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抗心律失常药物对运动心电图的影响(作者译)

[The influence of antiarrhythmic drugs on the exercise-ecg (author's transl)].

作者信息

Raff U, Hepp A

出版信息

Z Kardiol. 1977 Feb;66(2):61-5.

PMID:842073
Abstract

The influence of five most common antiarrhythmic drugs on exercise-electrocadiogram was investigated: prajmaliumbitartrat, quinidinbisulfate, diphenylhydantoine, propranolol, and verapamil. All exercise-tests were performed in eight healthy males. During exercise and the subsequent resting period, the changes in the following parameters were analysed: blood pressure, heart rate, P-Q-time, Q-T-time, and the formal course of the Ecg as well as individual reactions. None of the drugs produced a pathological ECG. As for the analysed parameters, diphenylhydantoine was entirely neutral, whereas propranolol caused the most significant changes. Propranolol lowered heart rate by more than 20% and blood pressure by 10%. Verapamil had a less pronounced effect on diastolic blood pressure and heart rate. Prajmaliumbitartrat and quinidine had no definite effect during exercise and resting period.

摘要

研究了五种最常见的抗心律失常药物对运动心电图的影响

酒石酸丙胺卡因、硫酸奎尼丁、苯妥英钠、普萘洛尔和维拉帕米。所有运动测试均在八名健康男性中进行。在运动期间及随后的休息期,分析了以下参数的变化:血压、心率、P-Q间期、Q-T间期、心电图的形态以及个体反应。没有一种药物产生病理性心电图。至于所分析的参数,苯妥英钠完全无影响,而普萘洛尔引起的变化最为显著。普萘洛尔使心率降低超过20%,血压降低10%。维拉帕米对舒张压和心率的影响较小。酒石酸丙胺卡因和奎尼丁在运动期和休息期没有明确影响。

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