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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1994-8-18
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pubmed:abstractText |
1. The physiological effects of the acute administration of a beta-adrenoceptor antagonist in patients with idiopathic dilated cardiomyopathy were assessed by performing post-exercise Doppler-echocardiography study. Eleven patients and six control subjects were studied. According to a double-blind randomized protocol, 5 mg of metoprolol or placebo was administered before cycloergometer exercise. 2. In patients, after metoprolol, a significant decrease in heart rate and systolic blood pressure, as well as in peak aortic acceleration and cardiac output, was observed 2 min after exercise. Left ventricular end-diastolic diameter did not change from baseline values either after placebo or metoprolol. In normal subjects, as compared with placebo, a decrease in heart rate and peak aortic acceleration was observed after metoprolol, whereas systolic blood pressure did not change. A similar increase in cardiac output occurred after metoprolol, as compared with placebo, associated with an increase in left ventricular end-diastolic diameter and stroke volume. 3. Post-exercise Doppler echocardiography is a means of assessing haemodynamic changes occurring during exercise in patients with congestive heart failure. Although acute metoprolol administration does not provide beneficial haemodynamic effects, a decrease in the energy requirements of the heart and a faster recovery after exercise may participate in the long-term beneficial action of beta-adrenoceptor antagonists.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0143-5221
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
86
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
523-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8033506-Blood Pressure,
pubmed-meshheading:8033506-Cardiac Output,
pubmed-meshheading:8033506-Cardiomyopathy, Dilated,
pubmed-meshheading:8033506-Depression, Chemical,
pubmed-meshheading:8033506-Double-Blind Method,
pubmed-meshheading:8033506-Echocardiography, Doppler,
pubmed-meshheading:8033506-Exercise,
pubmed-meshheading:8033506-Female,
pubmed-meshheading:8033506-Heart Rate,
pubmed-meshheading:8033506-Hemodynamics,
pubmed-meshheading:8033506-Humans,
pubmed-meshheading:8033506-Male,
pubmed-meshheading:8033506-Metoprolol,
pubmed-meshheading:8033506-Middle Aged,
pubmed-meshheading:8033506-Stroke Volume
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pubmed:year |
1994
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pubmed:articleTitle |
Post-exercise Doppler-echocardiographic haemodynamics in idiopathic dilated cardiomyopathy after metoprolol infusion.
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pubmed:affiliation |
Unité de Recherche U.2, Institut National de la Santé, Recherche Médicale, Créteil, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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