Beta-adrenoceptor blockers in atrial fibrillation: the importance of partial agonist activity [see comments]

Autor: J. R. Rees, Michael A. James, K.S. Channer, T MacConnell
Rok vydání: 1994
Předmět:
Zdroj: British Journal of Clinical Pharmacology. 37:53-57
ISSN: 0306-5251
Popis: 1. The ideal drug treatment for atrial fibrillation will control resting heart rate, blunt exercise induced tachycardia whilst not exacerbating nocturnal bradycardia. Monotherapy with digoxin may not be ideal. We have compared the effect of combining digoxin (0.25 mg daily) with atenolol 50 mg and 100 mg or pindolol 5 mg twice daily and 15 mg twice daily in a cross-over randomised single-blind trial in eight symptomatic patients (six male; mean age 62 years) with poorly controlled atrial fibrillation. 2. Heart rate control was measured by 24 h ECG at baseline on digoxin therapy and after 2 weeks with each treatment. Symptom scores for breathlessness and palpitation were measured using visual analogue scales. 3. The addition of both beta-adrenoceptor blockers significantly reduced mean diurnal maximum heart rate from baseline (all P 1.5 s (P = 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
Databáze: OpenAIRE