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Radionuclide semiotics of pulmonary hypertension and NO production in children with non-cyanotic heart valve disease

Abstract

Radionuclide assessment of pulmonary hemodynamics was performed in 45 children with congenital heart valve pathology and increased pulmonary blood flow. Radionuclide angiopulmonography was performed at rest and during acute pharmacological tests, before and after valve surgery. Basal and enalapril-stimulated plasma concentrations of stable NO metabolites (nitrite and nitrate anions) were measured. Radionuclide bolus speed dynamics after vasodilatator (niphedipine, enalapril) administration demonstrated pulmonary circulation reserve. Plasma levels of NO metabolites were used in erectile dysfunction verification.

About the Authors

Yu. B. Lishmanov
НИИ кардиологии Томского научного центра СО РАМН, Томск
Russian Federation


K. V. Zavadovsky
НИИ кардиологии Томского научного центра СО РАМН, Томск
Russian Federation


S. N. Ivanov
НИИ кардиологии Томского научного центра СО РАМН, Томск
Russian Federation


T. E. Suslova
НИИ кардиологии Томского научного центра СО РАМН, Томск
Russian Federation


References

1. Белоконь Н.А., Подзолков В.П. Врожденные пороки сердца. -М.: Медицина, 1990. -352 с.

2. Бураковский В.И. и др. Сердечно-сосудистая хирургия: руководство/В.И. Бураковский, Л.А. Бокерия и др. -М.: Медицина, 1989. -752 с.

3. Манухина Е.Б., Лямина Н.П., Долотовская П.В., и др. Роль оксида азота и кислородных свободных радикалов в патогенезе артериальной гипертензии//Кардиология №11, 2002 с.73-84.

4. Манухина Е.Б., Малышев И.Ю. Роль оксида азота в сердечно-сосудистой патологии: взгляд патофизиолога//Российский кардиологический журнал №5(25)/2000.

5. Мартынюк Т.В., Масенко В.П., Чазова И.Е. и др. Эндотелиальная дисфункция у больных с легочной гипертензией//Кардиология. 1997. №10. с. 25-29.

6. Мутафьян О.А. Врожденные пороки сердца у детей. -СПб.:«Невский Диалект», 2002. -331 с.

7. Невзорова В.А., Зуга М.В., Гельпер Б.И. Роль оксида азота в регуляции легочных функций (Обзор)//Тер. архив. -1997. №3. -С. 68-73.

8. Сиваченко Т.П., Белоус А.К., Зозуля А.А. Радиокардиография. К.: Здоров'я, 1984. -144 с.

9. Barrow S.E., Dollerey С.Т., Heavey D.J., et. al. Effect of vasoactive peptides on prostacyclin synthesis in man//Br. J. Pharmacol. 1986;87:243-247.

10. Black S.M., Bekker J.M., Mcmullan A.N., et. al. Alterations in Nitric Oxide Production in 8-Week-Old Lambs with Increased Pulmonary Blood Flow//Pediatr. Res. Vol. 52, No. 2, 2002.

11. Black S.M., Fineman J.R., Johengen M., et. al. Increased pulmonary blood flow alters the molecular regulation of vascular reactivity in the lamb//Pediatr. Res. 1996;39:23A.

12. Cannon R.O. Role of nitric oxide in cardiovascular disease: focus on the endothelium//Clin. Chem. 1998;44: 1809.1819.

13. Ferreiro C.R., Chagas A.C.P., Carvalho M.H.C., et. al. Influence of Hypoxia on Nitric Oxide Synthase Activity and Gene Expression in Children With Congenital Heart Disease A Novel Pathophysiological Adaptive Mechanism//Circulation. 2001;103:2272-2276.

14. Furchgott R.F, Zawadzki J.V. The obligatory role of the endothelial cells in relaxation of arterial smooth muscle by acetylcholine//Nature 1980; 288: 373-6

15. Gorenflo M., Zheng C, Poge A., et. al. Metabolites of the L-arginine-NO pathway in patients with left-to-right shunt//Clin. Lab. 2001;47(9-10):441-7.

16. Hornig В., Kohler C., Drexler H. Role of bradykinin in mediating vascular effects of angiotensin-converting enzyme inhibitors in humans//Circulation. 1997;95:1115-1118.

17. Kotake F., Kobayashi J., Sonoda M., et. al. Nitric oxide-related compounds in patients with congenital heart defects and pulmonary hypertension//Pediatrics. International 2000 Jun;42(3):249-54.

18. Mombouli J.V., Illiano S., Nagao T, et. al. Potentiation of endothelium-dependent relaxations to bradykinin by angiotensin-I converting enzyme inhibitors in canine coronary arteries involve both endothelium-derived relaxing and hyperpolarizing factors//Circ. Res. 1992;71:137-144.

19. O'Kane K.P.J., Webb D.J., Collier J.G., et. al. Local L-N-mono-methyl-arginine attenuates the vasodilator action of bradykinin in the human forearm//Br. J. Clin. Pharmacol. 1994;38:311-315.

20. Palmer R.M., Ferrige A.G., Moncada S. Nitric oxide release accounts for the biological activity of endothelium-derived relaxing factor//Nature. 1987;327:524-526.

21. Rossaint R., Falke K.J., Lopez F. et al. Inhalted nitric oxide for the adult respiratory distress syndrome (see comments)//N. Engl. J. Med.-1993.-Vol.328 <http://Med.-1993.-Vol.328>, №6.-R431-432.

22. Takaya J., Teraguchi M., Nogi S., et. al. Relation between plasma nitrate and mean pulmonary arterial pressure in ventricular septal defect//Arch. Dis. Child. 1998;79:498-501.


Review

For citations:


Lishmanov Yu.B., Zavadovsky K.V., Ivanov S.N., Suslova T.E. Radionuclide semiotics of pulmonary hypertension and NO production in children with non-cyanotic heart valve disease. Russian Journal of Cardiology. 2005;(5):5-11. (In Russ.)

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)