[Effects of monotherapy with an alpha1-adrenoblocker doxazosin and its combination with beta1-adrenoblocker atenolol on hemodynamics, reversible myocardial ischemia in postmyocardial infarction patients with arterial hypertension]

Klin Med (Mosk). 2003;81(11):17-21.
[Article in Russian]

Abstract

Effects of doxasozine and atenolol on hemodynamics and myocardial ischemia were studied in 20 males (mean age 52.5 +/- 5.3 years) who had survived macrofocal myocardial infarction associated with arterial hypertension stage I-II. The treatment efficacy was assessed clinically, by functional and radionuclide tests. A new long-acting alpha 1-adrenoblocker doxasozine was given in a mean dose 4-8 mg/day. A course of this treatment lowered systolic arterial pressure by 8.3% and diastolic one by 8.1%. As all the patients developed sinus tachycardia on day 5-10 of doxasozine treatment, the patients received additionally beta 1-adrenoblocker atenolol (12.5-25 mg/day) which adequately controlled heart rate. The combined therapy reduced frequency and severity of angina by 34.7%, 24-h need in nitroglycerine by 37.9%, exercise tolerance--by 18.4% as well as improved myocardial perfusion. Patients with concomitant benign prostatic hyperplasia showed attenuation of disuric disorders. Side effects (vertigo, anxiety) occurred in 3 cases (15%), but were not severe enough to demand the treatment discontinuation.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adrenergic alpha-Antagonists / administration & dosage*
  • Adrenergic alpha-Antagonists / pharmacology
  • Adrenergic beta-Antagonists / administration & dosage*
  • Adrenergic beta-Antagonists / pharmacology
  • Angina Pectoris / drug therapy
  • Antihypertensive Agents / administration & dosage*
  • Antihypertensive Agents / pharmacology
  • Atenolol / administration & dosage*
  • Atenolol / pharmacology
  • Blood Pressure / drug effects
  • Data Interpretation, Statistical
  • Doxazosin / administration & dosage*
  • Doxazosin / pharmacology
  • Drug Therapy, Combination
  • Heart Rate / drug effects
  • Hemodynamics / drug effects
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / physiopathology
  • Male
  • Middle Aged
  • Myocardial Infarction / drug therapy*
  • Myocardial Infarction / physiopathology

Substances

  • Adrenergic alpha-Antagonists
  • Adrenergic beta-Antagonists
  • Antihypertensive Agents
  • Atenolol
  • Doxazosin