Document Detail


Long-term alpha 1 blockade does not reverse cardiac hypertrophy in spontaneously hypertensive rats.
MedLine Citation:
PMID:  8103807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Not all antihypertensive drugs induce regression of left ventricular (LV) hypertrophy in hypertension, although they may equally lower blood pressure. The effects of alpha 1-blockers on regression have been inconsistent. In this study, bunazosin, a selective alpha 1-blocker, (15 mg/kg/day in food) was given to male spontaneously hypertensive rats (SHR) from 15 to 35 weeks of age to evaluate its effects on cardiac hypertrophy, hemodynamics, and neurohumoral factors. Age- and sex-matched SHR served as controls. LV function and cardiac output were determined by a micromanometer and thermodilution, respectively. Bunazosin significantly decreased blood pressure in conscious rats (from 209 to 192 mmHg, p < 0.01) but did not reduce LV mass. Heart rate, LV end-diastolic pressure, dp/dtmax, and cardiac output were similar in the 2 groups. Plasma renin activity was unaltered but plasma norepinephrine levels were higher in the treated rats (p < 0.05). Thus, bunazosin produced a significant relative reduction of blood pressure but did not reverse LV hypertrophy in SHR. Inadequate afterload reduction (8%) due to severe hypertension (> 200 mmHg) may explain the absence of regression. The rise of plasma norepinephrine levels may also offset the beneficial effects of bunazosin.
Authors:
H Nishimura; J Kubota; M Okabe; M Ueyama; T Oka; K Kawamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  57     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-10-12     Completed Date:  1993-10-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  898-903     Citation Subset:  IM    
Affiliation:
Third Department of Internal Medicine, Osaka Medical College, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic alpha-Antagonists / administration & dosage*,  pharmacology
Animals
Hemodynamics / drug effects
Hypertension / complications*
Hypertrophy, Left Ventricular / drug therapy*
Male
Norepinephrine / blood
Quinazolines / administration & dosage*,  pharmacology
Rats
Rats, Inbred SHR
Renin / blood
Chemical
Reg. No./Substance:
0/Adrenergic alpha-Antagonists; 0/Quinazolines; 51-41-2/Norepinephrine; 80755-51-7/bunazosin; EC 3.4.23.15/Renin

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


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