Effects of Nitroprusside on Cardiac Function, Blood Flow Distribution, and Oxygen Consumption in the Conscious Young Lamb
作者:
JAAP KUIPERS,
DANIEL SIDI,
MICHAEL HEYMANN,
ABRAHAM RUDOLPH,
期刊:
Pediatric Research
(OVID Available online 1984)
卷期:
Volume 18,
issue 7
页码: 618-626
ISSN:0031-3998
年代: 1984
出版商: OVID
数据来源: OVID
摘要:
SummaryResting cardiac output is high relative to body weight during the neonatal period and there is a limited reserve for further increasing cardiac output. We assessed the effect on the circulation of reducing peripheral vascular resistance by infusing high doses of sodium nitroprusside in 1- and 3-week-old lambs. In a dose of 5 μg · kg-1· min-1over 1 h, nitroprusside caused a decrease in aortic and left atrial pressure, an increase in heart rate, and no significant changes in cardiac output or oxygen consumption. Infusing 10 μg kg-1· min-1for 2 h resulted in an initial marked decrease in aortic pressure, cardiac output, and also heart rate. Within 50 min aortic pressure gradually increased, but was still well below control levels, while cardiac output returned to control level and heart rate slowly increased. Distribution of cardiac output and organ blood flows was measured by the radionuclide microsphere method. Blood flows to the kidneys and to the skin fell markedly, but flows to other organs did not change significantly.
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