Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1989-5-26
pubmed:abstractText
The known properties of xamoterol, a partial beta 1-agonist, provide a basis to pharmacologically modulate cardiac responses to variations in sympathetic tone. Haemodynamic variables were assessed at rest and on exercise before and after intravenous xamoterol (0.2 mg kg-1), in 30 patients with mild to moderate cardiac failure. Xamoterol produced significant improvements in resting cardiac index (2.51 +/- 0.15 to 2.80 +/- 0.14 l min-1 m-2; P less than 0.001), stroke volume (62 +/- 4 to 75 +/- 5 mljbeat-1; P less than 0.001) and stroke work index (42.4 +/- 3.6 to 47.7 +/- 3.9 gm beat-1 m-2; P less than 0.01). This occurred despite a significant reduction in heart rate (78 +/- 3 to 74 +/- 2 beats min-1; P less than 0.05). There were also significant reductions in systemic vascular resistance (1990 +/- 141 to 1669 +/- 112 dynes s-1 cm-5; P less than 0.01) and double product (1146 +/- 46 to 1051 +/- 41 mmHg min-1 x 10(-1); P less than 0.05), with no significant changes in systolic blood pressure, pulmonary wedge pressure or ejection fraction. Xamoterol significantly attenuated the heart rate response to exercise (112 +/- 4 to 97 +/- 3 beats min-1; P less than 0.001), with no impairment in the expected exercise induced increase in cardiac index. This was due to the significant increase in stroke volume from 81 +/- 6 to 95 +/- 7 ml beat-1 (P less than 0.001). There were no significant changes in resting or exercise noradrenaline levels.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0195-668X
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
227-34
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:2565233-Adrenergic beta-Agonists, pubmed-meshheading:2565233-Adult, pubmed-meshheading:2565233-Aged, pubmed-meshheading:2565233-Blood Pressure, pubmed-meshheading:2565233-Cardiac Output, pubmed-meshheading:2565233-Drug Evaluation, pubmed-meshheading:2565233-Exercise Test, pubmed-meshheading:2565233-Female, pubmed-meshheading:2565233-Heart Failure, pubmed-meshheading:2565233-Heart Rate, pubmed-meshheading:2565233-Hemodynamics, pubmed-meshheading:2565233-Humans, pubmed-meshheading:2565233-Injections, Intravenous, pubmed-meshheading:2565233-Male, pubmed-meshheading:2565233-Middle Aged, pubmed-meshheading:2565233-Propanolamines, pubmed-meshheading:2565233-Pulmonary Wedge Pressure, pubmed-meshheading:2565233-Stroke Volume, pubmed-meshheading:2565233-Time Factors, pubmed-meshheading:2565233-Vascular Resistance, pubmed-meshheading:2565233-Xamoterol
pubmed:year
1989
pubmed:articleTitle
The acute effects of intravenous xamoterol ('Corwin', I.C.I. 118, 587) on resting and exercise haemodynamics in patients with mild to moderate heart failure.
pubmed:affiliation
Department of Cardiovascular Medicine, University of Birmingham, East Birmingham Hospital, U.K.
pubmed:publicationType
Journal Article