PENGGUNAAN NITROVASODILATOR SEBAGAI DONOR OKSIDA NITRIK PADA PREEKLAMSIA
Abstrak
Disfungsi endotel memegang peranan penting dalam patogenesis preeklamsia yang menyebabkan insufisiensi produksi dan sekresi oksida nitrik endotel. Hal ini dapat dikoreksi dengan donor oksida nitrik yang berupa nitrovasodilator. Seperti Nitrogliserin (GTN), Sodium nitroprusside (SNP), S-nitrosogluthatione (GSNO), dan Isosorbid dinitrat (ISDN). Donor oksida nitrik mempunyai efek biologis terhadap sirkulasi fetoplasenta, seperti relaksasi arteri uterina, arteri umbilikus dan pembuluh darah plasenta, relaksasi otot polos uterus, mencegah mikrotrombi pada sirkulasi fetoplasenta, mencegah hipertensi ibu yang tidak terkontrol, meningkatkan cairan amnion, dan mencegah pertumbuhan janin terhambat.Referensi
Thaler I, Amit A, Kamil D, and Eldor JI The Effects of Isosorbide Dinitrate on Placental Blood Flow and Maternal Blood Pressure in Women With Pregnancy Induced Hypertension Am J Hypertens April 1999; 12(4pl): 341-7.
Anas M Oksida Nitrik Dan Disfungsi Endotel Pada Preeklamsia Tinjauan Pustaka Lab/UPF Obstetri dan Ginekologi Fakultas Kedokteran UNAIR / RSUD Dr. Sutomo Surabaya 21 Maret2000.
Nava E, Llinas MT, Gonzales JD and Salazar FJ Nitric oxide synthase activity in Renal cortex and medulla of normotensive and spontaneously hypertensive rats Am J Hypertens 1996; 9: 1236-39.
Thadani U, Opie LH Nitrates In : Drugs for the Heart 4th Edition WB Saunders Company 1995. p.31-48.
Abrams J Nitrate Delivery Systems in Perspective A Decade of Progress In: Second North American Conference on Nitroglycerin Therapy Perspectives and Mechanisms The American Journal of Medicine June 1984. P.38-46.
Robertson RM, Robertson D Drugs Used For The Treatment of Myocardial Ischemia In: Goodman & Gilman’s The Pharmacological Basis Of Therapeutics 9th Edition McGraw-Hill 1996. P.759-67.
Cotton DB, Jones MM, Longmires et al Role of Intravenous Nitroglycerin in The Treatment of Severe Pregnancy Induced Hypertension Complicated By Pulmonary Edema Am J Obstet Gynecol January 1986; 154: 91-3
Giles W, O’Callaghan S, Boura A and Walters W Reduction in human fetal umbilical placental vascular resistence by glyceryl trinitrate The Lancet October 1992; 340: 856.
Hardy E, Rubin PC, Horn EH Effects of Nitric Oxide Donors in vitro on the Arachidonic Acid Induce Platelet Release Reaction and Platelet Cyclic GMP Concentration in Preeclamsia Clinical Science 1994;85:195-202
De Beider A, Lees C, Martin J, et al Treatment of HELLP syndrome with Nitric Oxide Donor The Lancet January 1995; 345:124-5
Neri I, Di Renzo GC, Caserta G, Gallinelli A, Facchinetti F. Impact of the L-arginine/nitric oxide system in pregnancy. Obstet Gynecol Surv Desember 1995; 50(12): 851-8.
Grunewald C, Kublickas M, Carlstrom K et al Effects of Nitroglycerin on the Uterine and Umbilical Circulation in Severe Preeclamsia Obstet Gynecol October 1995; 86(4pl): 600-4.
Nakatsuka M, Tada K, Kimura Y, et al Clinical Experience of Long Term Transdermal Treatment with Nitre Oxide Donor for Women with Preeclamsia Gynecologic and Obstetric Investigation 1999;47(l):13-9.
McNel JJ and Krum H. Cardiovascular Disorders In: Avery’s Drug Treatment 4th Edition Adis International Limited New Zeland 1997. P. 839-41.
Oates JA Antihypertensive Agents And The Drug Therapy of Hypertension In: Goodman & Gilman’s The Pharmacological Basis Of Therapeutics 9th Edition McGraw-Hill 1996. P.797-9.
Fung HL Pharmacokinetic Determinants of Nitrate Action In: Second North American Conference on Nitroglycerin Therapy Perspectives and Mechanisms The American Journal of Medicine June 1984. P.22-6.
Lewis MJ EDRF And Its Significance In Coronary Heart Disease Schwarz Pharma Ltd
The Congenital Abnormalities Subcommittee of The Australian Drug Evaluation Committee Medicine In Pregnancy : An Australian categorisation of risk of drug use in pregnancy Australian Government Publishing Service Canberra 1989 p. 1-5, p. 19-22
Banerji BN Toxaemia Of Pregnancy In: Fundamental Obstetrics Prentice Hall Of India Private Limited, New Delhi, 1982.
Angsar D Hipertensi Dalam Kehamilan (EPH GESTOSIS) Edisi I Lab/ UPF Obstetri dan Ginekologi Fakultas Kedokteran UNAIR / RSUD Dr. Sutomo Surabaya 1995.
Clark SL, Cotton DB, Hankins GDV, Phelan JP Complications of Pregnancy Induced Hypertension In: Handbook of Critical Care Obstetrics Blackwell Scientific Publications, Boston 1994. P. 123-38.
Cunningham, F. G., MacDonald, P.C., Gant, N.F., dkk Williams Obstetrics 20th edition, International edition, Appleton & Lange A Simon & Schuster Company, USA, 1997.
Van Hook JW Management of Complicated Preeclamsia Seminar in Perinatology February 1999; 23(1): 79-90
Review. Nitric oxide, the endothelium, pregnancy and pre-eclamsia. British Journal of Obstetrics and Gynaecology January 1996; 103: 4-15.
Snyder SW, Wheeler AS, James FM The Use of Nitroglycerin to Control Severe Hypertension of Pregnancy during Cesarean Section Anesthesiology December 1979; 51: 563-4.
Wheeler AS, James FM, Meis PJ, et al Effects of Nitroglycerin and Nitroprusside on the Uterine Vasculature of Gravid Ewes Anesthesiology May 1980; 52(5): 390-4.
Cotton DB, Longmire S, Jones M et al Cardiovascular alterations in severe pregnancy induce hypertension: Effects of intravenous nitroglycerin coupled with blood volume expansion Am J Obstet Gynecol May 1986; 154(5): 1053-9
Baker AB Management of Severe Pregnancy Induced Hypertension, or Gestosis, with Sodium Nitroprusside Anaesthesia and Intensive Care August 1990; 18(3): 361-5.
Longmire S, Leduc L, Jones MM, et al The Hemodynamic effect of intubation during nitroglycerin infusion in severe preeclamsia Am J Obstet Gynecol February 1991; 164: 551-6.
Longford EJ, Brown AS, Waenwright RJ et al Inhibition of platelet activity by s-nitrosoglutathione during coronary angioplasty Lancet November 1994; 344:1458-60
Hall MH and Webster J Obstetric and gynaecological Disorders In: Avery’s Drug Treatment 4th Ed. Adis International Limited NewZeland 1997. P.691
Redman CWG Hypertension in pregnancy In: Medical Disorders in Obstetric Practice 3rd Edition Blackwell Science Ltd, London, 1995.
Reddy U, Witter F. Hypertensive Disorders of Pregnancy In: The Johns Hopkins Manual of Gynecology and Obstetrics Lippincott Williams & Wilkins, Pennsylvania, 1999.
Pedoman Diagnosis Dan Terapi Obstetri Dan Ginekologi Lab/SMF Obstetri Dan Ginekologi FK Unair/ RS Dr. Sutomo Surabaya 1999 (Revisi)
David M, Walka MM, Schimd B etal Nitroglycerin application during cesarean delivery: Plasma levels, fetal/maternal ratio of nitroglycerin, effects in newborns Am J Obstet Gynecol April 2000; 182:955-61.