Effect of Inhaled Nitric Oxide on Cardiovascular Response to Catecholamine in Heart Failure

Autor: Masahiko Morihira, Tomoyuki Matsusaka, Hideki Nakamura, Kenjiro Kikuchi, Shunsuke Natori, Takafumi Ohta, Hironobu Matsuhashi, Akira Ido, Yin-Tie Jin, Naoyuki Hasebe, Shiro Tsuji
Rok vydání: 2000
Předmět:
Zdroj: Journal of Cardiovascular Pharmacology. 36:S55-S60
ISSN: 0160-2446
DOI: 10.1097/00005344-200000006-00012
Popis: We examined the dose responses to continuous infusion of isoproterenol (ISO) and norepinephrine (NE) in normal (control) and procainamide-induced heart failure dogs with or without inhalation of 70 ppm nitric oxide (NO). Inhaled NO affected neither left ventricular (LV) function nor hemodynamics at baseline in both control and heart failure dogs. There were no significant differences in the responses to ISO and NE with or without inhaled NO in the control. The responses of LV dP/dt to ISO and NE were significantly enhanced in heart failure; however, they were not affected by inhaled NO. In contrast, LV pressure and dimension at end diastole were significantly increased, and pulmonary vascular resistance (PVR) was significantly decreased by inhaled NO during infusion of both ISO and NE in heart failure. In conclusion, the positive inotropic response to cathecholamine is not affected by inhaled NO even in heart failure. Inhaled NO decreases PVR, but potentially increases LV preload in the presence of additional stress of cathecholamine in heart failure.
Databáze: OpenAIRE