2002
DOI: 10.1111/j.1527-3466.2002.tb00085.x
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Olprinone: A Phosphodiesterase III Inhibitor with Positive Inotropic and Vasodilator Effects

Abstract: Olprinone is a newly developed phosphodiesterase III inhibitor characterized by several properties. First, olprinone has positive inotropic and vasodilator actions and improves myocardial mechanical efficiency. Second, olprinone augments cerebral blood flow by a direct vasodilatory effect on cerebral arteries. The cerebrovascular reactivity to olprinone is marked in patients with impaired cerebral circulation. Third, olprinone selectively improves carotid artery distensibility, which may be attributable to dif… Show more

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Cited by 256 publications
(105 citation statements)
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References 47 publications
(65 reference statements)
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“…Various types of arteries in human [8] and animal [1,6] experiments have differential pharmacological sensitivities to PDE3 inhibitors, although the mechanism remains unknown. It has been shown that olprinone increases cerebral blood flow and that there is no direct correlation between changes in cerebral blood flow and cardiac output [3]. Although this finding suggests that the direct vasodilation may play an important role in the olprinone-induced change in cerebral blood flow, the direct effect of olprinone on the cerebral artery is poorly understood.…”
Section: Discussionmentioning
confidence: 98%
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“…Various types of arteries in human [8] and animal [1,6] experiments have differential pharmacological sensitivities to PDE3 inhibitors, although the mechanism remains unknown. It has been shown that olprinone increases cerebral blood flow and that there is no direct correlation between changes in cerebral blood flow and cardiac output [3]. Although this finding suggests that the direct vasodilation may play an important role in the olprinone-induced change in cerebral blood flow, the direct effect of olprinone on the cerebral artery is poorly understood.…”
Section: Discussionmentioning
confidence: 98%
“…Although this finding suggests that the direct vasodilation may play an important role in the olprinone-induced change in cerebral blood flow, the direct effect of olprinone on the cerebral artery is poorly understood. The carotid artery plays a role in the regulation of cerebral blood flow, and recent studies have also revealed that the distensibility of the wall of the common carotid artery is improved by olprinone [3,14]. PDE3 inhibitors are known to have a potent vasodilation effect on renal and splanchnic arteries [4][5][6]15].…”
Section: Discussionmentioning
confidence: 99%
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“…Imidazo[1,2-a]pyridines are important structural motifs in medicinal chemistry, such as zolpidem 63 63,64 , alpidem 64 65 , minodronic acid 65 66 , olprinone 66 67 , and zolimidine 67 68 ( Figure 11). The fluorination of imidazo[1,2-a]pyridines has recently been accomplished by Sun and coworkers.…”
Section: A3-imidazoheterocyclic Derivativesmentioning
confidence: 99%
“…Olprinone is a newly developed selective phosphodiesterase (PDE) type III inhibitor with combined positive inotropic and vasodilating properties through the elevation of intracellular cyclic adenosine monophosphate (cAMP) levels in vascular smooth muscle cells and cardiomyocytes by preventing the degradation of cAMP (1). In Japan, this agent is extensively used in the treatment of acute heart failure and myocardial depression after cardiac surgery.…”
Section: Introductionmentioning
confidence: 99%