Document Detail


Influence of milrinone and norepinephrine on blood flow in canine internal mammary artery grafts.
MedLine Citation:
PMID:  8633943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vasoactive agents are frequently needed in patients undergoing myocardial revascularization. The purpose of this study was to examine blood flow in the internal mammary artery (IMA) during infusion of drugs that are commonly used after myocardial revascularization. METHODS: A canine right heart bypass preparation allowed precise control of cardiac output and blood pressure, which were maintained constant during drug infusion to isolate the effect of the drug on the IMA conduit. The IMA was anastomosed to a ligated left anterior descending coronary artery. Electromagnetic flow probes measured IMA graft flow. RESULTS: Norepinephrine (0.1 microgram.kg-1.min-1) alone and when combined with phentolamine (8:5 ratio) did not alter IMA flow. Milrinone increased IMA flow 33% +/- 9%, from 37 +/- 7 to 49 +/- 10 mL/min. All hemodynamic variables were unchanged. CONCLUSIONS: The results suggest that: (1) norepinephrine did not have a deleterious effect on IMA flow and (2) milrinone may be a useful drug in patients undergoing myocardial revascularization by increasing IMA blood flow.
Authors:
R Gitter; J M Anderson; G K Jett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  61     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-07-02     Completed Date:  1996-07-02     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1367-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiothoracic Surgery, Baylor University Medical Center, Dallas 75218, Texas.
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MeSH Terms
Descriptor/Qualifier:
Animals
Coronary Circulation / drug effects*
Dogs
Heart Bypass, Right
Hemodynamics / drug effects
Internal Mammary-Coronary Artery Anastomosis*
Milrinone
Norepinephrine / pharmacology*
Pyridones / pharmacology*
Regional Blood Flow / drug effects
Vasoconstrictor Agents / pharmacology*
Vasodilator Agents / pharmacology*
Chemical
Reg. No./Substance:
0/Pyridones; 0/Vasoconstrictor Agents; 0/Vasodilator Agents; 51-41-2/Norepinephrine; 78415-72-2/Milrinone

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


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