Abstract:
:Fenoldopam mesylate (SK&F 82526-J) is a novel benzazepine derivative. It has selective agonist activity at post-junctional (DA1) vascular dopaminergic receptors, which normally subserve renal artery vasodilation. Previous studies in normal subjects and in patients with hypertension indicate that fenoldopam increases renal blood flow and promotes a sodium diuresis. Drug efficacy was clinically evaluated in eight patients with chronic congestive heart failure (CHF) after a single oral dose of 100 mg of fenoldopam and following 3 days of therapy (100 mg four times daily). Stroke volume index acutely increased from 26 +/- 7 (mean +/- SD) to 30 +/- 4 ml/beat/m2 (p less than 0.05) and left ventricular filling pressure decreased from 26 +/- 13 to 23 +/- 11 mm Hg (p less than 0.05). Systemic vascular resistance decreased from 1513 +/- 159 to 1128 +/- 319 (p less than 0.05). Hemodynamic changes were seen as early as 30 minutes following fenoldopam and returned to control levels by 4 hours. Forearm blood flow, hepatic blood flow, and venous capacitance did not significantly change acutely, but renal blood flow index was significantly reduced (34 +/- 4 to 30 +/- 3 min-1 X 1000, p less than 0.01). Plasma norepinephrine, plasma renin activity, plasma arginine vasopressin, and plasma aldosterone did not significantly change acutely. After 3 days of treatment, 100 mg of fenoldopam again reduced the renal blood flow index (35 +/- 7 to 26 +/- 7 min-1 X 1000, p less than 0.01) and tended to increase plasma renin activity (11.7 +/- 8 to 21.2 +/- 19.4 ng/ml/hr, p = NS).(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Am Heart Jjournal_title
American heart journalauthors
Francis GS,Wilson BC,Rector TSdoi
10.1016/0002-8703(88)90620-5subject
Has Abstractpub_date
1988-08-01 00:00:00pages
473-9issue
2 Pt 1eissn
0002-8703issn
1097-6744pii
0002-8703(88)90620-5journal_volume
116pub_type
杂志文章abstract:BACKGROUND:We evaluated the influence of peak respiratory exchange ratio (pRER), as an index of effort adequacy, on peak VO2 prognostic reliability in patients with chronic heart failure (CHF) and reduced exercise capacity, whose peak VO2 may be underestimated because of poor patient motivation. METHODS:A cardiopulmon...
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1998-10-01 00:00:00
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更新日期:1985-07-01 00:00:00
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journal_title:American heart journal
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pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2010-04-01 00:00:00
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更新日期:2011-11-01 00:00:00
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更新日期:2005-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0002-8703(93)90004-s
更新日期:1993-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-05-01 00:00:00
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doi:10.1016/j.ahj.2007.12.037
更新日期:2008-06-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(83)90690-7
更新日期:1983-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ahj.2006.04.028
更新日期:2006-08-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.ahj.2007.01.024
更新日期:2007-04-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(79)90318-1
更新日期:1979-07-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章
doi:10.1016/0002-8703(91)90835-6
更新日期:1991-06-01 00:00:00
abstract:AIM:The aim of the study was to assess and compare the safety of antiarrhythmic drugs (AADs) in an unselected real-world population of patients with atrial fibrillation (AF). METHODS AND RESULTS:This is a study of all patients with diagnosed AF in the Swedish Patient register who filled a prescription for sotalol, ami...
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pub_type: 杂志文章,多中心研究
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更新日期:2018-11-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/0002-8703(87)90614-4
更新日期:1987-02-01 00:00:00
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更新日期:2013-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ahj.2005.08.006
更新日期:2006-06-01 00:00:00
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更新日期:2013-04-01 00:00:00
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doi:10.1016/s0002-8703(96)90406-8
更新日期:1996-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:1997-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0002-8703(79)90278-3
更新日期:1979-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:1979-09-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(89)90075-6
更新日期:1989-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(78)90458-1
更新日期:1978-02-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2003-11-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ahj.2008.05.017
更新日期:2008-10-01 00:00:00