Key result
Cromakalim lowers arterial pressure by reducing peripheral resistance while increasing renal blood flow in preclinical models.
Why the study?
The haemodynamic effects of the novel antihypertensive agent cromakalim in conscious and anaesthetised cats were studied to characterize its profile.
Does cromakalim alter haemodynamic parameters in conscious and anaesthetised cats?
Does cromakalim alter haemodynamic parameters in conscious and anaesthetised cats?
In a feline model, the novel antihypertensive agent cromakalim effectively lowered arterial pressure and peripheral resistance while preserving or increasing renal blood flow and cardiac output without significant reflex tachycardia.
Answers are grounded in this paper and cite their sources.
Cromakalim's feline hemodynamic profile merits translation studies; leaves open efficacy, safety, and renal effects in human hypertension.
The haemodynamic profile of the novel antihypertensive agent, cromakalim (BRL 34915), has been studied in conscious and anaesthetised cats. Given orally (0.03 and 0.06 mg/kg) to conscious cats and by intravenous infusion (0.002 mg/kg/min for 7-10 min) to anaesthetised animals, cromakalim reduced arterial pressure (AP; systolic/diastolic) and total peripheral resistance (TPR) while increasing cardiac output (CO) via both its components [heart rate (HR) and stroke volume (SV)]. In both models, HR changes were minimal for reductions of AP approaching 20 mm Hg. In a second group of conscious cats, cromakalim increased mean renal blood flow (MRBF) at hypotensive doses (0.03 and 0.06 mg/kg orally); HR was only significantly raised following the higher dose of cromakalim. In anaesthetised animals, intravenously infused cromakalim had little effect on central venous pressure and increased cardiac contractility. The data indicate that cromakalim lowers AP by reducing TPR with minimal increase in HR. In addition, cromakalim has a potentially beneficial effect on MRBF.
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Clapham et al. (1988) studied this question. Cromakalim (BRL 34915) was evaluated on Haemodynamic profile (arterial pressure, total peripheral resistance, cardiac output, heart rate, stroke volume, mean renal blood flow). Cromakalim lowered arterial pressure by reducing total peripheral resistance with minimal increase in heart rate, and increased mean renal blood flow in conscious and anaesthetised cats.
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