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  • Title: [Hemodynamic effects of phentolamine in acute and chronic mitral insufficiency after myocardial infarction].
    Author: Renard M, Jacobs P, Sobkowicz-Wozniak B, Kostucki W, Bernard R.
    Journal: Arch Mal Coeur Vaiss; 1985 Jan; 78(1):37-43. PubMed ID: 3919678.
    Abstract:
    The haemodynamic effects of phentolamine, a selective alpha blocker, were studied in patients with severe mitral regurgitation and cardiac failure in the acute (Group I, 7 cases) or chronic (Group II, 7 cases) phase of myocardial infarction. After 1 hour's treatment a rise in cardiac index (+29 p. 100, p less than 0.001 and +36 p. 100, p less than 0.01), and systolic index (+19 p. 100, p less than 0.001 and +19 p. 100, p less than 0.05) were observed; the V wave of the pulmonary capillary pressure recording decreased (-32 p. 100, p less than 0.005; -26 p. 100, p less than 0.01). Oxygen transport also increased by an average of 36 p. 100, p less than 0.001, without a significant change in arterial pp O2. These results show that phentolamine improves the haemodynamics and decreases mitral regurgitation in the acute and in the chronic phases of myocardial infarction.
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