Efficiency of tivortin in pregnant with heart failure

Authors

  • А. Ю. Ліманська Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine,
  • Ю. В. Давидова Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine, Ukraine
  • В. А. Слободський National Scientific Centre «Institute of Cardiology named after academic M.D. Strazhesko» of the NAMS of Ukraine, Ukraine
  • Л. П. Бутенко Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine, Ukraine

DOI:

https://doi.org/10.18370/2309-4117.2014.18.66-70

Keywords:

heart failure, pregnancy, vascular endothelium, nitric oxide, L-arginine, Tivortin

Abstract

The study on the participation of 40 pregnant women with heart failure degree II-III according to NYHA classification on a background of cardiovascular disease (congenital heart disease, hypertension) who received standard therapy of heart failure was performed. All pregnant women were divided into 2 groups of 20 pregnant women in each group. In the main group, which included women with low levels of vascular endothelial growth factor (VEGF) in the first trimester of gestation (indicates a disturbance of the endothelial function), to the basic treatment of heart failure received supplemental arginine hydrochloride (drug Tivortin). The drug was administered by intravenous injection 4,2% 100 ml for 5 days followed by oral solution 5 ml 3-4 times a day, 10 days in the hospital
and continue for 3-4 weeks during the stay at home. Women in the comparison group continued to receive standard therapy.
The results showed that the addition Tivortin to the basic treatment of pregnant women with heart failure improve quality of life, improve overall health, increase exercise tolerance, increased glomerular filtration rate, reduce the rate of vasoconstrictor endothelin. This significantly improves the results of treatment of heart failure during pregnancy.

Author Biographies

А. Ю. Ліманська, Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine

PhD, senior researcher, Obstetric Problems of Extragenital Pathology Department

Ю. В. Давидова, Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine

MD, Head of the Obstetrical Problems of Extragenital Pathology Department

В. А. Слободський, National Scientific Centre «Institute of Cardiology named after academic M.D. Strazhesko» of the NAMS of Ukraine

PhD, senior researcher Chronic Ischemic Heart Disease Department

Л. П. Бутенко, Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine

Obstetrician-gynecologist of the Pregnant Women with Diseases of the Cardiovascular System Department

References

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Published

2014-11-17

How to Cite

Ліманська, А. Ю., Давидова, Ю. В., Слободський, В. А., & Бутенко, Л. П. (2014). Efficiency of tivortin in pregnant with heart failure. REPRODUCTIVE ENDOCRINOLOGY, (18), 66–70. https://doi.org/10.18370/2309-4117.2014.18.66-70

Issue

Section

Pregnancy and childbirth