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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1991-6-27
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pubmed:abstractText |
This study compared the pharmacokinetics of orally administered isosorbide-5-mononitrate (20 mg) in patients with and without signs of ischemic heart failure after acute myocardial infarction. The central venous pressure was used as a parameter of global myocardial function and to separate 17 patients into two groups with normal (group I: CVP less than 6 cmH2O; Killip class I; n = 9) and elevated (group II: CVP greater than or equal to 6 cmH2O; Killip class II-III; n = 8) pressure. As compared to subjects with normal CVP patients with hemodynamic impairment showed a markedly lower peak concentration of isosorbide-5-mononitrate levels (475 +/- 32 vs 663 +/- 38 ngml-1; p less than 0.01; mean +/- SEM) which occurred delayed (32 +/- 6 vs 55 +/- 9 s; p less than 0.05). Reduced cardiac function also resulted in a prolonged elimination of isosorbide-5-mononitrate as was suggested by the diminished elimination rate constant (0.14 +/- 0.01 vs 0.18 +/- 0.01 h-1; p less than 0.05). Thus, in patients with ischemic heart failure cardiac performance influences both the absorption and apparent elimination phase of oral isosorbide-5-mononitrate.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0023-2173
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
18
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
213-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2033915-Absorption,
pubmed-meshheading:2033915-Adult,
pubmed-meshheading:2033915-Aged,
pubmed-meshheading:2033915-Central Venous Pressure,
pubmed-meshheading:2033915-Chromatography, Gas,
pubmed-meshheading:2033915-Coronary Disease,
pubmed-meshheading:2033915-Female,
pubmed-meshheading:2033915-Humans,
pubmed-meshheading:2033915-Isosorbide Dinitrate,
pubmed-meshheading:2033915-Male,
pubmed-meshheading:2033915-Middle Aged,
pubmed-meshheading:2033915-Myocardial Infarction
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pubmed:year |
1991
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pubmed:articleTitle |
Pharmacokinetics of oral isosorbide-5-mononitrate in patients with ischemic heart failure.
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pubmed:affiliation |
Abteilung Spezielle Kardiologie, Christian-Albrechts-Universität zu Kiel.
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pubmed:publicationType |
Journal Article
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