[Intravenous administration of cordaron in the emergency therapy of ventricular extrasystole in patients with ischemic heart disease].
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Biomedical subjects
Publications and source records attributed to Iu V Anshelevich.
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The effect of propranolol on hypotonic erythrocyte hemolysis was investigated in normal subjects and coronary patients. In the latter, erythrocytes were shown to have much smaller osmotic stability as compared to the former. Propranolol's in vitro antihemolyzing effect is more pronounced in patients with acute myocardial infarction and angina pectoris as compared to normal subjects. antihemolyzing effect of propranolol is reduced if it is preceded by the administration of beta-adrenoblockers in myocardial infarction. It is suggested that propranolol's antihemolyzing effect be used for the assessment of beta-adrenoreceptor function.
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The frequency and nature of side-effects are analysed in 945 patients subjected to 1205 intravenous infusions of various antiarrhythmic agents. The most common side-effects of novocainamide, isoptin, obsidan, lidocain and trimecain are arterial hypotension and shock, while conductivity disorders, asystole (novocainamide, isoptin), bradycardia, acute heart failure (obsidan) are less frequent. Rapid strophanthin saturation in patients with supraventricular paroxysmal tachyarrhythmias can result in ventricular extrasystole, and the use of phenylephrine hydrochloride can produce an excessive hypertensive response. The occurrence of side-effects can be reduced considerably if antiarrhythmic agents are employed on a correct methodological basis, with adequate infusion rate observed, the first dose correctly chosen, potassium preparations added to the treatment, etc.
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Single intravenous injection of drugs arrests 1/3 of atrial fibrillation paroxysms and only 1/7 of atrial flutter paroxysms. According to the frequency of the arresting effect in paroxysms of atrial fibrillation, isoptin, a combination of procaine hydrochloride with strophanthin, and giluritmal take first place. In paroxysms of atrial flutter, isoptin produces the best effect. Combined antiarrhythmic therapy with several drugs results in the arrest of about 50% of tachyarrhythmia paroxysms in a few hours to 10 days. Emergency indications for the application of electric-pulse therapy are noted among 7.9% of patients with fibrillation and among 6.6% of those with flutter of the atria.
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The authors gave clophelin by intravenous (0.1 g) or intramuscular (0.1--0.15 mg) injections to 75 patients who were in a state of hypertensive crisis. In 67 patients (89--4%) the crisis was successfully arrested. In most patients maximum hypotensive effect occurred 10--20 minutes after intravenous injection and 20--30 minutes after intramuscular administration. Tolerance to a single injection of the drug was good. In some cases there was a marked additional fall of arterial pressure in the orthostatic position, a sensation of dryness in the mouth, weakness and mild somnolence.
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