Portal and systemic haemodynamic action of N-acetylcysteine in patients with stable cirrhosis.

Abstract:

:The effects of intravenous N-acetylcysteine on hepatic and systemic haemodynamics were investigated in 11 patients with stable cirrhosis (eight alcohol; two primary biliary cirrhosis; one cryptogenic). N-acetylcysteine administration had no effect on the mean heart rate or mean arterial blood pressure despite a significant fall in systemic and pulmonary vascular resistance. Cardiac index increased but estimated liver blood flow and portal venous pressure did not change significantly. Administration of N-acetylcysteine resulted in increased oxygen delivery to the tissues because of the increased cardiac index but this was not accompanied by a rise in either arteriovenous oxygen extraction ratio or mean tissue oxygen consumption. Therefore N-acetylcysteine administration seems to confer no haemodynamic benefit to patients with cirrhosis.

journal_name

Gut

journal_title

Gut

authors

Jones AL,Bangash IH,Bouchier IA,Hayes PC

doi

10.1136/gut.35.9.1290

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

1290-3

issue

9

eissn

0017-5749

issn

1468-3288

journal_volume

35

pub_type

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