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Autoregulation is the ability of a vascular bed to maintain blood flow despite changes in perfusion pressure. For a long time it had been assumed that the choroid is a strictly passive vascular bed, which shows no autoregulation. However, recently several groups have identified some autoregulatory capacity of the human choroid. In the brain and the retina the mechanism behind autoregulation is most likely linked to changes in transmural pressure. In this model arterioles change their vascular tone depending on the pressure inside the vessel and outside the vessel. In the choroid, several observations argue against a direct involvement of arterioles. In a previous project we were able to identify that the nitric oxide (NO) - system as well as the endothelin system are involved in choroidal blood flow regulation during isometric exercise.
In the present study autoregulation of the choroid during isometric exercise will be investigated and the pressure/flow relationships will be observed in the absence or presence of a calcium antagonist - nifedipine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Nifedipine |
|
| 2 | Active Comparator | L-Arginin |
|
| 3 | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nifedipine (drug) | Drug | Nifedipine (Adalat®, Bayer, Leverkusen, Germany) dose: 15µg/kg bolus infusion over 5 minutes; 0.2 µg/(kg.min) maintenance dose infusion period 25 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Choroidal pressure-blood flow relationship | in total 3x 3 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gabriele Fuchsjäger-Mayrl, M.D. | Department of Clinical Pharmacology, Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Clinical Pharmacology | Vienna | 1090 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22199246 | Derived | Schmidl D, Prinz A, Kolodjaschna J, Polska E, Luksch A, Fuchsjager-Mayrl G, Garhofer G, Schmetterer L. Effect of nifedipine on choroidal blood flow regulation during isometric exercise. Invest Ophthalmol Vis Sci. 2012 Jan 25;53(1):374-8. doi: 10.1167/iovs.11-8536. |
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| ID | Term |
|---|---|
| D009543 | Nifedipine |
| D004364 | Pharmaceutical Preparations |
| D001120 | Arginine |
| ID | Term |
|---|---|
| D004095 | Dihydropyridines |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| L-Arginin (drug) | Drug | L-Arginin (Clinalfa AG, Läufelfingen, Switzerland) 30% sodium chlorid solution, dose: 1g/min over 30 minutes |
|
| Placebo | Drug | Placebo |
|
| D024361 |
| Amino Acids, Basic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000599 | Amino Acids, Diamino |
| D000601 | Amino Acids, Essential |