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Biomedical subjects

G Sandler

Publications and source records attributed to G Sandler.

35 records · Page 2Linked to original sources

Use of oxprenolol in cardiac arrhythmias associated with acute myocardial ischaemia.

Oxprenolol, a new beta-receptor blocking drug with intrinsic sympathomimetic activity, was used to treat 63 episodes of cardiac arrhythmia occurring in 43 patients with acute myocardial infarction or myocardial ischaemia. The drug was most effective in abolishing ventricular ectopic beats and supraventricular tachycardia. The best method of administration was by continuous intravenous infusion and the most satisfactory bolus does was 6 mg. The main side effect was hypotension, which occurred in 59% of episodes of arrhythmia that had responded previously to intravenous administration. Oxprenolol was often effective in lignocaine-resistant arrhythmia. The two main advantages of oxprenolol over propranolol are the reduced likelihood of adversely affecting myocardial function and the diminished tendency to produce bronchospasm.

Adult↗

Clinical evaluation of practolol, a new cardioselective beta-blocking agent in angina pectoris.

In a controlled double-blind study practolol, a new cardioselective beta-blocking drug, was given to 15 patients with angina pectoris, and compared with propranolol 80 mg. q.d.s. The dose of practolol ranged from 200 to 600 mg.b.d. and was decided by initial open titration in individual patients. Though practolol did not influence the incidence of angina or glyceryl trinitrate consumption, it increased the duration of exercise possible in exercise tests and reduced the amount of ischaemic S-T depression in the radiocardiogram during exercise. Propranolol reduced the incidence of angina and, in the exercise tests, increased the amount and duration of exercise but did not affect the degree of S-T depression. Unlike propranolol, practolol did not produce any adverse effects on bronchial smooth muscle. Hence it is concluded that practolol is an effective drug in treating angina, and in the dosage used is of potential value in patients with asthmatic bronchitis and angina. It should, however, be used cautiously in anginal patients with heart failure.

Acetanilides↗

Clinical evaluation of verapamil in angina pectoris.

A controlled double-blind study of verapamil in 16 anginal patients used two dose levels-40 mg. t.d.s. and 120 mg. t.d.s.-and was compared with propranolol 100 mg. t.d.s. At the higher dosage verapamil produced a significant improvement in frequency of angina, trinitrin consumption, and exercise tolerance, and had a favourable and significant effect on the amount and duration of ischaemic S-T depression occurring in the electrocardiogram during exercise. In the lower dose verapamil produced significant subjective improvement but no objective benefit in the electrocardiogram. No significant differences were found between the favourable results with the higher dosage of verapamil and propranolol.The action of verapamil is not fully understood, but its favourable effects in angina may be due to a direct action on the myocardium, possibly with accompanying coronary vasodilatation.

Adult↗

[Hemodynamics in monkeys in the initial period of adaptation to weightlessness].

Using pre-implanted electrodes and transducers, arterial pressure and linear blood flow velocity in the common carotid artery of the rhesus-monkey Gordyi were measured during his space flight on a Cosmos biosatellite and ground-based control experiments. As compared to the prelaunch level, blood pressure remained unchanged, blood flow velocity increased significantly and blood flow resistance in the area decreased during the first hours after insertion into orbit. During subsequent flight days mean daily values of blood pressure increased and blood flow returned to the baseline level, although they showed distinct day-night variations. Daily variations of blood flow velocity and its ratio to cardiac output gave evidence that the circulation system of the rhesus-monkey under study rapidly adapted to microgravity conditions.

Adaptation, Physiological↗

[Features of changes in blood pressure and blood flow in the common carotid artery of monkeys exposed aboard the biosatellite Cosmos-1514].

Preflight the rhesus-monkey Bion was implanted with sensors and transducers to measure blood pressure and linear flow velocity in the common carotid artery and to compare these parameters with central circulation. At the early flight stage blood pressure increased, blood flow decreased and resistance in the area grew. The last change can be regarded as a compensatory reaction that can provide rapid adaptation of regional circulation to changes in systemic circulation. At later flight stages blood pressure showed distinct circadian oscillations and blood flow, a significant increase when compared to the ground-based 36-hour control study. Regulatory mechanisms of the cardiovascular system changed to the greatest extent on flight day 2. This manifested as a decrease of the amplitude of circadian oscillations of the above circulation parameters. Signs of cardiovascular adaptation to the effects of microgravity were discerned on flight days 3 to 5.

Adaptation, Physiological↗