Angiotensin II is 10 times as potent as norepinephrine in normal subjects and 2-3 times as potent in patients in shock, increasing blood pressure and peripheral resistance without tachyphylaxis.
Observational
Normal subjects and patients in shock
Angiotensin II vs Norepinephrine
Hemodynamic properties and potency
These data demonstrate that in normal subjects angiotensin II is 10 times as potent as norepinephrine, which it resembles hemodynamically. An increase in the systolic pressure is associated with significant increase in diastolic pressure, increase in venous pressure, decrease in heart rate, slight decrease in cardiac output with striking increase in total peripheral resistance, decrease in renal blood flow, decreased glomerular filtration rate, increase in filtration fraction, arid slight decrease in urinary volume. Preliminary studies of patients in shock suggest that angiotensin II is two or three times as potent as norepinephrine. Continuous administration is not associated with the development of resistance or tachyphylaxis, nor does sloughing of tissues occur when there is leakage outside the vein.
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Frank A. Finnerty
Tulane University
G. D. Massaro
George Washington University Hospital
Victor Chupkovich
Georgetown University
Circulation Research
Karolinska Institutet
Georgetown University
Georgetown University Medical Center
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Finnerty et al. (Wed,) conducted a observational in Normal subjects and patients in shock. Angiotensin II vs. Norepinephrine was evaluated on Hemodynamic properties and potency. Angiotensin II is 10 times as potent as norepinephrine in normal subjects and 2-3 times as potent in patients in shock, increasing blood pressure and peripheral resistance without tachyphylaxis.
synapsesocial.com/papers/6a1069412badbc352afff67c — DOI: https://doi.org/10.1161/01.res.9.2.256