La maladie de Parkinson en France (serveur d'exploration)

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Randomized double-blind trial of injectable heptaminol for controlling spontaneous or bromocriptine-induced orthostatis hypotension in parkinsonians

Identifieur interne : 005135 ( Main/Exploration ); précédent : 005134; suivant : 005136

Randomized double-blind trial of injectable heptaminol for controlling spontaneous or bromocriptine-induced orthostatis hypotension in parkinsonians

Auteurs : D. Milon [France] ; H. Allain ; J. M. Reymann ; G. Morel ; O. Sabouraud ; J. Van Den Driessche

Source :

RBID : Pascal:91-0171486

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English descriptors

Abstract

Nineteen patients were included in the study: 7 displayed spontaneous orthostatic hypotension (OH), and in the other 12 OH was induced by bromocriptine, as monitored 103 min/after an oral intake of 6.6 mg on average. Potency tilt-trials, performed 15, 30 and 45 min after parenteral administration of heptaminol, revealed a significant and expressive potency of the molecule on the systolic blood pressure after 15 min. Low plasma renin activity and the absence of response to orthostatism indicated, in this population of Parkinsonian extrapyramidal syndromes, a loss in positive tonus likely to be of sympathetic origin. The anti-hypotensive action of heptaminol does not seem to be related to any renal or even sympathetic interaction


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Le document en format XML

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<term>Antiparkinson agent</term>
<term>Arterial hypotension</term>
<term>Blood Pressure (drug effects)</term>
<term>Bromocriptine (adverse effects)</term>
<term>Bromocryptine</term>
<term>Cardiotonic agent</term>
<term>Cardiovascular disease</term>
<term>Chemotherapy</term>
<term>Coronary vasodilator agent</term>
<term>D2 Dopamine receptor</term>
<term>Dopamine agonist</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Heart Rate (drug effects)</term>
<term>Hemodynamics</term>
<term>Heptaminol (adverse effects)</term>
<term>Heptaminol (therapeutic use)</term>
<term>Human</term>
<term>Humans</term>
<term>Hypotension, Orthostatic (chemically induced)</term>
<term>Hypotension, Orthostatic (drug therapy)</term>
<term>Injections, Intravenous</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nervous system diseases</term>
<term>Parenteral administration</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson disease</term>
<term>Renin</term>
<term>Renin (blood)</term>
<term>Toxicity</term>
<term>Treatment</term>
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<term>Bromocriptine</term>
<term>Heptaminol</term>
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<term>Renin</term>
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<term>Hypotension, Orthostatic</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Blood Pressure</term>
<term>Heart Rate</term>
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<term>Hypotension, Orthostatic</term>
<term>Parkinson Disease</term>
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<term>Heptaminol</term>
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<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intravenous</term>
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<term>Cardiotonique</term>
<term>Vasodilatateur coronarien</term>
<term>Voie parentérale</term>
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<term>Parkinson maladie</term>
<term>Système nerveux pathologie</term>
<term>Toxicité</term>
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<term>Hypotension artérielle</term>
<term>Hémodynamique</term>
<term>Appareil circulatoire pathologie</term>
<term>Chimiothérapie</term>
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<term>Stimulant dopaminergique</term>
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<div type="abstract" xml:lang="en">Nineteen patients were included in the study: 7 displayed spontaneous orthostatic hypotension (OH), and in the other 12 OH was induced by bromocriptine, as monitored 103 min/after an oral intake of 6.6 mg on average. Potency tilt-trials, performed 15, 30 and 45 min after parenteral administration of heptaminol, revealed a significant and expressive potency of the molecule on the systolic blood pressure after 15 min. Low plasma renin activity and the absence of response to orthostatism indicated, in this population of Parkinsonian extrapyramidal syndromes, a loss in positive tonus likely to be of sympathetic origin. The anti-hypotensive action of heptaminol does not seem to be related to any renal or even sympathetic interaction</div>
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