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Biomedical subjects

R Naeije

Publications and source records attributed to R Naeije.

168 records · Page 10Linked to original sources

Effects of progressively increased doses of theophylline and of S 9795 on hemodynamics, blood gases and lung mechanics in dogs.

We investigated the effects of progressively increased i.v. doses of theophylline and of the newly introduced methylxanthine derivative S 9795 on hemodynamics, blood gases and lung mechanics in 2 groups each of 8 pentobarbital sodium-anesthetized dogs. The maximum plasma levels that were attained were 56.6 +/- 3.4 micrograms/ml (mean +/- S.E.) for theophylline and 12 +/- 1.2 micrograms/ml for S 9795. Theophylline increased heart rate and cardiac output, decreased arterial PO2, increased O2 consumption and did not affect lung mechanics. S 9795 decreased heart rate, increased systemic arterial pressure, O2 consumption (slightly) and pulmonary capillary wedge pressure (the latter only at the highest dose) and decreased lung compliance without change in lung resistance. The evolutions of heart rate, O2 consumption and pulmonary capillary wedge pressure differed significantly after theophylline compared to S 9795. These results show that in dogs, theophylline acts as a positive chronotrope, while S 9795 either has no such effect or acts as a negative chronotrope at high doses. None of the 2 methylxanthines appears to reduce normal bronchomotor tone.

Animals↗

Eicosanoids and hypoxic pulmonary vasoconstriction in normal man.

Pulmonary haemodynamics and blood gas tensions were investigated in eight healthy volunteers, breathing room air and at the 15th min of an acute inspiratory hypoxia (fraction of inspired oxygen, (FIO2), 0.125) before and after administration of ibuprofen, a cyclooxygenase inhibitor, and of dazoxiben, a thromboxane A2 (TxA2) synthetase inhibitor; both drugs either with or without an infusion of prostaglandin E1. Hypoxia decreased arterial oxygen tension (PaO2) to below 50 mmHg in every subject and increased pulmonary vascular resistance by an average of 100-150% from baseline values. Acute and chronic dazoxiben or ibuprofen administration markedly reduced serum thromboxane B2 (TxB2), the stable metabolite of TxA2, but had no effect on pulmonary haemodynamics and blood gas tensions in both normoxic and hypoxic conditions. Prostaglandin E1 given in addition to ibuprofen or to dazoxiben did not inhibit hypoxia-induced increases in pulmonary vascular resistance. The stability of this hypoxic pressor response on repetition of an acute hypoxic exposure was established in six additional healthy subjects. Although obtained on a small number of subjects, these results do not suggest that products of the cyclooxygenase pathway of arachidonic acid metabolism play an important role in modulating normoxic or hypoxic pulmonary vascular tone in man.

Adult↗