Rolofylline, an Adenosine A1−Receptor Antagonist, in Acute Heart Failure
Author(s) -
Barry M. Massie,
Christopher M. O’Connor,
Marco Metra,
Piotr Ponikowski,
John R. Teerlink,
Gad Cotter,
Beth Davison Weatherley,
John G.F. Cleland,
Michael M. Givertz,
Adriaan A. Voors,
Paul DeLucca,
George A. Mansoor,
Christina M. Salerno,
Daniel M. Bloomfield,
Howard C. Dittrich
Publication year - 2010
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa0912613
Subject(s) - medicine , heart failure , placebo , odds ratio , clinical endpoint , renal function , cardiology , confidence interval , adverse effect , clinical trial , alternative medicine , pathology
Worsening renal function, which is associated with adverse outcomes, often develops in patients with acute heart failure. Experimental and clinical studies suggest that counterregulatory responses mediated by adenosine may be involved. We tested the hypothesis that the use of rolofylline, an adenosine A1-receptor antagonist, would improve dyspnea, reduce the risk of worsening renal function, and lead to a more favorable clinical course in patients with acute heart failure.
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