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Systemic endothelial dysfunction in adults with cyanotic congenital heart disease

Secondary erythrocytosis results in increased shear stress in cyanotic congenital heart disease (CCHD), which may modify the balance between vasodilators and vasoconstrictors and affect systemic endothelial function. Because no data are available on systemic vasomotion, systemic endothelial function...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2005-08, Vol.112 (8), p.1106-1112
Main Authors: OECHSLIN, Erwin, KIOWSKI, Wolfgang, SCHINDLER, Ruth, BERNHEIM, Alain, JULIUS, Barbara, BRUNNER-LA ROCCA, Hans Peter
Format: Article
Language:English
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Summary:Secondary erythrocytosis results in increased shear stress in cyanotic congenital heart disease (CCHD), which may modify the balance between vasodilators and vasoconstrictors and affect systemic endothelial function. Because no data are available on systemic vasomotion, systemic endothelial function and nitric oxide (NO) availability were investigated in CCHD patients. Responses to arterial endothelium-dependent (acetylcholine [Ach]) and -independent (sodium nitroprusside [SNP]) vasodilation, NO synthase blockade (NG-monomethyl-L-arginine [L-NMMA]), endothelin-1 (ET-1), and ET-1 receptor blockade by BQ-123 in 11 CCHD patients (O2 saturation
ISSN:0009-7322
1524-4539
DOI:10.1161/CIRCULATIONAHA.105.534073