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Published in: Intensive Care Medicine 9/2003

01-09-2003 | Editorial

Is prostacyclin an inodilator?

Author: Sven-Erik Ricksten

Published in: Intensive Care Medicine | Issue 9/2003

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Excerpt

Prostacyclin is a naturally occurring substance that in addition to an inhibitory effect of platelet aggregation is a potent vasodilator with a half-life of 2–3 min [1, 2]. Prostacyclin activates the intracellular enzyme adenylyl cyclase, through specific membrane receptors, and increases intracellular cyclic adenosine monophosphate (cAMP), which in turn decreases free intracellular calcium concentration of vascular smooth muscle cells [2]. …
Literature
1.
go back to reference Data JL, Molony BA, Meinzinger MM, Gorman RR (1981) Intravenous infusion of prostacyclin sodium in man: clinical effects and influence on platelet adenosine diphosphate sensitivity and adenosine 3':5'-cyclic monophosphate levels. Circulation 64:4–12PubMed Data JL, Molony BA, Meinzinger MM, Gorman RR (1981) Intravenous infusion of prostacyclin sodium in man: clinical effects and influence on platelet adenosine diphosphate sensitivity and adenosine 3':5'-cyclic monophosphate levels. Circulation 64:4–12PubMed
2.
go back to reference Vane JR, Botting RM (1995) Pharmacodynamic profile of prostacyclin. Am J Cardiol 75:3A–10APubMed Vane JR, Botting RM (1995) Pharmacodynamic profile of prostacyclin. Am J Cardiol 75:3A–10APubMed
3.
go back to reference Cohn JN (1973) Vasodilator therapy for heart failure. The influence of impedance of left ventricular performance. Circulation 48:5–8PubMed Cohn JN (1973) Vasodilator therapy for heart failure. The influence of impedance of left ventricular performance. Circulation 48:5–8PubMed
4.
go back to reference Rubin LJ, Mendoza J, Hood M, McGoon M, Barst R, Williams WB, Diehl JH, Crow J, Long W (1990) Treatment of primary pulmonary hypertension with continuous intravenous prostacyclin (epoprostenol). Results of a randomized trial. Ann Intern Med 112:485–491PubMed Rubin LJ, Mendoza J, Hood M, McGoon M, Barst R, Williams WB, Diehl JH, Crow J, Long W (1990) Treatment of primary pulmonary hypertension with continuous intravenous prostacyclin (epoprostenol). Results of a randomized trial. Ann Intern Med 112:485–491PubMed
5.
go back to reference Radermacher P, Santak B, Wurst HJ, Tarnow J, Falke KJ (1990) Prostacyclin for the treatment of pulmonary hypertension in the adult respiratory distress syndrome: effects on pulmonary capillary pressure and ventilation-perfusion distributions. Anesthesiology 72:238–244PubMed Radermacher P, Santak B, Wurst HJ, Tarnow J, Falke KJ (1990) Prostacyclin for the treatment of pulmonary hypertension in the adult respiratory distress syndrome: effects on pulmonary capillary pressure and ventilation-perfusion distributions. Anesthesiology 72:238–244PubMed
6.
go back to reference Radermacher P, Santak B, Wurst HJ, Tarnow J, Falke KJ (1990) Prostacyclin and right ventricular function in patients with pulmonary hypertension associated with ARDS. Intensive Care Med 16:227–232PubMed Radermacher P, Santak B, Wurst HJ, Tarnow J, Falke KJ (1990) Prostacyclin and right ventricular function in patients with pulmonary hypertension associated with ARDS. Intensive Care Med 16:227–232PubMed
7.
go back to reference Montalescot G, Drobinski G, Meurin P, Maclouf J, Sotirov I, Philippe F, Choussat R, Morin E, Thomas D (1998) Effects of prostacyclin on the pulmonary vascular tone and cardiac contractility of patients with pulmonary hypertension secondary to end-stage heart failure. Am J Cardiol 82:749–755CrossRefPubMed Montalescot G, Drobinski G, Meurin P, Maclouf J, Sotirov I, Philippe F, Choussat R, Morin E, Thomas D (1998) Effects of prostacyclin on the pulmonary vascular tone and cardiac contractility of patients with pulmonary hypertension secondary to end-stage heart failure. Am J Cardiol 82:749–755CrossRefPubMed
8.
go back to reference Rossaint R, Slama K, Steudel W, Gerlach H, Pappert D, Veit S, Falke K (1995) Effects of inhaled nitric oxide on right ventricular function in severe acute respiratory distress syndrome. Intensive Care Med 21:197–203PubMed Rossaint R, Slama K, Steudel W, Gerlach H, Pappert D, Veit S, Falke K (1995) Effects of inhaled nitric oxide on right ventricular function in severe acute respiratory distress syndrome. Intensive Care Med 21:197–203PubMed
9.
go back to reference Kieler-Jensen N, Milocco I, Ricksten SE (1993) Pulmonary vasodilation after heart transplantation. A comparison among prostacyclin, sodium nitroprusside, and nitroglycerin on right ventricular function and pulmonary selectivity. J Heart Lung Transplant 12:179–184PubMed Kieler-Jensen N, Milocco I, Ricksten SE (1993) Pulmonary vasodilation after heart transplantation. A comparison among prostacyclin, sodium nitroprusside, and nitroglycerin on right ventricular function and pulmonary selectivity. J Heart Lung Transplant 12:179–184PubMed
10.
go back to reference Kieler-Jensen N, Lundin S, Ricksten SE (1995) Vasodilator therapy after heart transplantation: effects of inhaled nitric oxide and intravenous prostacyclin, prostaglandin E1, and sodium nitroprusside. J Heart Lung Transplant 14:436–443PubMed Kieler-Jensen N, Lundin S, Ricksten SE (1995) Vasodilator therapy after heart transplantation: effects of inhaled nitric oxide and intravenous prostacyclin, prostaglandin E1, and sodium nitroprusside. J Heart Lung Transplant 14:436–443PubMed
11.
go back to reference Kieler-Jensen N, Houltz E, Ricksten SE (1995) A comparison of prostacyclin and sodium nitroprusside for the treatment of heart failure after cardiac surgery. J Cardiothoracic Vasc Anest 9:641–646 Kieler-Jensen N, Houltz E, Ricksten SE (1995) A comparison of prostacyclin and sodium nitroprusside for the treatment of heart failure after cardiac surgery. J Cardiothoracic Vasc Anest 9:641–646
12.
go back to reference Kieler-Jensen N, Houltz E, Milocco I, Ricksten SE (1993) Central hemodynamics and right ventricular function after coronary artery bypass surgery. A comparison of prostacyclin, sodium nitroprusside, and nitroglycerin for treatment of postcardiac surgical hypertension. J Cardiothoracic Vasc Anesth 7:555–559 Kieler-Jensen N, Houltz E, Milocco I, Ricksten SE (1993) Central hemodynamics and right ventricular function after coronary artery bypass surgery. A comparison of prostacyclin, sodium nitroprusside, and nitroglycerin for treatment of postcardiac surgical hypertension. J Cardiothoracic Vasc Anesth 7:555–559
13.
go back to reference Kisch-Wedel H, Kemming G, Meisner F, Flondor M, Kuebler WM, Bruhn S, Koehler C, Zwissler B (2003) The prostaglandins epoprostenol and iloprost increase left ventricular contractility in vivo. Intensive Care Med /link?doi=10.1007/s00134-003-1891-z Kisch-Wedel H, Kemming G, Meisner F, Flondor M, Kuebler WM, Bruhn S, Koehler C, Zwissler B (2003) The prostaglandins epoprostenol and iloprost increase left ventricular contractility in vivo. Intensive Care Med /link?doi=10.1007/s00134-003-1891-z
14.
go back to reference Pavlovic M, Petkovic D, Cvetkovic M, Macut DJ, Zdjelar K, Nesic M, Bosnic O, Radulovic R, Mihajlovic M (1995) The influence of prostacyclin (PGI2) on contractile properties of isolated right ventricle of rat heart. Experientia 51:941–944PubMed Pavlovic M, Petkovic D, Cvetkovic M, Macut DJ, Zdjelar K, Nesic M, Bosnic O, Radulovic R, Mihajlovic M (1995) The influence of prostacyclin (PGI2) on contractile properties of isolated right ventricle of rat heart. Experientia 51:941–944PubMed
15.
go back to reference Abboud FM, Eckberg DL, Johansen UJ, Mark AL (1979) Carotid and cardiopulmonary baroreceptor control of splanchnic and forearm vascular resistance during venous pooling in man J Physiol 286:173–184 Abboud FM, Eckberg DL, Johansen UJ, Mark AL (1979) Carotid and cardiopulmonary baroreceptor control of splanchnic and forearm vascular resistance during venous pooling in man J Physiol 286:173–184
16.
go back to reference Delle M, Ricksten SE, Delbro D (1988) Pre- and postganglionic sympathetic nerve activity during induced hypotension with adenosine or sodium nitroprusside in the anesthetized rat. Anesth Analg 67:307–312PubMed Delle M, Ricksten SE, Delbro D (1988) Pre- and postganglionic sympathetic nerve activity during induced hypotension with adenosine or sodium nitroprusside in the anesthetized rat. Anesth Analg 67:307–312PubMed
17.
go back to reference Zäll S, Milocco I, Ricksten SE (1991) Effects of adenosine on myocardial blood flow and metabolism after coronary artery bypass surgery. Anesth Analg 73:689–695PubMed Zäll S, Milocco I, Ricksten SE (1991) Effects of adenosine on myocardial blood flow and metabolism after coronary artery bypass surgery. Anesth Analg 73:689–695PubMed
Metadata
Title
Is prostacyclin an inodilator?
Author
Sven-Erik Ricksten
Publication date
01-09-2003
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 9/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-003-1834-8

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