Journal of the Practice of Cardiovascular Sciences

REVIEW ARTICLE
Year
: 2017  |  Volume : 3  |  Issue : 1  |  Page : 11--17

Alpha blockers: A relook at phenoxybenzamine


Sambhunath Das1, Pankaj Kumar1, Usha Kiran1, Balram Airan2 
1 Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New Delhi, India
2 Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sambhunath Das
Department of Cardiac Anaesthesia, 7th Floor, Cardio Thoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India

Phenoxybenzamine (PBZ) is an alpha adrenergic antagonist, used for the management of hypertension. PBZ acts by blocking alpha-adrenergic receptors, leading to vasodilatation and low systemic vascular resistance. This helps in control of blood pressure in pheochromocytoma, improvement of systemic oxygen delivery, and optimization of the Qp/Qs in pediatric cardiac surgery such as hypoplastic left heart syndrome and improving perfusion parameters during open heart surgery. The uses have further extended to causalgia, Raynaud's phenomenon, autonomic hyperreflexia, and even for patency of radial artery conduit in coronary artery bypass grafting surgery. However, its prolonged hypotensive effect limits the regular use. In this review, we discussed the mechanism of action, pharmaco-physiology of PBZ, perioperative uses in different clinical setting and controversies for its uses; publications in different scientific journals from the previous years.


How to cite this article:
Das S, Kumar P, Kiran U, Airan B. Alpha blockers: A relook at phenoxybenzamine.J Pract Cardiovasc Sci 2017;3:11-17


How to cite this URL:
Das S, Kumar P, Kiran U, Airan B. Alpha blockers: A relook at phenoxybenzamine. J Pract Cardiovasc Sci [serial online] 2017 [cited 2020 Feb 25 ];3:11-17
Available from: http://www.j-pcs.org/article.asp?issn=2395-5414;year=2017;volume=3;issue=1;spage=11;epage=17;aulast=Das;type=0