Document Detail


Nesiritide: review of clinical pharmacology and role in heart failure management.
MedLine Citation:
PMID:  12028606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nesiritide mimics the actions of endogenous B-type natriuretic peptides. Clinical studies on patients who had acute decompensated heart failure demonstrated rapid-onset dose-related vasodilatory effects. Nesiritide reduces pulmonary capillary wedge pressure and improves dypsnea. These effects compared favorably to standard treatments. It decreases preload and afterload and suppresses the renin-angiotensin-aldosterone axis and the release of norepinephrine. Nesiritide also promotes diuresis and has no proarrhythmic effects. Nesiritide is a valuable therapeutic option in the treatment of patients hospitalized for decompensated heart failure. On-going studies target the examination of its long-term effects on mortality and morbidity and its pharmacoeconomic benefits to the healthcare system.
Authors:
Judy W M Cheng
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Heart disease (Hagerstown, Md.)     Volume:  4     ISSN:  1521-737X     ISO Abbreviation:  Heart Dis     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-05-24     Completed Date:  2003-09-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100887299     Medline TA:  Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  199-203     Citation Subset:  IM    
Affiliation:
Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University and Mount Sinai Medical Center, New York, NY 10029, USA. jcheng@liu.edu
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MeSH Terms
Descriptor/Qualifier:
Biological Availability
Clinical Trials as Topic
Dose-Response Relationship, Drug
Drug Administration Schedule
Female
Heart Failure / diagnosis,  drug therapy*,  mortality
Humans
Male
Natriuretic Agents / pharmacology*,  therapeutic use
Natriuretic Peptide, Brain
Pharmacology, Clinical*
Risk Assessment
Severity of Illness Index
Structure-Activity Relationship
Survival Analysis
Treatment Outcome
Chemical
Reg. No./Substance:
0/Natriuretic Agents; 114471-18-0/Natriuretic Peptide, Brain

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


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