use.索他洛尔。对其药效学和药代动力学特性以及治疗用途的综述。
Drugs. 1987 Sep;34(3):311-49. doi: 10.2165/00003495-198734030-00002.