Oral prostacyclin enhances the pulmonary vasodilatory effect of nitric oxide in children with pulmonary hypertension

作者: Kei-ichiro Uese , Fukiko Ichida , Shin-ichi Tsubata , Ikuo Hashimoto , Yuji Hamamichi

DOI: 10.1017/S1047951100004340

关键词: CardiologyInternal medicinePulmonary hypertensionVenous bloodMedicineVasodilationCyclic gmpCardiac catheterizationNitric oxideVascular resistanceProstacyclin

摘要: To evaluate the potential efficacy of combined administration inhaled nitric oxide and oral beraprost sodium in producing pulmonary vasodilation, we studied 20 patients with hypertension during cardiac catheterization. We also evaluated some mechanisms vasodilation under these circumstances by investigating levels cyclic GMP AMP venous blood. A significant decrease vascular resistance was observed after (−37 ± 6%, p

参考文章(28)
Pollack Mm, Katz Rw, Weibley Re, Pulmonary artery catheterization in pediatric intensive care. Advances in Pediatrics. ,vol. 30, pp. 169- ,(1983)
O.I. Miller, D.S. Celermajer, J.E. Deanfield, D.J. Macrae, Very-low-dose inhaled nitric oxide: a selective pulmonary vasodilator after operations for congenital heart disease. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 108, pp. 487- 494 ,(1994) , 10.1016/S0022-5223(12)70258-1
Didier Journois, Philippe Pouard, Philippe Mauriat, Thierry Malhere, Pascal Vouhe, Denis Safran, Inhaled nitric oxide as a therapy for pulmonary hypertension after operations for congenital heart defects. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 107, pp. 1129- 1135 ,(1994) , 10.1016/S0022-5223(94)70390-6
Andreas Gamillscheg, Gerfried Zobel, Bernd Urlesberger, Jutta Berger, Drago Dacar, Jörg Ingolf Stein, Bruno Rigler, Helfried Metzler, Albrecht Beitzke, INHALED NITRIC OXIDE IN PATIENTS WITH CRITICAL PULMONARY PERFUSION AFTER FONTAN-TYPE PROCEDURES AND BIDIRECTIONAL GLENN ANASTOMOSIS The Journal of Thoracic and Cardiovascular Surgery. ,vol. 113, pp. 435- 442 ,(1997) , 10.1016/S0022-5223(97)70355-6
Ronald W. Day, Joanna M. Lynch, Robert E. Shaddy, Garth S. Orsmond, Pulmonary vasodilatory effects of 12 and 60 parts per million inhaled nitric oxide in children with ventricular septal defect American Journal of Cardiology. ,vol. 75, pp. 196- 198 ,(1995) , 10.1016/S0002-9149(00)80080-6
Andrew Bush, Carolyn Busst, W. B. Knight, Elliot A. Shinebourne, Modification of Pulmonary Hypertension Secondary to Congenital Heart Disease by Prostacyclin Therapy American Review of Respiratory Disease. ,vol. 136, pp. 767- 769 ,(1987) , 10.1164/AJRCCM/136.3.767
Steven H. Abman, Jeffrey L. Griebel, Donna K. Parker, Jeffrey M. Schmidt, Douglas Swanton, John P. Kinsella, Acute effects of inhaled nitric oxide in children with severe hypoxemic respiratory failure The Journal of Pediatrics. ,vol. 124, pp. 881- 888 ,(1994) , 10.1016/S0022-3476(05)83175-0