The influence of beta‐adrenoceptor antagonists with and without intrinsic sympathomimetic activity on local wall motion abnormalities in patients with coronary heart disease

1 A single‐blind randomized study of the effects of a beta‐adrenoceptor antagonist with intrinsic sympathomimetic activity (pindolol 0.4 mg i.v., n = 10) and a drug lacking this property (metoprolol 5 mg i.v., n = 11) on local wall motion abnormalities was carried out in 21 patients with coronary he...

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Veröffentlicht in:British journal of clinical pharmacology 1982-01, Vol.13 (S2), p.301S-304S
Hauptverfasser: Gleichmann, U, Fassbender, D, Trieb, G, Mannebach, H, Ohlmeier, H
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container_end_page 304S
container_issue S2
container_start_page 301S
container_title British journal of clinical pharmacology
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creator Gleichmann, U
Fassbender, D
Trieb, G
Mannebach, H
Ohlmeier, H
description 1 A single‐blind randomized study of the effects of a beta‐adrenoceptor antagonist with intrinsic sympathomimetic activity (pindolol 0.4 mg i.v., n = 10) and a drug lacking this property (metoprolol 5 mg i.v., n = 11) on local wall motion abnormalities was carried out in 21 patients with coronary heart disease and anterior wall hypokinesia. 2 The drugs produced similar changes in left ventricular end diastolic pressure (LVEDP) and end diastolic volume index (EDVI) but differed in their effects on heart rate and ejection fraction. Pindolol did not exert any marked effect on heart rate or ejection fraction whereas after metoprolol treatment both were significantly decreased. 3 Shortening of the hypokinetic wall segments was improved by both drugs. Shortening of the non‐hypokinetic contralateral segments was unchanged after pindolol administration but was decreased after metoprolol. 4 The differing effects of beta‐adrenoceptor antagonists on regional wall motion appear to be dependent on the presence or absence of intrinsic sympathomimetic activity.
doi_str_mv 10.1111/j.1365-2125.1982.tb01930.x
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Pindolol did not exert any marked effect on heart rate or ejection fraction whereas after metoprolol treatment both were significantly decreased. 3 Shortening of the hypokinetic wall segments was improved by both drugs. 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Fassbender, D ; Trieb, G ; Mannebach, H ; Ohlmeier, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4770-a0cf8f1bde68fcfc7e8da05d8c3b6461addeecdf3bb88596a36f24f10b78e0e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Adrenergic beta-Antagonists - therapeutic use</topic><topic>Adult</topic><topic>Cardiac Catheterization</topic><topic>Cineangiography</topic><topic>Coronary Disease - drug therapy</topic><topic>Coronary Disease - physiopathology</topic><topic>Female</topic><topic>Heart - physiopathology</topic><topic>Heart Rate - drug effects</topic><topic>Hemodynamics - drug effects</topic><topic>Humans</topic><topic>Male</topic><topic>Metoprolol - therapeutic use</topic><topic>Middle Aged</topic><topic>Pindolol - therapeutic use</topic><topic>Sympathomimetics - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gleichmann, U</creatorcontrib><creatorcontrib>Fassbender, D</creatorcontrib><creatorcontrib>Trieb, G</creatorcontrib><creatorcontrib>Mannebach, H</creatorcontrib><creatorcontrib>Ohlmeier, H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of clinical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gleichmann, U</au><au>Fassbender, D</au><au>Trieb, G</au><au>Mannebach, H</au><au>Ohlmeier, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of beta‐adrenoceptor antagonists with and without intrinsic sympathomimetic activity on local wall motion abnormalities in patients with coronary heart disease</atitle><jtitle>British journal of clinical pharmacology</jtitle><addtitle>Br J Clin Pharmacol</addtitle><date>1982-01-01</date><risdate>1982</risdate><volume>13</volume><issue>S2</issue><spage>301S</spage><epage>304S</epage><pages>301S-304S</pages><issn>0306-5251</issn><eissn>1365-2125</eissn><abstract>1 A single‐blind randomized study of the effects of a beta‐adrenoceptor antagonist with intrinsic sympathomimetic activity (pindolol 0.4 mg i.v., n = 10) and a drug lacking this property (metoprolol 5 mg i.v., n = 11) on local wall motion abnormalities was carried out in 21 patients with coronary heart disease and anterior wall hypokinesia. 2 The drugs produced similar changes in left ventricular end diastolic pressure (LVEDP) and end diastolic volume index (EDVI) but differed in their effects on heart rate and ejection fraction. Pindolol did not exert any marked effect on heart rate or ejection fraction whereas after metoprolol treatment both were significantly decreased. 3 Shortening of the hypokinetic wall segments was improved by both drugs. Shortening of the non‐hypokinetic contralateral segments was unchanged after pindolol administration but was decreased after metoprolol. 4 The differing effects of beta‐adrenoceptor antagonists on regional wall motion appear to be dependent on the presence or absence of intrinsic sympathomimetic activity.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>6125180</pmid><doi>10.1111/j.1365-2125.1982.tb01930.x</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adrenergic beta-Antagonists - therapeutic use
Adult
Cardiac Catheterization
Cineangiography
Coronary Disease - drug therapy
Coronary Disease - physiopathology
Female
Heart - physiopathology
Heart Rate - drug effects
Hemodynamics - drug effects
Humans
Male
Metoprolol - therapeutic use
Middle Aged
Pindolol - therapeutic use
Sympathomimetics - therapeutic use
title The influence of beta‐adrenoceptor antagonists with and without intrinsic sympathomimetic activity on local wall motion abnormalities in patients with coronary heart disease
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