Guadalajara J F, Guerrero Sierra J, Fishleder B L, Sánchez Torres G, Friedland C
Arch Inst Cardiol Mex. 1980 Mar-Apr;50(2):203-9.
There were studied 31 patients 20 of them sanes and 11 with sustained systemic arterial hypertension to whom it was administered propranolol and sotalol in different periods. By means of phonomechanocardiographic study it was observed that the contractile heart function didn't present alterations in the sane patients, with the administration of the two drugs. Sotalol produced significative changes with depression of contractility in hypertense patients, even though there were no alterations of the "pump" function. It is probably on account that hypertensive cardiopathy per se has a minor functional myocardiac reserve and the negative inotropic effect is made evident with greater clearness. The fall of the elevation velocity of radial pulse (EVRP) in the two groups, suggests the increase of vascular resistances by the peripheric beta blockade.
对31例患者进行了研究,其中20例为健康者,11例患有持续性系统性动脉高血压,在不同时期给他们使用了普萘洛尔和索他洛尔。通过心音心动图研究观察到,在健康患者中,使用这两种药物时心脏收缩功能未出现改变。索他洛尔使高血压患者的收缩力降低,产生了显著变化,尽管“泵”功能没有改变。这可能是因为高血压性心脏病本身心肌功能储备较小,负性肌力作用更明显。两组桡动脉脉搏上升速度(EVRP)的下降表明外周β受体阻滞使血管阻力增加。