Effect of Perindopril on platelet nitric oxide resistance in patients with chronic heart failure secondary to ischemic left ventricular dysfunction

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2004

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Chirkov, Y.
Holmes, A.
Martelli, J.
Horowitz, J.

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American Journal of Cardiology, 2004; 93(11):1438-1440

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Yuliy Y. Chirkov, Andrew S. Holmes, Jason D. Martelli, and John D. Horowitz

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Abstract

In 15 patients with chronic heart failure of ischemic origin who were not previously treated with angiotensin-converting enzyme inhibitors, platelets exhibited hyperaggregability and impaired responsiveness to the antiaggregatory and cyclic guanosine monophosphate-stimulatory effects of nitric oxide donor sodium nitroprusside compared with normal subjects; this was paralleled by increased blood levels of superoxide radicals. Treatment with perindopril for 4 days significantly improved platelet responses to sodium nitroprusside; there was also a trend toward a decrease in superoxide radical levels.

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Copyright © 2004 Excerpta Medica Inc. All rights reserved.

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