IMPAIRED ENDOTHELIUM-DEPENDENT VASODILATORY RESPONSES IN HINDLIMB BLOOD FLOW IN DOGS WITH CONGESTIVE HEART FAILURE

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• The vasodilatory response is known to be diminished in chronic heart failure. In the present study, we used dogs with chronic heart failure to investigate whether endothelium-dependent vasodilation in the resistance vessels in the hindlimb is decreased in chronic heart failure, and if so, to determine if endothelium-derived relaxing factor (EDRF) is involved in the mechanism. We induced heart failure in dogs by continuous rapid ventricular pacing. Under anesthesia, an internal carotid artery-femoral artery bypass system was established and perfusion pressure to the femoral artery was kept constant. Changes in hindlimb blood flow in response to various concentrations of acetylcholine (ACh), adenosine 5'-diphosphate disodium salt (ADP) and nitroglycerin (NTG) were examined in dogs with and without heart failure. The vasoconstrictive responses to L-N^G-monomethyl L-arginine monoacetate (L-NMMA) were also studied. In dogs with heart failure, vasodilatory responses to both of the endothelium-dependent vasodilators, ACh and ADP, were decreased, while there were no differences in the responses to the endothelium-independent vasodilator NTG. The vasoconstrictive response to L-NMMA was diminished in heart failure. Thus, endothelium-dependent vasodilation in hindlimb resistance vessels is impaired in dogs with congestive heart failure. This impairment may be related to diminished EDRF/NO production or release in these vessels.

• 社団法人日本循環器学会の論文
• 1994-09-20

著者

• Kawashima Seinosuke

  First Department Of Medicine Hyogo College Of Medicine

• Kawashima Seinosuke

  1st Department Of Internal Medicine Hyogo College Of Medicine

• Kawashima Seinosuke

  The First Department of Internal Medicine, Kobe University School of Medicine

• Morita Masato

  Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine

• IWASAKI TADAAKI

  THE FIRST DEPARTMENT OF INTERNAL MEDICINE, HYOGO COLLEGE OF MEDICINE

• Ueno Masahiro

  First Department Of Medicine Hyogo College Of Medicine

• UENO MASAHIRO

  The First department Department of Medicine

• TSUMOTO SADAYA

  The First department Department of Medicine

• MORITA MASATO

  The First department Department of Medicine

• Kawashima Seinosuke

  The First Department Of Internal Medicine Hyogo College Of Medicine

• Iwasaki T

  Department Of Internal Medicine Division Of Coronary Heart Disease Hyogo College Of Medicine

• Iwasaki T

  兵庫医科大学第一内科

• Iwasaki Tadaaki

  The First Department Of Internal Medicine Hyogo College Of Medicine

• Iwasaki Tadaaki

  Department Of Internal Medicine Division Of Coronary Heart Disease Hyogo College Of Medicine

• Masutani Motomaru

  Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine

• Iwasaki Tadaaki

  兵庫医科大学 循環器内科

• Iwasaki Tadaaki

  First Department Of Internal Medicine And Department Of Nuclear Medicine Hyogo College Of Medicine

• Tumoto Sadaya

  The First Department Of Internal Medicine Hyogo College Of Medicine

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