Document Detail


Effects of angiotensin II and aldosterone on diastolic function in vivo in normal man.
MedLine Citation:
PMID:  7834990     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
1. Doppler echocardiographic indices of diastolic function and systemic haemodynamics were studied in response to infusions of angiotensin II (1, 2, 5 and 10 ng min-1 kg-1), D-aldosterone (2, 4, 10 and 20 ng min-1 kg-1) and placebo [0.9% (w/v) NaCl] in ten normal male subjects. 2. Dose-related increases in systolic and diastolic blood pressure were observed with angiotensin II infusion at rates of 2 ng min-1 kg-1 and above, whereas no changes in blood pressure occurred with D-aldosterone. No changes in aortic stroke distance or heart rate were seen with either angiotensin II or aldosterone infusion. 3. Compared with placebo, angiotensin II infusion produced a dose-related prolongation of the isovolumic relaxation time [mean and 95% confidence intervals 12.0 (8.2-15.8) ms, P < 0.001] at 10 ng min-1 kg-1, and a significant reduction in the ratio between early and late transmitral flow velocity integrals at 2 ng min-1 kg-1, [-0.84 (-1.63 to -0.05), P < 0.05] and 5 ng min-1 kg-1 [-0.76 (-1.47 to -0.05), P < 0.05]. No changes in Doppler echocardiographic indices of diastolic function were observed with D-aldosterone infusion. 4. These data suggest that angiotensin II, even at a sub-pressor concentration, produces an impairment of left ventricular diastolic filling, which occurs independently of its effect on aldosterone release.
Authors:
P B Clarkson; N M Wheeldon; C MacLeod; M Tennent; T M MacDonald
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical science (London, England : 1979)     Volume:  87     ISSN:  0143-5221     ISO Abbreviation:  Clin. Sci.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1995-02-28     Completed Date:  1995-02-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7905731     Medline TA:  Clin Sci (Lond)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  397-401     Citation Subset:  IM    
Affiliation:
University Department of Clinical Pharmacology, Ninewells Hospital, Dundee, Scotland, U.K.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aldosterone / blood,  pharmacology*
Angiotensin II / blood,  pharmacology*
Blood Pressure / drug effects
Cross-Over Studies
Diastole / drug effects*
Dose-Response Relationship, Drug
Double-Blind Method
Echocardiography, Doppler
Hemodynamics / drug effects
Humans
Male
Chemical
Reg. No./Substance:
11128-99-7/Angiotensin II; 52-39-1/Aldosterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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