Effects of Nisoldipine on Coronary Collateral Perfusion and Hemodynamics in Chronically Instrumented Dogs

Autor: David C. Warltier, Harold L. Brooks, J C Hartman, Dermot Kenny
Rok vydání: 1989
Předmět:
Zdroj: Pharmacology. 38:263-271
ISSN: 1423-0313
0031-7012
DOI: 10.1159/000138545
Popis: The effects of a new dihydropyridine slow-channel calcium blocking agent, nisoldipine, on hemodynamics and myocardial blood flow in normal and collateral-dependent areas distal to a chronic coronary artery occlusion were studied in chronically instrumented, conscious dogs. Nisoldipine produced significant and dose-related decreases in arterial blood pressure, an elevation of heart rate and large increases in coronary blood flow velocity. In dogs with an Ameroid constrictor previously implanted to enhance coronary collateral development, this agent produced large increases in perfusion distal to a chronic coronary artery occlusion. In addition, despite a reduction in arterial pressure, nisoldipine preserved renal cortical, intestinal and skeletal muscle blood flow while increasing tissue flow within liver and cerebral cortex. Thus, nisoldipine increases oxygen supply to collateral-dependent myocardium in the presence of reduced driving pressure for collateral perfusion.
Databáze: OpenAIRE