title: [Effects of colforsin daropate hydrochloride in patients undergoing coronary artery bypass surgery].
abstract: The effects of Adehl, colforsin daropate hydrochloride, on hemodynamics were studied in patients undergoing cardiac surgery. Twenty-six patients who underwent coronary artery bypass grafting were divided into two groups according to the intraoperative administration of Adehl. The control group (n = 14) received no Adehl treatment and the Adehl group (n = 12) received Adehl infusion immediately after anesthesia induction (0.5 microgram.kg-1.min-1) for 6 hours. Hemodynamic measurements and clinical results were accessed perioperatively. The Adehl group resulted in significantly (p < 0.05) lower pulmonary capillary wedge pressure and systemic vascular resistance, and significantly (p < 0.05) greater cardiac indices and left ventricular stroke work indices than those in the control group. No significant difference was found in the rate pressure product between the groups. The Adehl group resulted in significantly shorter duration of intubation and ICU stay. Adehl was not associated with a significant increase in the prevalence of adverse effects. The results suggest that Adehl has positive inotropic and vasodilator effects without increasing myocardial oxygen consumption. Thus, it is suggested that Adehl can be a useful agent for the perioperative management in patients undergoing cardiac surgery.
authors.affiliation: Department of Surgery, Kurume University, Kurume, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Hayashida
authors.forename: S
authors.initials: S
authors.lastname: Chihara
authors.forename: E
authors.initials: E
authors.lastname: Tayama
authors.forename: H
authors.initials: H
authors.lastname: Kashikie
authors.forename: T
authors.initials: T
authors.lastname: Takaseya
authors.forename: R
authors.initials: R
authors.lastname: Hiratsuka
authors.forename: E
authors.initials: E
authors.lastname: Kai
authors.forename: N
authors.initials: N
authors.lastname: Enomoto
authors.forename: T
authors.initials: T
authors.lastname: Kawara
authors.forename: S
authors.initials: S
authors.lastname: Aoyagi
mesh_terms: D000368:Aged; D005576:Colforsin / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D014665:Vasodilator Agents; C122001:colforsin daropate; D005576:Colforsin