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氟卡尼与奎尼丁对比:一项多中心试验的结果

Flecainide versus quinidine: results of a multicenter trial.

作者信息

Hodges M, Salerno D M, Granrud G

出版信息

Am J Cardiol. 1984 Feb 27;53(5):66B-71B. doi: 10.1016/0002-9149(84)90505-8.

DOI:10.1016/0002-9149(84)90505-8
PMID:6364770
Abstract

In this multicenter trial, the efficacy and safety of flecainide, a new antiarrhythmic agent, were compared with those of quinidine, a standard antiarrhythmic agent in the United States. A randomized, parallel, placebo-controlled design was used. Flecainide was more effective than quinidine (p less than 0.0001) in reducing ventricular premature complexes, couplets and ventricular tachycardia. Flecainide continued to be effective in reducing ventricular arrhythmias during a 12-month follow-up period. The incidence of side effects was similar for the 2 drugs in both short- and long-term studies. Therefore, flecainide should be an excellent drug to use in treating patients with ventricular arrhythmias classified as either benign or potentially malignant.

摘要

在这项多中心试验中,将新型抗心律失常药物氟卡尼的疗效和安全性与美国标准抗心律失常药物奎尼丁进行了比较。采用了随机、平行、安慰剂对照设计。在减少室性早搏、成对室性早搏和室性心动过速方面,氟卡尼比奎尼丁更有效(p<0.0001)。在12个月的随访期内,氟卡尼在减少室性心律失常方面持续有效。在短期和长期研究中,两种药物的副作用发生率相似。因此,氟卡尼应该是治疗分类为良性或潜在恶性室性心律失常患者的一种优秀药物。

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1
Flecainide versus quinidine: results of a multicenter trial.氟卡尼与奎尼丁对比:一项多中心试验的结果
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引用本文的文献

1
The antiarrhythmic effect of flecainide on halothane-epinephrine induced arrhythmias in dogs.氟卡尼对氟烷 - 肾上腺素诱发犬心律失常的抗心律失常作用。
J Anesth. 1990 Oct;4(4):303-8. doi: 10.1007/s0054000040303.
2
Interaction of ischaemia and encainide/flecainide treatment: a proposed mechanism for the increased mortality in CAST I.缺血与恩卡尼/氟卡尼治疗的相互作用:CAST I研究中死亡率增加的一种推测机制。
Br Heart J. 1995 Dec;74(6):631-5. doi: 10.1136/hrt.74.6.631.
3
Electrophysiological effects of flecainide acetate on stretched guinea pig left atrial muscle fibers.
醋酸氟卡尼对豚鼠左心房肌纤维拉伸的电生理效应。
Cardiovasc Drugs Ther. 1993 Jun;7(3):373-8. doi: 10.1007/BF00880161.
4
Antiarrhythmic therapy with flecainide in combination and comparison with propranolol.氟卡尼联合抗心律失常治疗及与普萘洛尔的比较。
Drugs. 1985;29 Suppl 4:77-85. doi: 10.2165/00003495-198500294-00015.
5
Long term efficacy of class I antiarrhythmic agents and amiodarone in patients with malignant ventricular arrhythmias.
Drugs. 1985 Mar;29 Suppl 3:37-46. doi: 10.2165/00003495-198500293-00006.
6
Physical assessment and differential diagnosis of the poisoned patient.中毒患者的体格检查与鉴别诊断。
Med Toxicol. 1987 Jan-Feb;2(1):52-81. doi: 10.1007/BF03259860.
7
Clinical electrophysiologic effects of flecainide acetate.醋酸氟卡尼的临床电生理效应。
Cardiovasc Drugs Ther. 1988 Mar;1(6):599-603. doi: 10.1007/BF02125745.
8
Sodium channel-blocking properties of flecainide, a class IC antiarrhythmic drug, in guinea-pig papillary muscles. An open channel blocker or an inactivated channel blocker.ⅠC类抗心律失常药物氟卡尼在豚鼠乳头肌中的钠通道阻滞特性。一种开放通道阻滞剂还是失活通道阻滞剂。
Naunyn Schmiedebergs Arch Pharmacol. 1989 Apr;339(4):441-7. doi: 10.1007/BF00736059.
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Electrophysiological effects of flecainide enantiomers in canine Purkinje fibres.氟卡尼对映体在犬浦肯野纤维中的电生理效应。
Naunyn Schmiedebergs Arch Pharmacol. 1989 Jun;339(6):625-9. doi: 10.1007/BF00168654.