1. Lack of contribution of nitric oxide to basal vasomotor tone in heart failure
- Author
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Kubo, Spencer H., Rector, Thomas S., Bank, Alan J., Raij, Leopoldo, Kraemer, Mark D., Tadros, Peter, Beardslee, Michael, and Garr, Michael D.
- Subjects
Congestive heart failure -- Physiological aspects ,Nitric oxide -- Physiological aspects ,Blood vessels -- Dilatation ,Health - Abstract
Patients with heart failure have reduced forearm vasodilator responses when endothelial cell nitric oxide production is stimulated by muscarinic agonists. The aim of this study was to determine if activity of the nitric oxide pathway was also abnormal under basal conditions. Forearm blood flow (FBF) was measured with strain-gauge plethysmography in response to the intraarterial infusion of a subsystemic dose range of L-N-monomethylarginine (L-NMMA), a competitive inhibitor of nitric oxide synthase. In 18 normal subjects, the baseline FBF of 3.6 [+ or -] 1.4 was decreased by 0.3 [+ or -] 0.5 (p >0.01), 1.0 [+ or -] 0.7 (p (Am J Cardiol 1994; 74:1133--1136)
- Published
- 1994