Document Detail


Positive inotropic effects of hydralazine in human subjects: comparison with prazosin in the setting of congestive heart failure.
MedLine Citation:
PMID:  7446418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hydralazine possesses positive inotropic properties in animal model preparations. To determine whether this vasodilator elicits a positive inotropic response in the failing human ventricle, hydralazine, 75 or 100 mg, was administered orally to 14 patients with left ventricular dysfunction and congestive heart failure; the results were compared with those of first-dose prazosin at 5 and 10 mg. The duration of the preejection period and the isovolumic developed pressure/duration of isovolumic contraction (delta P/delta t) were used as indexes of inotropy. Prazosin did not effect a significant response in the duration of the preejection period or in the delta P/delta t. Hydralazine significantly shortened the preejection period and increased the delta P/delta t over 8 hours after administration; these data suggest that hydralazine elicits a positive inotropic response in the failing human ventricle.
Authors:
C V Leier; C E Desch; R D Magorien; D W Triffon; D V Unverferth; H Boudoulas; R P Lewis
Related Documents :
22465618 - Effects of a stepwise lung recruitment manoeuvre and positive end-expiratory pressure o...
22350058 - Pulse-wave analysis of optic nerve head circulation is significantly correlated with br...
22651688 - Pharmacological normalization of circulation after acute brain death.
22721828 - Variations in common carotid artery intima-media thickness during the cardiac cycle: im...
19364108 - Cage effect in supercritical fluids and compressed gases in the photolysis of an asymme...
8610728 - Reproducibility of orthostatic hypotension in symptomatic elderly.
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of cardiology     Volume:  46     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1980 Dec 
Date Detail:
Created Date:  1981-02-19     Completed Date:  1981-02-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1039-44     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Dose-Response Relationship, Drug
Heart Failure / drug therapy*
Heart Rate / drug effects
Humans
Hydralazine / therapeutic use*
Myocardial Contraction / drug effects*
Prazosin / therapeutic use*
Pulmonary Wedge Pressure / drug effects
Quinazolines / therapeutic use*
Stroke Volume / drug effects
Chemical
Reg. No./Substance:
0/Quinazolines; 19216-56-9/Prazosin; 86-54-4/Hydralazine

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


Previous Document:  Modification of ventricular tachycardia by procainamide in patients with coronary artery disease.
Next Document:  Exercise testing early after myocardial infarction: predictive value for subsequent unstable angina ...