首页   按字顺浏览 期刊浏览 卷期浏览 Selective and nonselective β‐blockade of the peripheral circulation
Selective and nonselective β‐blockade of the peripheral circulation

 

作者: William R Hiatt,   Demerick C Fradl,   Gary O Zerbe,   Richard L Byyny,   Alan S Nies,  

 

期刊: Clinical Pharmacology&Therapeutics  (WILEY Available online 1984)
卷期: Volume 35, issue 1  

页码: 12-18

 

ISSN:0009-9236

 

年代: 1984

 

DOI:10.1038/clpt.1984.2

 

数据来源: WILEY

 

摘要:

The effects of selective β1‐ as compared to nonselective β‐adrenergic blocking drugs on the peripheral circulation have not been adequately investigated. Ten healthy subjects received placebo for 1 wk followed by 4 wk of either propranolol or metoprolol in equivalent but increasing doses each week. Subjects then crossed over to the other sequence of placebo and drug. Measurements of calf blood flow, mean blood pressure, and calculation of calf vascular resistance were obtained at rest, after three loads of supine exercise on a bicycle ergometer, and during isoproterenol infusion testing. At the doses chosen, both β‐adrenergic blocking drugs induced equivalent decreases in exercise heart rate. Metoprolol lowered resting and exercise mean blood pressure at most doses, whereas propranolol had less of an effect on this variable. Neither drug altered resting or exercise calf blood flow or vascular resistance. More isoproterenol was required to increase the heart rate and decrease the vascular resistance during treatment with propranolol than with metoprolol. We conclude that in normotensive subjects metoprolol is somewhat more effective than propranolol in lowering mean arterial pressure during exercise when the drugs are given at doses equivalent in effects on exercise heart rate. Neither drug has a deleterious effect on calf blood flow or vascular resistance. Despite this, a marked separation between the vascular β2‐adrenergie –blocking effects of these drugs can be demonstrated with an isoproterenol infusion indicating β2‐adrenergic–receptor sparing by metoprolol.Clinical Pharmacology and Therapeutics(1984)35,12–18; do

 

点击下载:  PDF (481KB)



返 回