Document Detail


Contribution of atrial reservoir function to ventricular filling in hypertensive patients. Effects of nifedipine administration.
MedLine Citation:
PMID:  7591023     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We designed this study to access the importance of left atrial function as a contributor to mitral flow velocity pattern in hypertensive patients. In hypertensive patients the early diastolic flow velocity and ratio of early to late diastolic flow velocity in the mitral flow velocity pattern increase in association with sublingual administration of nifedipine. These changes have been interpreted as signs of improved left ventricular diastolic function; however, the mitral flow velocity pattern is also affected by various other factors. Thus, the nifedipine-induced changes may not necessarily indicate the improvement of left ventricular diastolic function. Transthoracic Doppler echocardiographic parameters of mitral and pulmonary venous flow velocity patterns and left ventricular M-mode echograms were obtained in 16 untreated hypertensive patients before and after sublingual administration of nifedipine (10 mg). Normal values of the parameters were determined in 50 age-matched healthy subjects. After nifedipine peak early diastolic mitral flow velocity increased beyond the normal value, although the peak increasing rate of left ventricular inner dimension, another index of left ventricular diastolic function, did not recover to the normal value. Peak systolic velocity in the pulmonary venous flow velocity pattern increased beyond the normal value, indicating improvement of the reservoir function to the left atrium during systole. Nifedipine-induced normalization of the mitral flow velocity pattern was associated with further abnormalities of the pulmonary venous flow velocity pattern, indicating enhanced left atrial reservoir function.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
R Nagano; T Masuyama; M Naka; M Hori; T Kamada
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Hypertension     Volume:  26     ISSN:  0194-911X     ISO Abbreviation:  Hypertension     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1995-12-07     Completed Date:  1995-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7906255     Medline TA:  Hypertension     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  815-9     Citation Subset:  IM    
Affiliation:
First Department of Medicine, Osaka University School of Medicine, Suita, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Atrial Function, Left / drug effects*
Blood Flow Velocity / drug effects
Female
Humans
Hypertension / physiopathology*
Male
Middle Aged
Nifedipine / pharmacology*
Pulmonary Veins / physiopathology
Vasodilator Agents / pharmacology*
Ventricular Function, Left / drug effects*
Chemical
Reg. No./Substance:
0/Vasodilator Agents; 21829-25-4/Nifedipine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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