Document Detail


Effects of differential blockade of the renin-angiotensin system in postinfarcted rats.
MedLine Citation:
PMID:  15147281     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present study compared short-term effects of the AT(1)-receptor antagonist, irbesartan with the angiotensin-converting enzyme (ACE) inhibitor, enalapril on systemic haemodynamics and cardiac remodelling in post-myocardia-infarcted (MI) rats. MI Sprague-Dawley rats were orally treated for 4 weeks with irbesartan (50 mg/kg/day) or enalapril (10 mg/kg/day). Then, cardiac and systemic haemodynamics were measured. Compared with the sham-operated group, left ventricular end-diastolic pressure (LVEDP), diastolic pressure (LVDP), heart weight to body weight ratio were all significantly increased in the MI group while the LV contractility (dP/dt) and pulsatile arterial pressure were significantly reduced. Both drugs reduced the elevated LVEDP and LVDP and prevented cardiac hypertrophy. Furthermore, irbesartan attenuated the right shift of the pressure-volume curves, prevented postinfarction-induced increase in urinary cyclic guanosine monophosphate and reduced urinary aldosterone excretion. Although both drugs were able to prevent further cardiac hypertrophy and improved cardiac filling pressure, only irbesartan limited LV dilatation. These data indicate that blockade of the renin-angiotensin system at the level of AT1 receptors may have a better cardioprotective benefit than reducing angiotensin II levels by ACE inhibition.
Authors:
Colette Lacour; Alain Roccon; Gérard Galindo; Françoise Canals; Manuela Hogie; Danielle Segondy; Danielle Briand; Claude Roque; Jean-Marc Herbert; Dino Nisato
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Fundamental & clinical pharmacology     Volume:  18     ISSN:  0767-3981     ISO Abbreviation:  Fundam Clin Pharmacol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-18     Completed Date:  2004-10-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8710411     Medline TA:  Fundam Clin Pharmacol     Country:  England    
Other Details:
Languages:  eng     Pagination:  299-307     Citation Subset:  IM    
Affiliation:
Cardiovascular Thrombosis Department, Sanofi-Synthélabo Recherche, 34184 Montpellier 04, France.
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MeSH Terms
Descriptor/Qualifier:
Aldosterone / urine
Angiotensin II Type 1 Receptor Blockers*
Angiotensin-Converting Enzyme Inhibitors / pharmacology*
Animals
Biphenyl Compounds / pharmacology*
Cyclic GMP / urine
Enalapril / pharmacology*
Hemodynamics / drug effects
Male
Myocardial Infarction / drug therapy*,  physiopathology
Rats
Rats, Sprague-Dawley
Tetrazoles / pharmacology*
Ventricular Remodeling / drug effects
Chemical
Reg. No./Substance:
0/Angiotensin II Type 1 Receptor Blockers; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Biphenyl Compounds; 0/Tetrazoles; 138402-11-6/irbesartan; 52-39-1/Aldosterone; 75847-73-3/Enalapril; 7665-99-8/Cyclic GMP

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


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