INCREASED NITRIC-OXIDE PRODUCTION IN HEART-FAILURE

被引:222
作者
WINLAW, DS
SMYTHE, GA
KEOGH, AM
SCHYVENS, CG
SPRATT, PM
MACDONALD, PS
机构
[1] ST VINCENTS HOSP,VICTOR CHANG CARDIAC RES INST,DEPT CARDIOPULM TRANSPLANTAT,SYDNEY,NSW 2010,AUSTRALIA
[2] ST VINCENTS HOSP,VICTOR CHANG CARDIAC RES INST,DEPT CHEM PATHOL,SYDNEY,NSW 2010,AUSTRALIA
关键词
D O I
10.1016/S0140-6736(94)91403-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The role of nitric oxide in heart failure is unknown. The high-capacity inducible isoform of nitric oxide synthase is present in the myocardium of patients with idiopathic dilated cardiomyopathy. Plasma nitrate, the stable end-product of nitric oxide production, was significantly increased in patients with heart failure compared with normal controls (means 51.3 and 24.6 mu mol/L). Vasodilation caused by increased nitric oxide may compensate for the vasoconstrictor effect of neurohumoral adaptions to heart failure. Alternatively, excess production may be detrimental to the heart by a direct negative inotropic effect.
引用
收藏
页码:373 / 374
页数:2
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