Side effects of vasodilator therapy.

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Side effects of vasodilator therapy.

Vasodilating antihypertensive drugs have in common the capacity to activate the peripheral sympathetic nervous system through the carotid sinus baroreceptor reflex mechanism, thereby increasing heart rate, renin release, and sodium and water retention. They differ in their tendencies to augment cardiac output and to relieve or precipitate cardiac failure and arrhythmias. Vasodilating antihypert...

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We gave intravenous amrinone to 40 patients in heart failure, and oral amrinone to 18 patients. Acute intravenous administration caused a significant reduction in mean blood pressure and this was severe enough to require correction by plasma infusion in five patients. Oral amrinone was accompanied by thrombocytopenia in 10 patients but no complications were associated with the low platelet coun...

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Acute and Long-term Effects of Vasodilator Therapy

The acute hemodynamic response to vasodilators in patients with chronic heart failure has been well characterized, but less is known about the long-term hemodynamic effects of vasodilator therapy. We measured hemodynamic variables at rest and during upright exercise in 11 patients during the initiation of therapy with oral hydralazine and sublingual isosorbide dinitrate and, in eight of these, ...

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Glucocorticoid therapy: minimizing side effects.

OBJECTIVE To describe the main undesirable side effects of glucocorticoid therapy, mechanisms of action and the necessary measures to minimize side effects. SOURCES Author's experience, supplemented with papers published in MEDLINE. SUMMARY OF THE FINDINGS The principles for minimizing undesirable side effects of glucocorticoid therapy include: a) only use glucocorticoids if they are essent...

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Side effects with amiodarone therapy.

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ژورنال

عنوان ژورنال: Hypertension

سال: 1988

ISSN: 0194-911X,1524-4563

DOI: 10.1161/01.hyp.11.3_pt_2.ii34