Administration of an HNO/NO- donating compound, such as
Angeli's salt, increases myocardial contractility while concomitantly lowering
left ventricular preload in subjects experiencing heart failure Moreover, administration
of the HNO/NO- donating compound isopropylamine (IPA)/NO (Na(CH3)2CHNHN(O)NO)
surprisingly exhibited positive inotropic effects in subjects experiencing heart
failure that were superior to those caused by the HNO/NO- donating compound
Angeli's salt. Additionally, in contrast to the effects observed with NO-
donors, administration of an HNO/NO- donor in combination with a positive
inotropic agent did not impair the positive inotropic effect of the positive inotropic
agent Further, HNO/NO- exerts its positive inotropic effect independent
of the adrenergic system, increasing contractility even in subjects receiving beta-antagonist therapy