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[强心苷对缺血性心脏病期前收缩影响的预后]

[Prognosis of the effect of cardiac glycosides on the extrasystole in ischemic heart disease].

作者信息

Syrkin A L, Pecherskaia M B

出版信息

Kardiologiia. 1975 Jan;15(1):61-4.

PMID:46934
Abstract

The results of a single intravenous injections of strophanthin or digoxin and of a course-wise medication with cardiac glycosides in acute and chronic ischemic heart disease are contrasted. Investigations were carried out in 64 patients under cardiomonitoring with an automatic extrasystoles count. In the absence of extrasystoles or infrequent ones the cardiac glycosides provoked frequent extrasystoles in 10 per cent of the patients. The antiarrhythmic effect was recorded in 1/3 of the patients with infrequent extrasystoles. In cases of frequent extra systoles the positive result of the glycoside test justifies anticipating a beneficial influence of digitalization on the heart rate. In all the cases the results of the glycoside test determine in a large measure the individual prognosis.

摘要

对比了单次静脉注射毒毛花苷或地高辛以及在急性和慢性缺血性心脏病中使用强心苷进行疗程用药的结果。在64例患者中进行了研究,通过自动早搏计数进行心脏监测。在没有早搏或早搏不频繁的情况下,强心苷在10%的患者中引发了频繁早搏。在早搏不频繁的患者中,三分之一记录到了抗心律失常作用。在频繁早搏的情况下,苷类药物试验的阳性结果证明可以预期洋地黄化对心率有有益影响。在所有情况下,苷类药物试验的结果在很大程度上决定了个体预后。

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