Document Detail


Haemodynamic effects of intravenous sotalol in acute myocardial infarction.
MedLine Citation:
PMID:  3539617     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are few placebo controlled studies in acute myocardial infarction concerning the haemodynamic effects of beta blockade. In a controlled, double-blind randomized study, the haemodynamic effects of sotalol were evaluated in 20 patients with acute myocardial infarction within 24 hours of the onset. Sotalol was administered to 10 patients over 12 hours by a continuous infusion including three different infusion rates. A serum level around 1.4 microgram ml-1 was achieved after one hour of infusion. The placebo patients were given saline infusion. The patients were monitored invasively using a thermodilution catheter in the pulmonary artery. In the sotalol group, there was a significant reduction in heart rate, systolic blood pressure, cardiac output and stroke volume compared to placebo. A slight increase in the mean pressures of right atrium, pulmonary artery systolic and diastolic pressures was also seen. The infusion was well tolerated and no adverse reaction was seen.
Authors:
M Aström; O Edhag; O Nyquist; H Vallin
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European heart journal     Volume:  7     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1987-02-03     Completed Date:  1987-02-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  931-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Clinical Trials as Topic
Creatine Kinase / blood
Double-Blind Method
Electrocardiography
Hemodynamics / drug effects*
Humans
Infusions, Intravenous
Middle Aged
Myocardial Infarction / drug therapy*,  physiopathology
Random Allocation
Sotalol / administration & dosage,  therapeutic use*
Time Factors
Chemical
Reg. No./Substance:
3930-20-9/Sotalol; EC 2.7.3.2/Creatine Kinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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