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Time course of cardiac performance in hypertensive patients after verapamil assessed by nuclear ventriculography.
González-Gómez, A; Fránquiz, J; García-Barreto, D.
Afiliação
  • González-Gómez A; Psychiatric Hospital of Havana, Cuba.
Int J Clin Pharmacol Ther Toxicol ; 28(7): 292-7, 1990 Jul.
Article em En | MEDLINE | ID: mdl-2387652
The effects of oral verapamil monotherapy (320 mg/day) given to a group of essential hypertensive patients (n = 16) on blood pressure, electrocardiogram (ECG) and ventricular function measured by means of nuclear ventriculography (NV) were investigated. Verapamil significantly lowered systolic (SP) (p less than 0.001) and diastolic (DP) (p less than 0.001) blood pressure. Left ventricular ejection fraction (LVEF) and ejection rate (LVER) were reduced from 61.61 +/- 6.34 to 54.16 +/- 6.09% (p less than 0.001) and from 255.6 +/- 58.9 to 217.4 +/- 56.03% (p less than 0.02), respectively. On the other hand, in the right ventricle, the drug only reduced the right ventricular filling rate (RVFR) from 225.2 +/- 60.02 to 167.5 +/- 43.7% (p less than 0.05). Total blood volume (TBV) was also significantly diminished (p less than 0.05). Variations in LVEF (delta LVEF) and RVEF (delta RVEF) correlated with variations in blood pressures and TVB (delta TVB). The results indicate that the hypotensive action mechanism of verapamil could be explained at least in part by a reduction in LVEF and systemic vasodilatation.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pressão Sanguínea / Verapamil / Eletrocardiografia / Hipertensão Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Clin Pharmacol Ther Toxicol Ano de publicação: 1990 Tipo de documento: Article País de afiliação: Cuba País de publicação: Alemanha
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pressão Sanguínea / Verapamil / Eletrocardiografia / Hipertensão Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Clin Pharmacol Ther Toxicol Ano de publicação: 1990 Tipo de documento: Article País de afiliação: Cuba País de publicação: Alemanha