Assuntos
Acetilcolina/fisiologia , Asma/enzimologia , Bulbo/enzimologia , Neurônios/enzimologia , Óxido Nítrico Sintase/metabolismo , Nervo Vago/enzimologia , Acetilcolina/administração & dosagem , Administração por Inalação , Vias Aferentes/citologia , Vias Aferentes/enzimologia , Animais , Asma/fisiopatologia , Modelos Animais de Doenças , Masculino , Bulbo/citologia , NADPH Desidrogenase/metabolismo , Óxido Nítrico Sintase Tipo II , Gânglio Nodoso/citologia , Gânglio Nodoso/enzimologia , Ratos , Nervo Vago/citologiaRESUMO
ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult are summarized in detail. According to statements of these Guidelines most patients with chronic heart failure as a rule should receive combination of representatives of 4 different drug classes - diuretic, angiotensin converting enzyme inhibitor, beta-adrenoblocker and usually digoxin. Special indications have been formulated for inclusion in complex therapy of aldosterone receptor blockers (first of all spironolactone), angiotensin1 receptor blockers and direct vasodilators (hydralazine, isosorbide dinitrate).
Assuntos
Antagonistas Adrenérgicos beta/uso terapêutico , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Antiarrítmicos/uso terapêutico , Cardiologia/normas , Digoxina/uso terapêutico , Diuréticos/uso terapêutico , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/tratamento farmacológico , Guias de Prática Clínica como Assunto , Cardiologia/métodos , Doença Crônica , Quimioterapia Combinada , Humanos , Estados UnidosRESUMO
The expression NADPH-diaphorase and inducible NO-synthase (NOS) was studied in vagal nucleus dorsalis and ganglion nodosum neurons following acethylcholine inhalation in healthy rats and rats with ovalbumin-induced experimental bronchial asthma (BA). It was found that NOS activity regulation is mediated by cholinoreceptors; functioning of this mechanism is disturbed in hypoxic state. It is shown that both in conditions of physiological norm and in experimental BA, changes in NOS activity are determined by its constitutive, neuronal isoform.
Assuntos
Acetilcolina/farmacologia , Asma/enzimologia , Óxido Nítrico Sintase/metabolismo , Núcleo Olivar/enzimologia , Nervo Vago/enzimologia , Acetilcolina/administração & dosagem , Administração por Inalação , Animais , Asma/patologia , Imuno-Histoquímica , Masculino , NADPH Desidrogenase/metabolismo , Neurônios/enzimologia , Óxido Nítrico Sintase Tipo II , Gânglio Nodoso/enzimologia , Gânglio Nodoso/patologia , Núcleo Olivar/patologia , Ratos , Nervo Vago/patologiaRESUMO
NO synthase was studied in intact rats and in rats with bronchial asthma epitheliocytes after inhalation of phenotherol, propranolol, guanosine triphosphate (GTP) and combined inhalation of GTP with phenotherol. NO synthase mediator action on bronchial patency during adrenoagonists and GTP inhalation was demonstrated.