Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension
Pulmonary hypertension (PH) is a life-threatening complication in dogs with cardiopulmonary disease. Epoprostenol is an intravenous pulmonary vasodilator used to treat PH in humans; however, its efficacy in dogs remains unknown. We investigated the cardiovascular effects of epoprostenol and several...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
|
| Series: | Veterinary Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2306-7381/10/4/302 |
| _version_ | 1797603179538415616 |
|---|---|
| author | Yunosuke Yuchi Ryohei Suzuki Shuji Satomi Takahiro Saito Takahiro Teshima Hirotaka Matsumoto |
| author_facet | Yunosuke Yuchi Ryohei Suzuki Shuji Satomi Takahiro Saito Takahiro Teshima Hirotaka Matsumoto |
| author_sort | Yunosuke Yuchi |
| collection | DOAJ |
| description | Pulmonary hypertension (PH) is a life-threatening complication in dogs with cardiopulmonary disease. Epoprostenol is an intravenous pulmonary vasodilator used to treat PH in humans; however, its efficacy in dogs remains unknown. We investigated the cardiovascular effects of epoprostenol and several cardiac agents for acute heart failure in canine models of chronic PH. Six dogs with chronic PH were anesthetized and underwent right heart catheterization and echocardiography before and after infusion of epoprostenol, dobutamine, dopamine and pimobendane. (The drug administration order was the same for all dogs). High-dose epoprostenol (15–20 ng/kg/min) tended to decrease pulmonary arterial pressure (PAP) while significantly decreasing pulmonary and systemic vascular resistance and increasing left and right ventricular (LV and RV, respectively) function. Pimobendan significantly increased LV and RV functions without increasing PAP. Conversely, dobutamine and dopamine significantly increased LV and RV function as well as PAP. This study revealed the efficacy of epoprostenol in treating canine PH through its pulmonary and systemic vasodilating effects. Although catecholamines improve LV and RV function, they might worsen PH pathophysiology, and careful monitoring may be necessary when using these drugs. Pimobendan improved LV and RV function without increasing PAP; however, a stronger vasodilating effect was observed with epoprostenol. |
| first_indexed | 2024-03-11T04:26:46Z |
| format | Article |
| id | doaj.art-0aaeb9a6fcda4018889378215edc62b8 |
| institution | Directory Open Access Journal |
| issn | 2306-7381 |
| language | English |
| last_indexed | 2024-03-11T04:26:46Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Veterinary Sciences |
| spelling | doaj.art-0aaeb9a6fcda4018889378215edc62b82023-11-17T21:44:03ZengMDPI AGVeterinary Sciences2306-73812023-04-0110430210.3390/vetsci10040302Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary HypertensionYunosuke Yuchi0Ryohei Suzuki1Shuji Satomi2Takahiro Saito3Takahiro Teshima4Hirotaka Matsumoto5Laboratory of Veterinary Internal Medicine, School of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo 180-8602, JapanLaboratory of Veterinary Internal Medicine, School of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo 180-8602, JapanLaboratory of Veterinary Internal Medicine, School of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo 180-8602, JapanLaboratory of Veterinary Internal Medicine, School of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo 180-8602, JapanLaboratory of Veterinary Internal Medicine, School of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo 180-8602, JapanLaboratory of Veterinary Internal Medicine, School of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo 180-8602, JapanPulmonary hypertension (PH) is a life-threatening complication in dogs with cardiopulmonary disease. Epoprostenol is an intravenous pulmonary vasodilator used to treat PH in humans; however, its efficacy in dogs remains unknown. We investigated the cardiovascular effects of epoprostenol and several cardiac agents for acute heart failure in canine models of chronic PH. Six dogs with chronic PH were anesthetized and underwent right heart catheterization and echocardiography before and after infusion of epoprostenol, dobutamine, dopamine and pimobendane. (The drug administration order was the same for all dogs). High-dose epoprostenol (15–20 ng/kg/min) tended to decrease pulmonary arterial pressure (PAP) while significantly decreasing pulmonary and systemic vascular resistance and increasing left and right ventricular (LV and RV, respectively) function. Pimobendan significantly increased LV and RV functions without increasing PAP. Conversely, dobutamine and dopamine significantly increased LV and RV function as well as PAP. This study revealed the efficacy of epoprostenol in treating canine PH through its pulmonary and systemic vasodilating effects. Although catecholamines improve LV and RV function, they might worsen PH pathophysiology, and careful monitoring may be necessary when using these drugs. Pimobendan improved LV and RV function without increasing PAP; however, a stronger vasodilating effect was observed with epoprostenol.https://www.mdpi.com/2306-7381/10/4/302cardiac outputdogprostaglandin I<sub>2</sub>pulmonary arterial pressurepulmonary arterial resistanceright heart catheterization |
| spellingShingle | Yunosuke Yuchi Ryohei Suzuki Shuji Satomi Takahiro Saito Takahiro Teshima Hirotaka Matsumoto Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension Veterinary Sciences cardiac output dog prostaglandin I<sub>2</sub> pulmonary arterial pressure pulmonary arterial resistance right heart catheterization |
| title | Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension |
| title_full | Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension |
| title_fullStr | Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension |
| title_full_unstemmed | Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension |
| title_short | Cardiovascular Effect of Epoprostenol and Intravenous Cardiac Drugs for Acute Heart Failure on Canine Pulmonary Hypertension |
| title_sort | cardiovascular effect of epoprostenol and intravenous cardiac drugs for acute heart failure on canine pulmonary hypertension |
| topic | cardiac output dog prostaglandin I<sub>2</sub> pulmonary arterial pressure pulmonary arterial resistance right heart catheterization |
| url | https://www.mdpi.com/2306-7381/10/4/302 |
| work_keys_str_mv | AT yunosukeyuchi cardiovasculareffectofepoprostenolandintravenouscardiacdrugsforacuteheartfailureoncaninepulmonaryhypertension AT ryoheisuzuki cardiovasculareffectofepoprostenolandintravenouscardiacdrugsforacuteheartfailureoncaninepulmonaryhypertension AT shujisatomi cardiovasculareffectofepoprostenolandintravenouscardiacdrugsforacuteheartfailureoncaninepulmonaryhypertension AT takahirosaito cardiovasculareffectofepoprostenolandintravenouscardiacdrugsforacuteheartfailureoncaninepulmonaryhypertension AT takahiroteshima cardiovasculareffectofepoprostenolandintravenouscardiacdrugsforacuteheartfailureoncaninepulmonaryhypertension AT hirotakamatsumoto cardiovasculareffectofepoprostenolandintravenouscardiacdrugsforacuteheartfailureoncaninepulmonaryhypertension |