Comparison of sodium nitroprusside versus esmolol for the treatment of hypertension following repair of coarctation of the aorta

Sven Dittrich, Joannis Germanakis, Heike Dittrich, Ingo Daehnert, Peter Ewert, Vladimir Alexi-Meskishvili, Michael Vogel, Peter E. Lange

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)111-115
Number of pages5
JournalInteractive Cardiovascular and Thoracic Surgery
Volume2
Issue number2
DOIs
StatePublished - Jun 2003
Externally publishedYes

Keywords

  • Catecholamine
  • Coarctation
  • Esmolol
  • Nitroprusside
  • Renin

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