Document Detail


Hemodynamic performance during exercise in patients with severe chronic congestive heart failure before and after a single dose of pimobendan.
MedLine Citation:
PMID:  7521456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Duration of symptom-limited exercise on a bicycle ergometer (constant workload of 25 W) was determined in 12 patients with severe chronic congestive heart failure (CHF) due to dilated cardiomyopathy (CMP, 4 patients) or ischemic heart disease (IHD, 8 patients) undergoing hemodynamic monitoring. Mean exercise duration was 214 +/- 124 s and produced severe dyspnea lasting > 5 min in all patients. The next morning, each patient exercised again to the same level; pimobendan (10 mg orally) was then administered, and exercise to the same workload was repeated 4 and 10 h later. Mean +/- SD exercise-induced changes in heart rate (HR, min-1), pulmonary capillary wedge pressure (PCW, mm Hg), cardiac output (CO, L/min-1), and stroke volume index (SVI, ml.min-1) were as follows. At baseline, HR was 85 +/- 17-110 +/- 21 beats/min (p < 0.001), PCW 21 +/- 10-31 +/- 10 mm Hg (p < 0.05), CO 3.7 +/- 1.0-3.9 +/- 1.0 L.min-1 (NS), and SVI, 25 +/- 7-20 +/- 7 ml.m-2 (NS). Four hours after pimobendan administration, HR was 90 +/- 14-113 +/- 21 beats/min (p < 0.001), PCW 11 +/- 7-20 +/- 10 mm Hg (p < 0.05), CO 5.3 +/- 0.7-5.8 +/- 1.0 L.min-1 (NS), and SVI 33 +/- 3-29 +/- 7 ml.m-2 (NS).(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
F Hagemeijer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiovascular pharmacology     Volume:  23     ISSN:  0160-2446     ISO Abbreviation:  J. Cardiovasc. Pharmacol.     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-10-06     Completed Date:  1994-10-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7902492     Medline TA:  J Cardiovasc Pharmacol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  741-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Sint Franciscus Gasthuis, Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Aged
Cardiomyopathy, Dilated / complications
Cardiotonic Agents / administration & dosage,  pharmacology*
Child
Exercise*
Female
Heart Failure / drug therapy*,  etiology,  physiopathology
Hemodynamics / drug effects*
Humans
Middle Aged
Myocardial Ischemia / complications
Pyridazines / administration & dosage,  pharmacology*
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Pyridazines; 74150-27-9/pimobendan

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