RESUMO
On the basis of literary and own findings the authors discuss disputable problems of the pharmacotherapy of ischemic heart disease and hypertensive disease in the age aspect including patients over 60 years of age. Approaches are analyzed to individual choice of adequate pharmacotherapy, criteria of selection and dosages with special emphasis of adreno-beta-blockaders and calcium antagonists as well as criteria of evaluation of pharmacotherapy.
Assuntos
Envelhecimento/efeitos dos fármacos , Hipertensão/tratamento farmacológico , Isquemia Miocárdica/tratamento farmacológico , Antagonistas Adrenérgicos beta/uso terapêutico , Idoso , Bloqueadores dos Canais de Cálcio/uso terapêutico , Quimioterapia Combinada , Humanos , Pessoa de Meia-IdadeRESUMO
The authors studied 67 patients with ischemic heart disease associated with hypertensive disease and revealed that the use of beta-adrenoblockaders and calcium antagonists resulted in a reduction of the manifestations of the disease, increase of physical load tolerance, optimization of its hemodynamic and oxygen provision. In patients under 60 years of age of beta-adrenoblockaders resulted in an increase of the myocardial contractility. This was not observed in those over 60 years of age. It is concluded that in patients combining IHD with hypertensive disease under 60 it is more preferable to use beta-adrenoblockers, in those over 60--calcium antagonists.
Assuntos
Antagonistas Adrenérgicos beta/uso terapêutico , Bloqueadores dos Canais de Cálcio/uso terapêutico , Doença das Coronárias/tratamento farmacológico , Hipertensão/tratamento farmacológico , Adulto , Idoso , Envelhecimento/efeitos dos fármacos , Envelhecimento/fisiologia , Doença das Coronárias/fisiopatologia , Avaliação de Medicamentos , Teste de Esforço , Humanos , Hipertensão/fisiopatologia , Pessoa de Meia-Idade , Propranolol/uso terapêutico , Verapamil/uso terapêuticoAssuntos
Bloqueadores dos Canais de Cálcio/uso terapêutico , Doenças Cardiovasculares/tratamento farmacológico , Bloqueadores dos Canais de Cálcio/classificação , Bloqueadores dos Canais de Cálcio/farmacologia , Sistema Cardiovascular/efeitos dos fármacos , Hemodinâmica/efeitos dos fármacos , HumanosAssuntos
Doença das Coronárias/diagnóstico , Emoções/fisiologia , Hipertensão/diagnóstico , Doença das Coronárias/etiologia , Doença das Coronárias/psicologia , Humanos , Hipertensão/etiologia , Hipertensão/psicologia , Testes Psicológicos/métodos , Psicofisiologia , Estresse Psicológico/complicações , Estresse Psicológico/psicologiaRESUMO
Mathematical processing of research results (correlation, multifactorial and cluster analyses) has demonstrated intricate relationships between blood lipid composition and parameters of hemodynamic and oxygen support of exercise, undetectable by routine statistical procedures, in coronary patients. Coronary patients with hyperlipoproteinemia (HLP) showed inadequately strained and uneconomical cardio-respiratory operation in the course of exercise. The pattern of hemodynamic and oxygen support of exercise was similar in HLP patients with cardialgia and coronary HLP patients whose coronary reserve was mildly limited. The control of lipid metabolic disorders is of preventive as well as direct therapeutic value, as it aims to eliminate hypoxia, normalize hemodynamic and oxygen support of exercise and, consequently, improve working capacity.
Assuntos
Doença das Coronárias/fisiopatologia , Lipídeos/sangue , Consumo de Oxigênio , Oxigênio/sangue , Adulto , Transporte Biológico , Hemodinâmica , Humanos , Hipóxia/etiologia , Masculino , Matemática , Pessoa de Meia-IdadeRESUMO
A study of the effects of exercise on cardiovascular function of myocardial infarction survivors showed their physical stress tolerance to increase as a result of improved myocardial contractility and the optimum adjustment of hemodynamic and oxygen support of exercise. Therefore, exercise should be used more extensively as part of the rehabilitation effort following myocardial infarction.
Assuntos
Terapia por Exercício , Infarto do Miocárdio/reabilitação , Adulto , Eletrocardiografia , Hemodinâmica , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/fisiopatologia , Resistência FísicaAssuntos
Hemodinâmica , Infarto do Miocárdio/fisiopatologia , Adulto , Teste de Esforço , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Contração Miocárdica , Infarto do Miocárdio/diagnóstico por imagem , Cintilografia , Pertecnetato Tc 99m de SódioRESUMO
A study of the time course of hemodynamic and oxygen load and catecholamine content in 74 patients after myocardial infarction showed that cardiac output as a pump was less effective in the persons with a higher load tolerance (over 50 W) in a high concentration of noradrenaline in the blood; a higher oxygen debt was revealed after equal exercise. The data obtained can be important for recommendation of beta-adrenoblockers to patients after myocardial infarction.