Response to a Single Dose of Sildenafil in Single-Ventricle Patients: An Echocardiographic Evaluation

被引:7
作者
Jackson, Kimberly W. [1 ]
Butts, Ryan J. [1 ]
Svenson, Amy J. [1 ]
McQuinn, Tim C. [1 ]
Atz, Andrew M. [1 ]
机构
[1] Med Univ S Carolina, Dept Pediat, Div Cardiol, Charleston, SC 29425 USA
关键词
Congenital heart disease; Fontan; Pediatric; Univentricular heart; EXERCISE;
D O I
10.1007/s00246-012-0415-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
New evidence of increased phosphodiesterase-5 (PDE-5) in hypertrophied human myocardium suggests that sildenafil, a selective PDE-5 inhibitor, may improve muscle contraction and therefore improve ventricular function. The purpose of this study was to compare ventricular function as assessed by echocardiography in 10 surgically palliated single-ventricle patients at baseline and again after a single dose of sildenafil. The velocity time integral of the ventricular outflow tract was increased 2 h after sildenafil administration (p = 0.01), thus suggesting an improvement in cardiac output.
引用
收藏
页码:1739 / 1742
页数:4
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