PMID- 9772522 OWN - NLM STAT- MEDLINE DCOM- 19990427 LR - 20131121 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 77 IP - 10 DP - 1997 Oct TI - [Clinical efficacy of prolonged therapy with NO on patients with pulmonary hypertension]. PG - 762-4 AB - OBJECTIVE: To determine the safety and clinical efficacy of prolonged NO administration in patients with pulmonary hypertension. METHOD: Clinical efficacy of prolonged treatment (28 days) with NO (20 ppm) in 17 patients with pulmonary hypertension was observed by chest X-ray film, ECG, Doppler echocardiography, analysis of arterial blood gases and the other laboratory investigations. RESULTS: After prolonged treatment with NO, regurgitation velocity and peak pressure gradient across tricuspid valves during systole reduced by 11.8% and 22.6%, respectively (P < 0.0001). Ejection fraction of right ventricle, stroke volume and cardiac output of left ventricle, partial oxygen pressure and oxygen saturation of arterial blood increased by 29.9%, 60.3%, 37.8%, 21.7% and 3.8% (all statistics; P < 0.0001), respectively. The class of heart function by New York Heart Association (NYHA) was improved dramatically (P < 0.01). Heart rate also reduced from 96 +/- 12 bpm to 83 +/- 10 bpm (P < 0.0001). But systemic artery pressure and the concentration of blood methemoglobin which reflected NO toxicity did not change obviously (P > 0.05). CONCLUSION: Clinical efficacy of prolonged treatment with NO is satisfied in patients with pulmonary hypertension. Significant clinical side effects and toxicities are not seen during prolonged treatment with NO. FAU - He, J G AU - He JG AD - Fuwai Heart Hospital and Institute of Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing. FAU - Cheng, X AU - Cheng X FAU - Xiong, C AU - Xiong C LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 31C4KY9ESH (Nitric Oxide) SB - IM MH - Administration, Inhalation MH - Adolescent MH - Adult MH - Female MH - *Hemodynamics MH - Humans MH - Hypertension, Pulmonary/*drug therapy/physiopathology MH - Male MH - Middle Aged MH - Nitric Oxide/*administration & dosage/adverse effects MH - Time Factors EDAT- 1998/10/17 00:00 MHDA- 1998/10/17 00:01 CRDT- 1998/10/17 00:00 PHST- 1998/10/17 00:00 [pubmed] PHST- 1998/10/17 00:01 [medline] PHST- 1998/10/17 00:00 [entrez] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 1997 Oct;77(10):762-4.