Effects of Angiotensin Converting Enzyme Inhibitor and Angiotensin II Type 1 Receptor Blocker on Cardiac Dysfunction Induced by Isoproterenol in Dogs

Autor: Yin-Tie Jin, Shinsuke Kido, Kenjiro Kikuchi, Takafumi Ohta, Naoyuki Hasebe, Motohiko Sato, Shiro Tsuji, Shunsuke Natori
Rok vydání: 2001
Předmět:
Zdroj: Journal of Cardiovascular Pharmacology. 38:S63-S67
ISSN: 0160-2446
DOI: 10.1097/00005344-200110001-00014
Popis: We examined whether angiotensin converting enzyme (ACE) inhibitors and angiotensin II type 1 receptor blockers (ARB) prevent isoproterenol (ISO)-induced left ventricular (LV) dysfunction in dogs. The effects of a large dose of ISO, 1 microg/kg/min, 3 h infusion, were investigated in three groups with simultaneous infusion of an ACE inhibitor (quinaprilat), ARB (candesartan) or saline. ISO infusion significantly decreased LV dP/dt, LV ejection fraction and LV fractional shortening, and significantly increased tau, the time constant of isovolume relaxation of LV, and LV end diastolic pressure. All of these changes were significantly attenuated in both the ACE inhibitor and ARB groups, especially in the ARB group. Serum levels of creatinin kinase isoform MB, lactate dehydrogenase and lipid peroxide were significantly increased by ISO. However, the increases in these markers of myocardial damage were significantly diminished by simultaneous infusion of an ACE inhibitor or ARB, especially by ARB. In conclusion, an ACE inhibitor and ARB prevent LV systolic and diastolic dysfunction as well as myocardial damage induced by excess beta-adrenergic stimulation.
Databáze: OpenAIRE