The Nitric Oxide System in Patients with Chronic Heart Failure

The aim of this study was to evaluate the metabolic features of nitric oxide (NO) in patients with chronic heart failure (CHF) of ischemic origin. The study included 303 patients with ischemic CHF who received the standard treatment for CHF. Evaluation of the functional status of the NO system inclu...

Full description

Bibliographic Details
Main Authors: Dina Arnopolskaya, Muyassar Mukhamedova
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2013-09-01
Series:International Journal of Biomedicine
Subjects:
Online Access:http://ijbm.org/articles/Article3_3_CR6.pdf
_version_ 1819149360451026944
author Dina Arnopolskaya
Muyassar Mukhamedova
author_facet Dina Arnopolskaya
Muyassar Mukhamedova
author_sort Dina Arnopolskaya
collection DOAJ
description The aim of this study was to evaluate the metabolic features of nitric oxide (NO) in patients with chronic heart failure (CHF) of ischemic origin. The study included 303 patients with ischemic CHF who received the standard treatment for CHF. Evaluation of the functional status of the NO system included the detection of arginine concentrations in the peripheral blood, stable metabolites of nitric oxide (NO2/NO3) and endothelial NO synthase (eNOS) activity. After the initial assessment, patients were randomly divided into groups: the T-group who had torasemide (5-10 mg /day) included in the treatment scheme and the F-group with furosemide (20-40 mg/day). The diuretic dose was titrated according to the severity of the edema syndrome. In the randomly formed A-group of patients, L-arginine hydrochloride (Tivortin, URiA-PHARM, Ukraine) was administered in the treatment scheme for three months. The Tivortin dose was 6 g per day (10 mg syrup three times a day). The presence of diuretics in the treatment scheme allowed for normalizing the functioning of the NO system including eNOS activity. The additional use of L-arginine hydrochloride positively affected the NO metabolism.
first_indexed 2024-12-22T14:00:22Z
format Article
id doaj.art-b740f0db3c044bffa9710f339ccf1a0b
institution Directory Open Access Journal
issn 2158-0510
2158-0529
language English
last_indexed 2024-12-22T14:00:22Z
publishDate 2013-09-01
publisher International Medical Research and Development Corporation
record_format Article
series International Journal of Biomedicine
spelling doaj.art-b740f0db3c044bffa9710f339ccf1a0b2022-12-21T18:23:27ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292013-09-0133180183The Nitric Oxide System in Patients with Chronic Heart FailureDina ArnopolskayaMuyassar MukhamedovaThe aim of this study was to evaluate the metabolic features of nitric oxide (NO) in patients with chronic heart failure (CHF) of ischemic origin. The study included 303 patients with ischemic CHF who received the standard treatment for CHF. Evaluation of the functional status of the NO system included the detection of arginine concentrations in the peripheral blood, stable metabolites of nitric oxide (NO2/NO3) and endothelial NO synthase (eNOS) activity. After the initial assessment, patients were randomly divided into groups: the T-group who had torasemide (5-10 mg /day) included in the treatment scheme and the F-group with furosemide (20-40 mg/day). The diuretic dose was titrated according to the severity of the edema syndrome. In the randomly formed A-group of patients, L-arginine hydrochloride (Tivortin, URiA-PHARM, Ukraine) was administered in the treatment scheme for three months. The Tivortin dose was 6 g per day (10 mg syrup three times a day). The presence of diuretics in the treatment scheme allowed for normalizing the functioning of the NO system including eNOS activity. The additional use of L-arginine hydrochloride positively affected the NO metabolism.http://ijbm.org/articles/Article3_3_CR6.pdfchronic heart failuretorasemidenitric oxidearginine.
spellingShingle Dina Arnopolskaya
Muyassar Mukhamedova
The Nitric Oxide System in Patients with Chronic Heart Failure
International Journal of Biomedicine
chronic heart failure
torasemide
nitric oxide
arginine.
title The Nitric Oxide System in Patients with Chronic Heart Failure
title_full The Nitric Oxide System in Patients with Chronic Heart Failure
title_fullStr The Nitric Oxide System in Patients with Chronic Heart Failure
title_full_unstemmed The Nitric Oxide System in Patients with Chronic Heart Failure
title_short The Nitric Oxide System in Patients with Chronic Heart Failure
title_sort nitric oxide system in patients with chronic heart failure
topic chronic heart failure
torasemide
nitric oxide
arginine.
url http://ijbm.org/articles/Article3_3_CR6.pdf
work_keys_str_mv AT dinaarnopolskaya thenitricoxidesysteminpatientswithchronicheartfailure
AT muyassarmukhamedova thenitricoxidesysteminpatientswithchronicheartfailure
AT dinaarnopolskaya nitricoxidesysteminpatientswithchronicheartfailure
AT muyassarmukhamedova nitricoxidesysteminpatientswithchronicheartfailure