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Increased Sensitivity to Nitric Oxide Synthase Inhibition in Patients With Heart Failure
Author(s) -
Joshua M. Hare,
Michael M. Givertz,
Mark A. Creager,
Wilson S. Colucci
Publication year - 1998
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.97.2.161
Subject(s) - dobutamine , medicine , heart failure , inotrope , cardiology , contractility , nitric oxide synthase , cardiac function curve , stimulation , endocrinology , nitric oxide , hemodynamics
We previously showed that cardiac nitric oxide (NO) inhibits the positive inotropic response to beta-adrenergic stimulation in humans with left ventricular (LV) dysfunction. Whether this effect is specific to heart failure per se or is a generalized feature of normal human myocardium is unknown. We therefore tested the hypothesis that inhibition of cardiac NO potentiates the positive inotropic response to beta-adrenergic stimulation in patients with symptomatic LV failure but not in subjects with normal LV function.

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