Page last updated: 2024-10-27

fentanyl and Cardiac Failure

fentanyl has been researched along with Cardiac Failure in 17 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Research Excerpts

ExcerptRelevanceReference
"In this pilot study, the preadministration of intranasal fentanyl prior to activity in palliative, end-stage hospitalized heart failure patients, safely reduced tachypnea, and the feeling of shortness of breath."7.91The Use of Intranasal Fentanyl for the Palliation of Incident Dyspnea in Advanced Congestive Heart Failure: A Pilot Study. ( Malik, A; Pedersen, A; Pilkey, J; Tam, JW; Wong, J, 2019)
"To evaluate the efficacy and safety of oral transmucosal fentanyl citrate (OTFC) in terminally ill patients experiencing dyspnea."7.74Oral transmucosal fentanyl citrate for dyspnea in terminally ill patients: an observational case series. ( Gauna, AA; Kang, SK; Swatko, ER; Triano, ML; Vanston, VJ, 2008)
"Secondary pulmonary hypertension is common in heart failure (HF) patients."6.80Intrathecal fentanyl blockade of afferent neural feedback from skeletal muscle during exercise in heart failure patients: Influence on circulatory power and pulmonary vascular capacitance. ( Johnson, BD; Joyner, MJ; Olson, TP; Snyder, EM; Van Iterson, EH, 2015)
"In this pilot study, the preadministration of intranasal fentanyl prior to activity in palliative, end-stage hospitalized heart failure patients, safely reduced tachypnea, and the feeling of shortness of breath."3.91The Use of Intranasal Fentanyl for the Palliation of Incident Dyspnea in Advanced Congestive Heart Failure: A Pilot Study. ( Malik, A; Pedersen, A; Pilkey, J; Tam, JW; Wong, J, 2019)
"To evaluate the efficacy and safety of oral transmucosal fentanyl citrate (OTFC) in terminally ill patients experiencing dyspnea."3.74Oral transmucosal fentanyl citrate for dyspnea in terminally ill patients: an observational case series. ( Gauna, AA; Kang, SK; Swatko, ER; Triano, ML; Vanston, VJ, 2008)
"Secondary pulmonary hypertension is common in heart failure (HF) patients."2.80Intrathecal fentanyl blockade of afferent neural feedback from skeletal muscle during exercise in heart failure patients: Influence on circulatory power and pulmonary vascular capacitance. ( Johnson, BD; Joyner, MJ; Olson, TP; Snyder, EM; Van Iterson, EH, 2015)
"In patients with chronic obstructive pulmonary disease (COPD), IF also elicits sustained decreases in the exercise ventilatory response but with little or no resultant CO2 retention due to concomitant decreases in physiological VD/VT (dead space-to-ventilation ratio)."1.42Type III-IV muscle afferents are not required for steady-state exercise hyperpnea in healthy subjects and patients with COPD or heart failure. ( Poon, CS; Song, G, 2015)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19904 (23.53)18.7374
1990's4 (23.53)18.2507
2000's3 (17.65)29.6817
2010's5 (29.41)24.3611
2020's1 (5.88)2.80

Authors

AuthorsStudies
Smith, JR1
Hart, CR1
Ramos, PA1
Akinsanya, JG1
Lanza, IR1
Joyner, MJ2
Curry, TB1
Olson, TP2
Pilkey, J1
Pedersen, A1
Tam, JW1
Malik, A1
Wong, J1
Tsukinaga, A1
Irie, T1
Uchimoto, K1
Miyashita, T1
Goto, T1
Poon, CS1
Song, G1
Van Iterson, EH1
Snyder, EM1
Johnson, BD1
Ives, SJ1
Amann, M1
Venturelli, M1
Witman, MA1
Groot, HJ1
Wray, DW1
Morgan, DE1
Stehlik, J1
Richardson, RS1
Bolte, C1
Newman, G1
Schultz, Jel J1
Gauna, AA1
Kang, SK1
Triano, ML1
Swatko, ER1
Vanston, VJ1
Salehi, E1
Müssiggang, H1
Olivier, P1
D'Attellis, N1
Baron, JF1
Myles, PS1
Hall, JL1
Berry, CB1
Esmore, DS1
Hickey, PR1
Retzack, SM1
Shiraishi, M1
Murayama, K1
Hanzawa, K1
Warabi, K1
Kamiyama, Y1
Kubota, T1
Hirota, K1
Yoshida, H1
Yatsu, Y1
Maeda, A1
Matsuki, A1
Sterz, H1
Freeman, AB1
Steinbrook, RA1
Tevelenok, IuA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Premature Fatigue in Veterans With Heart Failure: Neuronal Influences[NCT02209610]Early Phase 132 participants (Actual)Interventional2015-07-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Maximal Voluntary Quadriceps Force [% Change From Baseline]

Following dynamic single leg knee extension exercise for a given duration (4-8 min), the decline in maximal voluntary contraction force will be measured. (NCT02209610)
Timeframe: 1 minute after exercise on study day

Interventionpercentage change (Mean)
Patients With Heart Failure: Neuromuscular Abnormalities-30
Health Control Subjects and Neuromuscular Function-5

Muscle Afferent Affect

Corticospinal responsiveness will be quantified before and after exercise. (NCT02209610)
Timeframe: 1 minute after exercise on study day

Interventionpercent change (Mean)
Patients With Heart Failure: Neuromuscular Abnormalities-30
Health Control Subjects and Neuromuscular Function10

Quadriceps Twitch Force and Voluntary Activation (% Change From Baseline)

During a 2-min maximal voluntary quadriceps contraction, central and peripheral fatigue will develop progressively and significantly more in HF vs. CTRLs. (NCT02209610)
Timeframe: During (20 second intervals) and 1 minute after exercise on study day

,
Interventionpercentage change (Mean)
Twitch forceVoluntary activation [VA]
Health Control Subjects and Neuromuscular Function-35-20
Patients With Heart Failure: Neuromuscular Abnormalities-60-25

Reviews

1 review available for fentanyl and Cardiac Failure

ArticleYear
[New aspects in the treatment of acute cardiac insufficiency].
    Wiener medizinische Wochenschrift (1946), 1978, May-15, Volume: 128, Issue:9

    Topics: Adrenergic beta-Antagonists; Clonidine; Diazoxide; Digitalis Glycosides; Diuretics; Droperidol; Fent

1978

Trials

2 trials available for fentanyl and Cardiac Failure

ArticleYear
Intrathecal fentanyl blockade of afferent neural feedback from skeletal muscle during exercise in heart failure patients: Influence on circulatory power and pulmonary vascular capacitance.
    International journal of cardiology, 2015, Dec-15, Volume: 201

    Topics: Aged; Analgesics, Opioid; Cross-Over Studies; Electrocardiography; Exercise; Female; Fentanyl; Heart

2015
Haemodynamic comparison of propofol-fentanyl anaesthesia with midazolam-fentanyl anaesthesia in CABG patients without preoperative heart failure.
    Acta anaesthesiologica Belgica, 2000, Volume: 51, Issue:3

    Topics: Aged; Anesthesia, Intravenous; Anesthetics, Intravenous; Coronary Artery Bypass; Female; Fentanyl; H

2000

Other Studies

14 other studies available for fentanyl and Cardiac Failure

ArticleYear
Metabo- and mechanoreceptor expression in human heart failure: Relationships with the locomotor muscle afferent influence on exercise responses.
    Experimental physiology, 2020, Volume: 105, Issue:5

    Topics: Acid Sensing Ion Channels; Afferent Pathways; Aged; Case-Control Studies; Cyclooxygenase 2; Exercise

2020
The Use of Intranasal Fentanyl for the Palliation of Incident Dyspnea in Advanced Congestive Heart Failure: A Pilot Study.
    Journal of palliative care, 2019, Volume: 34, Issue:2

    Topics: Administration, Intranasal; Aged; Aged, 80 and over; Analgesics, Opioid; Dyspnea; Female; Fentanyl;

2019
[A Case of Combined Spinal-Epidural Anesthesia for Cesarean Section in a Patient with Right Heart Failure due to Supravalvular Pulmonary Stenosis after Jatene Operation].
    Masui. The Japanese journal of anesthesiology, 2016, Volume: 65, Issue:10

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Local; Arteri

2016
Type III-IV muscle afferents are not required for steady-state exercise hyperpnea in healthy subjects and patients with COPD or heart failure.
    Respiratory physiology & neurobiology, 2015, Sep-15, Volume: 216

    Topics: Analgesics, Opioid; Electromyography; Exercise; Female; Fentanyl; Heart Failure; Heart Rate; Humans;

2015
The Mechanoreflex and Hemodynamic Response to Passive Leg Movement in Heart Failure.
    Medicine and science in sports and exercise, 2016, Volume: 48, Issue:3

    Topics: Afferent Pathways; Aged; Cardiac Output; Fentanyl; Heart Failure; Hemodynamics; Humans; Leg; Middle

2016
Kappa and delta opioid receptor signaling is augmented in the failing heart.
    Journal of molecular and cellular cardiology, 2009, Volume: 47, Issue:4

    Topics: 3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-Isomer; Animals; C

2009
Oral transmucosal fentanyl citrate for dyspnea in terminally ill patients: an observational case series.
    Journal of palliative medicine, 2008, Volume: 11, Issue:4

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Dyspnea; Female; Fentanyl; Heart Failure; Humans; Lung

2008
[Possibilities of complications in neuroleptoanalgesia].
    Acta anaesthesiologica Scandinavica. Supplementum, 1966, Volume: 23

    Topics: Aged; Female; Fentanyl; Heart Arrest; Heart Failure; Humans; Iatrogenic Disease; Male; Middle Aged;

1966
[Midazolam in patients with cardiac insufficiency].
    Cahiers d'anesthesiologie, 1995, Volume: 43, Issue:2

    Topics: Anesthesia; Anesthetics; Drug Combinations; Fentanyl; Heart Failure; Hemodynamics; Humans; Midazolam

1995
Primary pulmonary hypertension: prolonged cardiac arrest and successful resuscitation following induction of anesthesia for heart-lung transplantation.
    Journal of cardiothoracic and vascular anesthesia, 1994, Volume: 8, Issue:6

    Topics: Adult; Anesthesia, Intravenous; Cardiopulmonary Bypass; Cardiopulmonary Resuscitation; Diazepam; Fen

1994
Acute right ventricular failure after pulmonary hypertensive responses to airway instrumentation: effect of fentanyl dose.
    Anesthesiology, 1993, Volume: 78, Issue:2

    Topics: Child, Preschool; Female; Fentanyl; Heart Failure; Humans; Hypertension, Pulmonary; Intubation, Intr

1993
[Epidural anesthesia for herniorrhaphy in a patient with severe dilated cardiomyopathy (DCM) under pimobendan control].
    Masui. The Japanese journal of anesthesiology, 1997, Volume: 46, Issue:1

    Topics: Anesthesia, Epidural; Cardiomyopathy, Dilated; Cardiotonic Agents; Dobutamine; Dopamine; Fentanyl; H

1997
Recurrence of pulsus alternans after fentanyl injection in a patient with aortic stenosis and congestive heart failure.
    Canadian Anaesthetists' Society journal, 1985, Volume: 32, Issue:6

    Topics: Aged; Aortic Valve; Aortic Valve Stenosis; Arrhythmias, Cardiac; Fentanyl; Heart Failure; Heart Valv

1985
[Use of drugs for neuroleptoanalgesia in the acute period of a myocardial infarct].
    Kardiologiia, 1971, Volume: 11, Issue:12

    Topics: Acid-Base Equilibrium; Acute Disease; Aged; Benperidol; Blood Volume; Carbon Dioxide; Female; Fentan

1971