Document Detail


Sympathetic autonomic dysfunction. Programmed subcutaneous noradrenaline administration via microdosing pump.
MedLine Citation:
PMID:  1812316     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sympathetic dysfunction is characterized by postural hypotension, decreasing blood pressure without compensatory tachycardia during graded supine ergometric exercise, impaired catecholamine metabolism, and hypersensitivity to catecholamines. We report on eight patients, seven with sympathetic dysfunction, of whom three patients were treated for the first time with programmed subcutaneous noradrenaline administration by means of a microdosing pump over a time period of 1.5-13 months. A clear improvement in blood pressure values, orthostasis tolerance, and exercise capacity has been observed in these three patients which permit them to extend their action radius. Adjustment of the noradrenaline dose to the wide range of everyday stress and the possible occurrence of adrenoreceptor desensitization, however, remains a severe problem.
Authors:
M Lehmann; K G Petersen; A N Khalaf
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Klinische Wochenschrift     Volume:  69     ISSN:  0023-2173     ISO Abbreviation:  Klin. Wochenschr.     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-06-05     Completed Date:  1992-06-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985205R     Medline TA:  Klin Wochenschr     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  872-9     Citation Subset:  IM    
Affiliation:
Abteilung für Sport- und Leistungsmedizin, Medizinische Universitätklinik Freiburg.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Autonomic Nervous System Diseases / drug therapy*,  etiology
Blood Pressure / drug effects
Catecholamines / blood
Dose-Response Relationship, Drug
Female
Heart Rate / drug effects
Humans
Hypotension, Orthostatic / drug therapy,  etiology
Infusion Pumps, Implantable*
Male
Middle Aged
Norepinephrine / administration & dosage*
Recurrence
Sympathetic Nervous System / drug effects*
Syncope / drug therapy,  etiology
Chemical
Reg. No./Substance:
0/Catecholamines; 51-41-2/Norepinephrine

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


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