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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1984-3-23
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pubmed:abstractText |
Responsiveness to the vasopressor, vasodepressor and chronotropic effects of several sympathomimetic amines was assessed in 12 patients with severe autonomic dysfunction and in 8 age-matched control subjects. The patients with autonomic dysfunction showed a profound increase in responsiveness to both isoproterenol and phenylephrine as compared with control subjects. The mean bolus dose of isoproterenol required to increase heart rate by 25 beats/min was 0.9 + 0.2 microgram in the patients and 5.4 + 2.1 micrograms in the control subjects. The dose of isoproterenol required to reduce mean blood pressure by 25 mm Hg was 0.3 + 0.2 and 5.2 + 1.8 micrograms, respectively. Thus, although there is a 6-fold increase in responsiveness to the chronotropic effect of isoproterenol in autonomic dysfunction, the responsiveness to the drug's depressor effect is increased 17-fold. This enhanced depressor sensitivity is quite marked, even with oral beta-adrenoceptor agonists. Beta-adrenoceptor agonists must be used with caution in conditions associated with autonomic dysfunction if dangerous hypotension is to be avoided.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Epinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Isoproterenol,
http://linkedlifedata.com/resource/pubmed/chemical/Norepinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Phenylephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Adrenergic, beta,
http://linkedlifedata.com/resource/pubmed/chemical/Tyramine
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0735-1097
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
850-6
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:6319471-Aged,
pubmed-meshheading:6319471-Autonomic Nervous System Diseases,
pubmed-meshheading:6319471-Blood Pressure,
pubmed-meshheading:6319471-Blood Vessels,
pubmed-meshheading:6319471-Epinephrine,
pubmed-meshheading:6319471-Female,
pubmed-meshheading:6319471-Heart Rate,
pubmed-meshheading:6319471-Humans,
pubmed-meshheading:6319471-Isoproterenol,
pubmed-meshheading:6319471-Male,
pubmed-meshheading:6319471-Middle Aged,
pubmed-meshheading:6319471-Norepinephrine,
pubmed-meshheading:6319471-Phenylephrine,
pubmed-meshheading:6319471-Posture,
pubmed-meshheading:6319471-Receptors, Adrenergic, beta,
pubmed-meshheading:6319471-Tyramine
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pubmed:year |
1984
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pubmed:articleTitle |
Increased vascular beta2-adrenoceptor responsiveness in autonomic dysfunction.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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