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Objective:To assess the therapeutic effects and adverse reactions of MS Contin in the treatment of acute myocardial infarction (AMI). Methods: 42 AMI patients were divided into experiment group and control group. Experiment group were given oral administration of MS Contin for 1 week besides the routine treatment of AMI for patients in the control group. Results: Between the two groups, the differences in the product of heart rate and blood pressure ( HR?BP) , the frequency of angina pecto-ris attack, the recovery time of the ST segment and the incidence of acute arrhythmia were significant. The most common side effects observed were: vomiting, constipation, hallucination, and the most severe toxic side effect was respiratory inhibition. Conclusion : In the treatment of AMI, MS Contin could relieve the pain effectively, reduce the incidence of angina pectoris attack and severe arrhythmia, decrease myocardial oxygen consumption, have tolerable side effects in the majority of patients. It is preferable to use MS Contin as a concurrent treatment of AMI.
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Objective: To investigate the dynamic changes in the content of endothelin(ET) in the plasma of coronary heart disease(CHD) patients and the relationship between myocardial function and ET.Methods: The plasma ET levels of 62 CHD patients were measured by immunoradiometric assay(IRMA) at 12 h,24 h,48 h,96 h and 7 d after the attack of CHD.The left ventricular ejection fraction(LVEF) was detected by echocardiography and the cardiac function was assessed according to the NYHA classification criteria.Results: The plasma ET level was significantly higher in the CHD patients than in the healthy controls(P
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Objective:To investigate plasma contents of ?-endorphin(?-EP) in patients with coronary heart disease(CHD) and study the relationship between myocardial function and ?-EP in these patients.Methods:At 12,24,48,and 96 h and 7 d after episode,the plasma levels of ?-EP were measured by immunoradiometric assay(IRMA).The left ventricular ejection fraction(LVEF) was measured with echocardiography and the class of cardiac function was assessed according to NYHA. Results:The plasma levels of ?-EP in 58 patients with CHD were higher than those in 20 healthy subjects(P
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100 U/L were higher than those in group of CK-MB≤100 U/L(P
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Through G protein coupling and intracellular signal transmission, opioid peptides and its receptors in myocardial tissues participate in IPC have the function of early and delayed protection. The molecular mechanism of ”trigger-regulatory medium-effector” is of great significance in the study of the pathogenesis of IPC, as well as exploring the new idea for CHD prevention and cure.
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Cardiac complications(cerebral-cardiac syndrome) very often induced by acute traumatic brain injury include abnomal ECG, decreased myocardial contractile function, increased myocardial enzymes and pathological changes etc. In order to better understand the cerebral-cardiac syndrome related to the traumatic brain injury, the major clinical features, mechanism and clinical significance are reviewed.