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European Heart Journal 1983 4(8):566-572;
Copyright © 1983 by the European Society of Cardiology.
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© 1983, by the European Society of Cardiology

Haemodynamic effects of nifedipine, nitroglycerine and prazosin in pulmonary hypertension following ingestion of toxic oil

I. COMA-CANELLA and J. LOPEZ-SENDON

Coronary Care Unit, Servicio de Coronariopatias, Departamento de Medicina Interna Ciudad Sanitaria La Paz, Madrid, Spain

Received 14 September 1982; revised 24 November 1982; .

Address for reprints. I. Coma-Canella, Unidad Coronaria, Ciudad Sanitaria La Paz, Madrid-34, Spain.

Abstract

The haemodynamic effect of several vasodilators was studied in 15 patients with pulmonary hypertension of recent onset secondary to ingestion of toxic oil. Right heart catheterization was performed by means of a Swan-Ganz thermodilution catheter. Mean pulmonary artery pressure (xAx) was higher than 25 mmHg in every patient. Haemodynamic monitoring was maintained for 2–3 days and three drugs were administered.

Nifedipine (10 mg sut lingual plus 20 mg p.o.) produced slight reductions in xAx and pulmonary artery resistance (PAR) at some time after drug administration. These changes were minimal and the drug was not considered useful. Nitroglycerine ointment (20–25 mg) produced a significant decline in xAx and PAR throughout six hours although prominent changes occurred only at the first hour. Prazosin (5–10 mgp.o.) induced a significant decline in PAR and xAx throughout 6 hours. The effect of this drug was more prominent than that of nitroglycerine.

Key Words: Pulmonary hypertension • vasodilators • nifedipine • nitroglycerine • prazosin


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