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[地高辛在急性心肌缺血中的心血管效应]

[Cardiovascular effects of digoxin in acute myocardial ischemia].

作者信息

Slobozhanin A A, Sapozhkov A V

出版信息

Farmakol Toksikol. 1984 Jul-Aug;47(4):51-4.

PMID:6479312
Abstract

A study was made of the effect of digoxin on the systemic hemodynamics and collateral circulation in acute occlusion of the dog left coronary artery. Digoxin (0.01 mg/kg) made the collateral blood inflow to the ischemic zone increase intensely and for a long time, raised the cardiac output due to an increase in the stroke volume, lowered the total peripheral vascular resistance in the presence of high heart contractility and work. The raising of the digoxin dose to 0.05 mg/kg was followed by diphasic changes in the coronary blood flow, a less marked increase in myocardial work and contractility, in the stroke and minute heart volumes.

摘要

研究了地高辛对犬左冠状动脉急性闭塞时全身血流动力学和侧支循环的影响。地高辛(0.01mg/kg)可使进入缺血区的侧支血流长时间显著增加,由于每搏量增加而使心输出量升高,在心脏收缩力和作功增强的情况下降低总外周血管阻力。将地高辛剂量增至0.05mg/kg时,冠状动脉血流量呈双相变化,心肌作功和收缩力、每搏心输出量和每分心输出量的增加不太明显。

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