Cardiovascular effects of protamine sulfate.

Autor: Green CE, Higgins CB, Kelley MJ, Schmidt WS, Haigler FH, Newell JD
Jazyk: angličtina
Zdroj: Investigative radiology [Invest Radiol] 1981 Jul-Aug; Vol. 16 (4), pp. 324-9.
DOI: 10.1097/00004424-198107000-00014
Abstrakt: Rapid administration of protamine sulfate after arteriography or cardiopulmonary bypass has occasionally been associated with marked hypotension. Since it is unclear whether this is due entirely to vasodilatation or to myocardial depression in addition to vasodilatation, the authors assessed the direct myocardial and systemic circulatory effects of this drug in seven anesthetized dogs. Direct effects of protamine sulfate on global and regional myocardial function and peripheral arterial resistance were determined in the presence and absence of segmental myocardial ischemia. Effects on the myocardium were determined by intracoronary administration of protamine; effects on the systemic circulation were determined after intravenous administration. Intracoronary administration of protamine caused no significant change in left ventricular contractility in either the normal or ischemic state. Intravenous administration produced hypotension due to peripheral vasodilation.
Databáze: MEDLINE