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Medical Forum / Diseases and Disorders / Prostate Cancer / November 2005

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Viagra May Treat Heart Failure

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c palmer - 29 Oct 2005 11:09 GMT
my comments - remember when they warn men about dying from the effects
of viagra and sex?  now they say just the opposite.   only no sex with
it..... so does sex kill????  :)))

~ curtis
================

Viagra May Treat Heart Failure
By Steven Reinberg
HealthDay Reporter  

MONDAY, Oct. 24 (HealthDay News) -- Viagra, famous for improving men's
sexual function, also appears to reduce the effects of hormonal stress
on the heart by 50 percent, claims a report by researchers at Johns
Hopkins University.

Viagra (sildenafil) works by helping genital blood vessels expand to
maintain an erection, but more recently, it has also been used as a
treatment for pulmonary hypertension. However, the drug has been thought
to have no direct effect on the heart.

"Unlike what was previously thought, drugs like Viagra can in fact alter
heart function," said lead researcher Dr. David Kass, a professor of
medicine at Johns Hopkins. "It alters it particularly when the heart is
stimulated by hormones."

The report appears in the Oct. 24 online edition of Circulation.

Earlier research by Kass's team found that Viagra blocked the short-term
effects of hormonal stress in the hearts of mice. They also found that,
in mice, Viagra prevented and reversed the long-term cardiac effects of
chronic high blood pressure.

In addition, Kass' group found that, in mice, Viagra reversed the
negative effects on heart muscle weakened by heart failure and
enlargement, a condition called hypertrophy.
In the current study, 35 healthy men and women with no signs of heart
disease received two separate injections of dobutamine over three hours.
Dobutamine increases heart rate and pumping strength. Between
injections, the patients were given Viagra or a placebo. Then they all
were given a second dobutamine injection.

After the first injection of dobutamine, the force of heart contraction
increased 150 percent in all the patients. However, in the group treated
with Viagra, the increased heartbeat was slowed by 50 percent.
"Viagra puts a brake on the effect of dobutamine," Kass said. "It
reduces the stimulation of the heart so that the contraction of the
heart was less strong."
Kass noted that his group is starting a clinical trial to see if Viagra
can be effective in patients with heart failure. "If you gave a drug
like Viagra not just acutely, but chronically, you might be able to
improve heart function and reduce the chronic stress response in
patients with hypertrophy," he said.

One expert believes that Viagra may have a role to play in the treatment
of heart failure.

"This research may lead to the development of a new use of the drug in
the treatment of diseases such as hypertension, hypertrophy and heart
failure, where beta-adrenergic activity is enhanced following
neurohormonal stimulation," said Rakesh C. Kukreja, a professor of
medicine, physiology, biochemistry and emergency medicine and the Eric
Lipman chair of cardiology at Virginia Commonwealth University Medical
Center.

"These studies are complementary to the expanding new role of Viagra and
other relatively safe PDE-5A inhibitors as powerful cardioprotectants,"
he added.
However, another expert was more cautious.

"It has a potential, but the crucial studies will be in actual patients
with cardiac conditions, and on other medications to see if cardiac
stress will be minimized with sildenafil," said Hrayr S. Karagueuzian, a
senior research scientist in the Division of Cardiology at Cedars-Sinai
Medical Center, in Los Angeles.
"I am not going to buy it on its face value," Karagueuzian said. "Let's
see what happens. We simply do not know if the balance of the sildenafil
effect will end up on the benefit or the deleterious side."

More information
The  
American Heart Association can tell you more about  heart failure.

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
Gogarty - 30 Oct 2005 14:29 GMT
>my comments - remember when they warn men about dying from the effects
>of viagra and sex?  now they say just the opposite.   only no sex with
>it..... so does sex kill????  :)))

As I recall, Viagra was initially being studied as a heart medication when
its other effects were noticed.
c palmer - 31 Oct 2005 07:20 GMT
hi gogarty - you are absolutely right.  in the study, men were reporting
have more erections and the study shifted from heart medicine to ED
medicine.

i just found it interesting that when viagra first came out, the news
was publishing how some men were dying from having sex and now they are
publishing how the same drug can help the stress from heart failure.

so, having some fun with this.  if one take a viagra pill to have sex,
then while having sex suffers from heart failure pains, takes another
pill....... not... but still just having fun with this.

seriously,  did you know that if you have taken an ED drug and suffer
from a heart attack, that the meds they give you can cause problems
because you've already taken a blood vessel dilator?

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
Beverley - 03 Nov 2005 06:41 GMT
Our daughter is a paramedic and it is one of the first questions she will
ask of a male patient that seems to be suffering with a heart attack. It
does make a difference in what drugs she administers. It's amazing but most
guys are pretty honest about it. I guess when you are that close to death
you tend not to lie.
Bev

> hi gogarty - you are absolutely right.  in the study, men were reporting
> have more erections and the study shifted from heart medicine to ED
[quoted text clipped - 18 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc
 
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