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培哚普利对心力衰竭患者血流动力学和神经激素的急性影响

王国民 许嘉鸿 李艳妍 张敏 罗明 邓南伟

上海铁道大学学报(医学辑)2000,Vol.21Issue(11):12-14,23,4.
上海铁道大学学报(医学辑)2000,Vol.21Issue(11):12-14,23,4.

培哚普利对心力衰竭患者血流动力学和神经激素的急性影响

Acute Effects of Perindopril on Haemodynamics and Neurohormone in Patients with Congestive Heart Failure

王国民 1许嘉鸿 2李艳妍 2张敏 2罗明 2邓南伟2

作者信息

  • 1. 吉林省梅河口铁路医院,梅河口 135000
  • 2. 同济大学附属同济医院心内科,上海 200065
  • 折叠

摘要

Abstract

Objective To assess the acute effects of perindopril on haemodynamics and neurohormone in patients with CHF,and its clinical safety. Methods 25 patients with CHF were treated with oral perindopril 4 mg once. Results After taking single dosage of perindopril (4 mg), MPAP, PCWP, SVR and PVR decreased significantly (P<0.01),CI,LVSW increased significantly (P<0.01).The plasma levels of ACE activity, AT Ⅱ ,ALD decreased while PRA increased. MAP decreased 2. 3 kPa (17 mmHg),the maximum of decrease being 4 kPa (30 mmHg). Conclusion Single dose of perindopril (4 mg) can effectively inhibit plasma ACE activity in patients with CHF. It has a good effect on haemodynamics and perfect clinical safety.

关键词

心力衰竭,充血性/培哚普利/血流动力学/神经激素

Key words

heart failure, congestive/perindopril/haemodynamics/neurohormone

分类

医药卫生

引用本文复制引用

王国民,许嘉鸿,李艳妍,张敏,罗明,邓南伟..培哚普利对心力衰竭患者血流动力学和神经激素的急性影响[J].上海铁道大学学报(医学辑),2000,21(11):12-14,23,4.

上海铁道大学学报(医学辑)

1008-0392

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