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乙吗噻嗪在治疗期间对单次及重复性室性早搏去极化的抑制作用:疗效及长期安全性记录

Ethmozine suppression of single and repetitive ventricular premature depolarizations during therapy: documentation of efficacy and long-term safety.

作者信息

Pratt C M, Yepsen S C, Taylor A A, Mason D T, Miller R R, Quinones M A, Lewis R A

出版信息

Am Heart J. 1983 Jul;106(1 Pt 1):85-91. doi: 10.1016/0002-8703(83)90444-1.

Abstract

This study reports a total of 1677 patient days' experience with the use of Ethmozine to suppress ventricular premature depolarizations. A total of 39 patients were studied on three placebo-controlled protocols. Ethmozine, given at a mean total daily dose of 830 mg +/- 318 mg on a dosing schedule of every 8 hours, resulted in a mean plasma Ethmozine level of 0.42 micrograms/ml +/- 0.28 micrograms/ml. In addition to reducing ventricular premature depolarizations from 11,049/24 hr during placebo to 2231/24 hr during Ethmozine therapy (80% reduction), the drug also resulted in a 95% reduction in paired forms and a 99% reduction in total runs of ventricular tachycardia. Ethmozine is extraordinarily well tolerated with only mild side effects of dizziness, perioral tingling, and euphoria, with no serious toxicity requiring discontinuation of therapy. Ethmozine demonstrates great potential as an effective drug in suppressing ventricular premature depolarizations with minimal side effects or toxicity.

摘要

本研究报告了使用乙吗噻嗪抑制室性早搏的1677个患者日的经验。共有39名患者参与了三项安慰剂对照试验。乙吗噻嗪平均每日总剂量为830毫克±318毫克,每8小时给药一次,导致血浆乙吗噻嗪平均水平为0.42微克/毫升±0.28微克/毫升。除了将室性早搏从安慰剂期间的每24小时11,049次减少到乙吗噻嗪治疗期间的每24小时2231次(减少80%)外,该药物还使成对形式减少了95%,室性心动过速的总发作次数减少了99%。乙吗噻嗪耐受性非常好,只有轻微的副作用,如头晕、口周刺痛和欣快感,没有严重毒性需要停药。乙吗噻嗪作为一种有效药物,在抑制室性早搏方面具有巨大潜力,且副作用或毒性极小。

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