Abstract:
AIM:To assess efficacy and safety of selective beta-adrenoblockers (BAB) metoprolol succinate and nebivolol in patients with arterial hypertension (AH) and/or IHD associated with bronchoobstructive syndrome (BOS). MATERIAL AND METHODS:Fifty patients suffering from AH and/or IHD associated with BOS in chronic obstructive pulmonary disease (COPD) and/or bronchial asthma (BA) of any severity in remission received BAB. Safety of BAB was evaluated by dynamics of respiratory symptoms and bronchial patency. An antihypertensive effect of BAB was assessed by the data of 24-h monitoring of BP, an antianginal one--by dynamics of clinical symptoms, amount of nitrates taken and exercise tolerance (6-min walk). The results of Holter ECG monitoring and an antiarrhythmic effect of BAB were also studied. RESULTS; Metoprolol succinate and nebivolol did not deteriorate bronchial patency (baseline FEV1--81.08 +/- 22.57%, at the end of the study--84.58 +/- 23.72% and 71.12 +/- 19.95, 73.19 +/- 21.70, respectively) in COPD and/or BA. Both drugs showed high antihypertensive efficacy as monotherapy and in combined therapy. Anginal attacks severity and frequency reduced significantly. The need in nitrosorbide fell noticeably, exercise tolerance increased significantly. Metoprolol succinate and nebivolol have a good anti-arrythmic effect. CONCLUSION:Metoprolol succinate and nebivolol are safe in patients with bronchoobstructive syndrome and AH and/or IHD in the presence of cardiovascular indications; these drugs can be used in patients with severe COPD and BA as well as their exacerbations unrelated to administration of beta-adrenoblocker.
journal_name
Ter Arkhjournal_title
Terapevticheskii arkhivauthors
Ovcharenko SI,Litvinova IV,Mikolkin VIsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
12-8issue
9eissn
0040-3660issn
2309-5342journal_volume
79pub_type
杂志文章abstract:AIM:To compare efficacy and tolerability of combined therapy with methotrexate (MTX), sulfasalazine (SSZ) and hydroxychloroquine (HCQ) with MTX-monotherapy in patients with rheumatoid arthritis (RA). MATERIAL AND METHODS:RA patients (n = 60) who had not been treated with the above drugs were randomized (1:1) to receiv...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
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journal_title:Terapevticheskii arkhiv
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journal_title:Terapevticheskii arkhiv
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doi:
更新日期:1985-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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journal_title:Terapevticheskii arkhiv
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更新日期:1985-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
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doi:
更新日期:1991-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:
更新日期:2014-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-01-01 00:00:00
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doi:
更新日期:1999-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
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更新日期:1998-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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更新日期:1992-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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更新日期:1986-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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