Amlodipine alters hemorheological parameters: Increased efficacy at the cost of edema?

Autor: R.P. Ravindra, S. Arunkumar, R.R. Puniyani, K. Padgaonkar, Ramalingam Vadivelu, Rajeev Sharma, Gopi Panicker, Yash Lokhandwala
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Indian Heart Journal, Vol 71, Iss 1, Pp 32-38 (2019)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2018.10.417
Popis: Background: Despite several decades of use of calcium channel blockers, the side effect of edema persists as a class effect, and its mechanism is unresolved. Amlodipine has effects on hemorheology (HR), and its hemodilutory property may partly contribute to its antihypertensive action. This aspect is not well studied, and the literature is sparse in this regard. Objective: This experiment was planned to determine effect of a single-dose administration of amlodipine on HR parameters in normal human volunteers. Methods and results: Amlodipine (5 mg) or S (-) amlodipine (2.5 mg) was administered to 27 normal human volunteers. Whole-blood viscosity (WBV) at different shear rates, plasma viscosity (PV), red cell rigidity (RCR), red cell aggregation (RCA), hematocrit (Hct), plasma hemoglobin, along with plasma drug concentration were determined at time intervals, t = 0, 4, 8, 12, and 24 h. Statistically significant reductions were observed at tmax = 4 h in WBV at shear rates of 0.512 s–1 (p
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