TY - JOUR
T1 - Comparison of sodium nitroprusside versus esmolol for the treatment of hypertension following repair of coarctation of the aorta
AU - Dittrich, Sven
AU - Germanakis, Joannis
AU - Dittrich, Heike
AU - Daehnert, Ingo
AU - Ewert, Peter
AU - Alexi-Meskishvili, Vladimir
AU - Vogel, Michael
AU - Lange, Peter E.
PY - 2003/6
Y1 - 2003/6
N2 - Postoperative arterial hypertension was treated with nitroprusside or esmolol in a prospective randomized study. If treatment failed, patients were first switched over to the other study drug, and then to a combination of both. Renin, angiotensin II, epinephrine, and norepinephrine were measured before, 1, and 17 h after operation. esmolol was effective in all cases of treatment (n=6) whereas nitroprusside was ineffective in two out of seven patients (not significant), who were finally treated effectively with the combination of the study drugs. Whenever monotherapy failed, both drugs together were effective in reducing the postoperative activation of the sympathetic and renin-angiotensin systems.
AB - Postoperative arterial hypertension was treated with nitroprusside or esmolol in a prospective randomized study. If treatment failed, patients were first switched over to the other study drug, and then to a combination of both. Renin, angiotensin II, epinephrine, and norepinephrine were measured before, 1, and 17 h after operation. esmolol was effective in all cases of treatment (n=6) whereas nitroprusside was ineffective in two out of seven patients (not significant), who were finally treated effectively with the combination of the study drugs. Whenever monotherapy failed, both drugs together were effective in reducing the postoperative activation of the sympathetic and renin-angiotensin systems.
KW - Catecholamine
KW - Coarctation
KW - Esmolol
KW - Nitroprusside
KW - Renin
UR - http://www.scopus.com/inward/record.url?scp=1542400042&partnerID=8YFLogxK
U2 - 10.1016/S1569-9293(02)00115-9
DO - 10.1016/S1569-9293(02)00115-9
M3 - Review article
AN - SCOPUS:1542400042
SN - 1569-9293
VL - 2
SP - 111
EP - 115
JO - Interactive Cardiovascular and Thoracic Surgery
JF - Interactive Cardiovascular and Thoracic Surgery
IS - 2
ER -