Is nisoldipine capable of reducing left ventricular preload? |
| |
Authors: | P D Verdouw C J Slager R H Van Bremen C M Verkeste |
| |
Affiliation: | Department of Cardiovascular Research, Thoraxcenter, Erasmus University Rotterdam, The Netherlands |
| |
Abstract: | In ten anesthetized pigs, nisoldipine (2-4 micrograms X kg-1 X min-1), a calcium channel blocker structurally related to nifedipine, reduced left ventricular systolic pressure (40%) and systemic vascular resistance (35%), whereas maxLVdP/dt decreased by 20% and cardiac output was unchanged. Left ventricular end-diastolic volume (15%) and end-diastolic pressure (40%) decreased, while ejection fraction slightly increased (13%). In normal hearts, nisoldipine reduces left ventricular pre- and afterload, without a depression of myocardial contractility, which results in a more efficient emptying of the left ventricle. |
| |
Keywords: | Nisoldipine Left venticular end-diastolic volume Ejection fraction Venous return |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|