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盐酸苯海索(安坦)治疗一例难治性变异型心绞痛

Management of a case of refractory variant angina with benzhexol hydrochloride (trihexyphenidyl hydrochloride).

作者信息

Joy M, Haywood G A, Webb-Peploe M M

出版信息

Br Heart J. 1985 Oct;54(4):448-51. doi: 10.1136/hrt.54.4.448.

DOI:10.1136/hrt.54.4.448
PMID:4052285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481926/
Abstract

A patient with severe variant angina that was refractory to conventional treatment became symptom free when she was treated with benzhexol (trihexyphenidyl hydrochloride), a cholinergic blocking agent used in the management of Parkinson's disease. There was a brief psychotic reaction when a large dose was taken and some memory impairment on the maintenance dose. Benzhexol should be used with caution but may prove to be an additional therapeutic agent in the management of severe variant angina.

摘要

一名患有严重变异型心绞痛且对传统治疗无效的患者,在接受用于帕金森病治疗的抗胆碱能药物苯海索(盐酸苯海索)治疗后症状消失。服用大剂量药物时出现了短暂的精神反应,维持剂量时出现了一些记忆障碍。使用苯海索时应谨慎,但可能被证明是治疗严重变异型心绞痛的一种辅助治疗药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c3/481926/80a8747a2bb6/brheartj00118-0114-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c3/481926/8b776f5d41db/brheartj00118-0113-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c3/481926/80a8747a2bb6/brheartj00118-0114-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c3/481926/8b776f5d41db/brheartj00118-0113-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c3/481926/80a8747a2bb6/brheartj00118-0114-a.jpg

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1
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Br Heart J. 1985 Oct;54(4):448-51. doi: 10.1136/hrt.54.4.448.
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本文引用的文献

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Prazosin therapy for refractory variant angina.哌唑嗪治疗难治性变异型心绞痛。
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Studies with isolated human coronary arteries. Some general observations, potential mediators of spasm, role of calcium antagonists.对离体人冠状动脉的研究。一些一般性观察、痉挛的潜在介质、钙拮抗剂的作用。
Chest. 1980 Jul;78(1 Suppl):180-6.
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Role of autonomic nervous system in the pathogenesis of Prinzmetal's variant form of angina.自主神经系统在变异型心绞痛发病机制中的作用。
Circulation. 1974 Sep;50(3):534-9. doi: 10.1161/01.cir.50.3.534.
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"Variant" angina: one aspect of a continuous spectrum of vasospastic myocardial ischemia. Pathogenetic mechanisms, estimated incidence and clinical and coronary arteriographic findings in 138 patients.“变异型”心绞痛:血管痉挛性心肌缺血连续谱的一个方面。138例患者的发病机制、估计发病率以及临床和冠状动脉造影结果
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