Effect of digoxin and diuretics on high altitude left ventricular dysfunction.

Abstract:

:Systolic time intervals, stroke volume, cardiac output and (dZ/dt)/RZ index were serially estimated in 51 normal healthy volunteers at sea level, for ten days after air induction to 3658 m altitude and on return to sea level. The subjects were divided into three groups and were administered a diuretic, beta methyldigoxin and placebo in a double blind protocol. The group on placebo showed an increase in heart rate, reduction in stroke index and cardiac index during high altitude exposure with normalization on return to sea level. A deterioration in left ventricular function as manifested by prolongation of pre-ejection period, increase in PEP/LVET ratio, reduction in (dZ/dt)/RZ index and left ventricular ejection time was also noted at high altitude. The subjects on digoxin maintained normal stroke/cardiac index and did not show any significant changes in the parameters of myocardial function. The diuretic group showed more deterioration in the parameters than the placebo group. No significant side effects were noted. Left ventricular dysfunction and reduction of stroke index at high altitudes may be causually related; digoxin administration may prevent them from occurring.

journal_name

Circulation

journal_title

Circulation

authors

Balasubramanian V,Behl A,Das GS,Wadhwa AK,Mathew OP,Hoon RS

doi

10.1161/01.cir.57.6.1180

subject

Has Abstract

pub_date

1978-06-01 00:00:00

pages

1180-5

issue

6

eissn

0009-7322

issn

1524-4539

journal_volume

57

pub_type

临床试验,杂志文章
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    authors: Laster SB,Ohnishi Y,Saffitz JE,Goldstein JA

    更新日期:1994-09-01 00:00:00

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    更新日期:1995-01-15 00:00:00

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    更新日期:1989-08-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.84.6.2346

    authors: Rogers PJ,Tyce GM,Weinshilboum RM,O'Connor DT,Bailey KR,Bove AA

    更新日期:1991-12-01 00:00:00

  • Endogenous nitric oxide synthase inhibitor: a novel marker of atherosclerosis.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.99.9.1141

    authors: Miyazaki H,Matsuoka H,Cooke JP,Usui M,Ueda S,Okuda S,Imaizumi T

    更新日期:1999-03-09 00:00:00

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    abstract:BACKGROUND:An inverse association between height and risk of coronary heart disease (CHD) has been reported in several case-control and cohort studies, but the reasons for the association remain uncertain. We evaluated this association among 22,071 male physicians, a population homogeneous for high educational attainme...

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.88.4.1437

    authors: Hebert PR,Rich-Edwards JW,Manson JE,Ridker PM,Cook NR,O'Connor GT,Buring JE,Hennekens CH

    更新日期:1993-10-01 00:00:00

  • The epidemiology of plasma high-density lipoprotein cholesterol levels. The Lipid Research Clinics Program Prevalence Study. Summary.

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    pub_type: 杂志文章

    doi:

    authors: Heiss G,Johnson NJ,Reiland S,Davis CE,Tyroler HA

    更新日期:1980-11-01 00:00:00

  • Efficacy and safety of tenecteplase in combination with the low-molecular-weight heparin enoxaparin or unfractionated heparin in the prehospital setting: the Assessment of the Safety and Efficacy of a New Thrombolytic Regimen (ASSENT)-3 PLUS randomized tr

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:

    authors: Horstkotte D,Körfer R,Seipel L,Bircks W,Loogen F

    更新日期:1983-09-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.100.14.1555

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    pub_type: 杂志文章

    doi:10.1161/01.cir.89.3.1217

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    更新日期:1994-03-01 00:00:00

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.98.24.2659

    authors: Franzosi MG,Santoro E,De Vita C,Geraci E,Lotto A,Maggioni AP,Mauri F,Rovelli F,Santoro L,Tavazzi L,Tognoni G

    更新日期:1998-12-15 00:00:00

  • Coexpression of endothelin-converting enzyme-1 and endothelin-1 in different stages of human atherosclerosis.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3301.094742

    authors: Ihling C,Szombathy T,Bohrmann B,Brockhaus M,Schaefer HE,Loeffler BM

    更新日期:2001-08-21 00:00:00

  • Risk of assessing mortality risk in elective cardiac operations: age, creatinine, ejection fraction, and the law of parsimony.

    abstract:BACKGROUND:Several mortality risk scores exist in cardiac surgery. All include a considerable number of independent risk factors. In elective cardiac surgery patients, the operative mortality is low, the number of events recorded per year is limited, and the risk model may be overfitted. The present study aims to devel...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.842393

    authors: Ranucci M,Castelvecchio S,Menicanti L,Frigiola A,Pelissero G

    更新日期:2009-06-23 00:00:00

  • Sinus node recovery time and calculated sinoatrial conduction time in normal subjects and patients with sinus node dysfunction.

    abstract::In 61 patients sinus node function was tested by programmed (sinoatrial conduction time, SACT) and overdrive atrial pacing (sinus node recovery time, SRT). In the control group (N = 20), mean sinus cycle length was 773 +/- 140.2 msec, mean absolute SRT 1044 +/- 215.8 msec [corrected SRT (CSRT) 270 +/- 112.5 msec; mean...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.1.43

    authors: Breithardt G,Seipel L,Loogen F

    更新日期:1977-07-01 00:00:00

  • The linearity of the end-systolic pressure-volume relationship in man and its sensitivity for assessment of left ventricular function.

    abstract::The linearity and sensitivity of the end-systolic pressure-volume (P-Ves) relation to the inotropic state of the left ventricle were investigated in 11 patients with coronary heart disease and one patient with congestive cardiomyopathy. To minimize autonomic reflex responses, propranolol, 0.15 mg/kg, and atropine, 1 m...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.63.6.1216

    authors: Mehmel HC,Stockins B,Ruffmann K,von Olshausen K,Schuler G,Kübler W

    更新日期:1981-06-01 00:00:00

  • Effects of chronic heparin administration on coronary vascular adaptation to hypertension and ventricular hypertrophy in sheep.

    abstract:BACKGROUND:Hypertension decreases myocardial perfusion capacity in adults for several reasons, including insufficient coronary angiogenesis with left ventricular (LV) hypertrophy, arteriolar hypertrophy, and altered vasomotion. Heparin influences growth factors that promote angiogenesis and vasodilation and inhibit art...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.9.981

    authors: Flanagan MF,Aoyagi T,Arnold LW,Maute C,Fujii AM,Currier J,Bergau D,Warren HB,Rakusan K

    更新日期:1999-08-31 00:00:00

  • Tumor necrosis factor soluble receptors in patients with various degrees of congestive heart failure.

    abstract:BACKGROUND:Tumor necrosis factor alpha (TNF-alpha) increases in patients with severe congestive heart failure (CHF) and cachexia. Two naturally occurring modulators of TNF-alpha activity have been identified in human serum. These two soluble proteins are the extracellular domains of the TNF receptors (sTNF-RI and sTNF-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.6.1479

    authors: Ferrari R,Bachetti T,Confortini R,Opasich C,Febo O,Corti A,Cassani G,Visioli O

    更新日期:1995-09-15 00:00:00

  • Pretransplant risk factors and causes of death or graft loss after heart transplantation during early infancy. Pediatric Heart Transplant Team, Loma Linda.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.206

    authors: Chinnock RE,Larsen RL,Emery JR,Bailey LL

    更新日期:1995-11-01 00:00:00

  • Dynamics of pulmonary gas exchange.

    abstract::Power outputs that are below the anaerobic threshold (theta an) may be sustained for prolonged durations, whereas power outputs that are greater than theta an result in a significant reduction in the tolerable duration to fatigue. The theta an may therefore be considered to demarcate exercise intensity into moderate (...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

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    更新日期:1987-12-01 00:00:00

  • Sodium, blood pressure, and cardiovascular disease: further evidence supporting the American Heart Association sodium reduction recommendations.

    abstract::Recent reports of selected observational studies and a meta-analysis have stirred controversy and have become the impetus for calls to abandon recommendations for reduced sodium intake by the US general population. A detailed review of these studies documents substantial methodological concerns that limit the usefulne...

    journal_title:Circulation

    pub_type: 共识发展会议,杂志文章

    doi:10.1161/CIR.0b013e318279acbf

    authors: Whelton PK,Appel LJ,Sacco RL,Anderson CA,Antman EM,Campbell N,Dunbar SB,Frohlich ED,Hall JE,Jessup M,Labarthe DR,MacGregor GA,Sacks FM,Stamler J,Vafiadis DK,Van Horn LV

    更新日期:2012-12-11 00:00:00

  • Measurement of right and left ventricular systolic time intervals by echocardiography.

    abstract::One of the noninvasive methods of evaluating left ventricular performance is the measurement of left ventricular systolic time intervals (LVSTI). However, noninvasive measurement of right ventricular systole by this technique has been unreliable because of the inability to accurately time the onset of right ventricula...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.2.304

    authors: Hirschfeld S,Meyer R,Schwartz DC,Korfhagen J,Kaplan S

    更新日期:1975-02-01 00:00:00

  • Duration of treatment with nonsteroidal anti-inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: a nationwide cohort study.

    abstract:BACKGROUND:Despite the fact that nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated among patients with established cardiovascular disease, many receive NSAID treatment for a short period of time. However, little is known about the association between NSAID treatment duration and risk of cardiovascular d...

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    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.004671

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    更新日期:2011-05-24 00:00:00

  • Taurine supplementation reduces oxidative stress and improves cardiovascular function in an iron-overload murine model.

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    pub_type: 杂志文章

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  • Platelet accumulation in experimental angioplasty: time course and relation to vascular injury.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.75.3.636

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    更新日期:1987-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.60.4.930

    authors: Smith GT,Geary G,Ruf W,Roelofs TH,McNamara JJ

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    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.909093

    authors: Zaruba MM,Soonpaa M,Reuter S,Field LJ

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