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1.
Kardiologiia ; 32(5): 19-21, 1992 May.
Article Ru | MEDLINE | ID: mdl-1405251

The effects of Finoptin, Corinfar, and Capoten were examined in 154 patients with Stage II hypertensive disease. The calcium antagonists Finoptin and Corinfar, as well as Capoten were equal in lowering blood pressure and having a heterodirectional action on cardiodynamics: Finoptin exerted a positive inotropic effect in 46.3% and a negative one in 53.7%, corinfar in 66.7 and 33.3%, respectively, and Capoten in 37.5 and 62.5%. The baseline hemodynamic type fails to predict how the myocardium in a particular patient will respond to the antihypertensive drug. Nevertheless, Corinfar is more preferable in patients with hypertensive disease attended by hypokinetic circulation, Capoten is more preferable in those with its hyperkinetic variant. The baseline hemodynamic type makes an insignificant contribution to the activity of Finoptin.


Captopril/pharmacology , Hypertension/drug therapy , Myocardial Contraction/drug effects , Nifedipine/pharmacology , Verapamil/pharmacology , Adult , Aged , Captopril/therapeutic use , Female , Humans , Hypertension/physiopathology , Male , Middle Aged , Nifedipine/therapeutic use , Verapamil/therapeutic use
2.
Kardiologiia ; 32(2): 35-6, 1992 Feb.
Article Ru | MEDLINE | ID: mdl-1527932

Echocardiography was used to study the cardio- and hemodynamic effects of corinfar in 22 patients with neurocirculatory dystonia and 24 with hypertensive disease. The agent showed a pronounced hyperdynamic effect in patients with neurocirculatory dystonia, whereas it significantly lowered systolic, diastolic, mean blood pressures in those with hypertensive disease, by facilitating left ventricular performance without hyperkinemia. It is concluded that neurocirculatory dystonia and hypertensive disease are different diseases, by judging from the cardio- and hemodynamic effects of the calcium antagonist in these patients.


Hemodynamics/drug effects , Hypertension/drug therapy , Neurocirculatory Asthenia/drug therapy , Nifedipine/therapeutic use , Adolescent , Adult , Echocardiography , Humans , Hypertension/diagnostic imaging , Middle Aged , Neurocirculatory Asthenia/diagnostic imaging
3.
Ter Arkh ; 62(10): 149-52, 1990.
Article Ru | MEDLINE | ID: mdl-2084881

As many as 98 patients suffering from essential hypertension (EH) were examined for the effects of verapamil and nifedipine. The hemodynamics and heart contractility were estimated by means of echocardiography on an "Aloka D-280" outfit (Japan). The following parameters of the cardio- and hemodynamics were computed: the stroke and minute blood volumes, cardiac index, mean velocity of ventricular evacuation, performance of the left heart, energy consumption by the myocardium, arterial pressure (systolic, diastolic and mean), total peripheral vascular resistance, ejection fraction, and the rate of circulatory shortening of myocardial fibers. Analysis of the effects of verapamil and nifedipine on the cardio- and hemodynamics in EH patients has demonstrated that in addition to their unidirectional action manifested by a steady hypotensive effect, the drugs under consideration produced an action of different directions as regards certain essential parameters in a considerable number of the patients.


Hemodynamics/drug effects , Hypertension/physiopathology , Nifedipine/pharmacology , Verapamil/pharmacology , Adult , Drug Evaluation , Female , Heart/drug effects , Heart/physiopathology , Hemodynamics/physiology , Humans , Hypertension/drug therapy , Male , Middle Aged , Nifedipine/therapeutic use , Verapamil/therapeutic use
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