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Explore Games’ section for more games, music and movies.Effects of repeated infusions of angiotensin II on blood pressure and heart rate in patients with congestive heart failure.
The acute effects of angiotensin II (ANG II) on blood pressure and heart rate have been well established. However, the long-term effects of ANG II on hemodynamics in patients with congestive heart failure (CHF) are unknown. Therefore, the effects of repeated infusions of ANG II on systemic hemodynamics were studied in 15 patients with CHF who had been hospitalized for acute congestive heart failure. After the basal heart rate and blood pressure were determined, patients received an intravenous infusion of ANG II in doses of 0.3, 0.9, 3.0, 10.0, or 30.0 ng/kg per min for 15 minutes, in random order, every 12 hours for 48 hours. ANG II induced dose-dependent acute increases in heart rate and decreases in systemic vascular resistance (SVR) in all patients. The decrease in SVR was paralleled by a decrease in mean arterial pressure and pulmonary artery pressure and an increase in cardiac index in 11 of the 15 patients. The fall in SVR was associated with marked tachycardia and a significant reduction in cardiac index in 5 patients with severe CHF. In the other patients with CHF, the decrease in SVR was associated with a less marked decrease in cardiac index and did not reach statistical significance. The second or third dose of ANG II at any dose level was associated with a decrease in systemic hemodynamics and was accompanied by a significant reduction in cardiac index in 7 of the 15 patients. No significant difference in hemodynamic responses to the three doses of ANG II was observed in any patient. The hemodynamic and metabolic responses to ANG II were not accompanied by a clinically significant increase in plasma renin activity. These results indicate that (1) the decrease in SVR caused by repeated infusions of ANG II is accompanied by a fall in cardiac index and a significant reduction in systemic vascular resistance in patients with CHF, and (2) the changes in hemodynamics by ANG II are maintained during a 48-hour period.// ======================================================================== //
// Copyright 2009-2013 Intel Corporation //
//
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