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Circulation Research. 1985;57:84-95

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Circulation Research, Vol 57, 84-95, Copyright © 1985 by American Heart Association


ARTICLES

Influence of chronic captopril therapy on the infarcted left ventricle of the rat

JM Pfeffer, MA Pfeffer and E Braunwald

To determine whether the relationship between infarct size and ventricular performance, volume, and compliance could be altered favorably, captopril was administered to rats for 3 months following coronary artery ligation. Baseline left and right ventricular and systemic arterial pressures and aortic blood flow, and maximal stroke volume and cardiac indices attained during a volume loading, were measured. Passive pressure-volume relations of the left ventricle were determined, and the slopes of segments of this relation were analyzed to characterize ventricular chamber stiffness. In untreated rats, left ventricular end-diastolic pressure progressively rose (from 5-28 mm Hg) as a function of infarct size, whereas, in captopril-treated rats, filling pressure remained within normal limits (5 +/- 1 mm Hg) in all but those with extensive infarcts. Chronic captopril therapy reduced baseline mean arterial pressure and total peripheral resistance, yet maintained cardiac and stroke outputs in rats both with and without infarcts. In untreated rats, maximal pumping ability progressively declined with increasing infarct size, whereas, in captopril-treated rats, peak stroke volume index remained within normal limits in all but those with extensive infarcts. The in vitro left ventricular volumes of captopril-treated rats were significantly less than those of untreated rats. The maintenance of forward output from a lesser dilated left ventricle yielded an index of ejection fraction for treated rats with moderate and large infarcts that was significantly elevated compared with that of untreated rats with infarcts of comparable size. Left ventricular chamber stiffness, which fell as infarct size increased in untreated rats, was normalized by chronic captopril therapy. Thus, captopril attenuated the left ventricular remodeling (dilation) and deterioration in performance that were observed in rats with chronic myocardial infarction.


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D. Gurantz, R. T. Cowling, F. J. Villarreal, and B. H. Greenberg
Tumor Necrosis Factor-{alpha} Upregulates Angiotensin II Type 1 Receptors on Cardiac Fibroblasts
Circ. Res., August 6, 1999; 85(3): 272 - 279.
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CirculationHome page
J. Bauersachs, A. Bouloumie, D. Fraccarollo, K. Hu, R. Busse, and G. Ertl
Endothelial Dysfunction in Chronic Myocardial Infarction Despite Increased Vascular Endothelial Nitric Oxide Synthase and Soluble Guanylate Cyclase Expression : Role of Enhanced Vascular Superoxide Production
Circulation, July 20, 1999; 100(3): 292 - 298.
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Cardiovasc ResHome page
C. Marie, C. Mossiat, C. Gros, J.-C. Schwartz, J.-M. Lecomte, and J. Bralet
Effect of long-term therapy with fasidotril, a mixed inhibitor of neprilysin and angiotensin-converting enzyme (ACE), on survival of rats after myocardial infarction
Cardiovasc Res, March 1, 1999; 41(3): 544 - 553.
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J Am Coll CardiolHome page
J. K. French, D. J. Amos, B. F. Williams, D. B. Cross, J. M. Elliott, H. H. Hart, M. G. Williams, R. M. Norris, N. G. Ashton, R. M. L. Whitlock, et al.
Effects of early captopril administration after thrombolysis on regional wall motion in relation to infarct artery blood flow
J. Am. Coll. Cardiol., January 1, 1999; 33(1): 139 - 145.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
N. Nagaya, T. Nishikimi, T. Horio, F. Yoshihara, A. Kanazawa, H. Matsuo, and K. Kangawa
Cardiovascular and renal effects of adrenomedullin in rats with heart failure
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 1999; 276(1): R213 - R218.
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Cardiovasc ResHome page
C. Richer, P. Fornes, C. Cazaubon, V. Domergue, D. Nisato, and J.-F. Giudicelli
Effects of long-term angiotensin II AT1 receptor blockade on survival, hemodynamics and cardiac remodeling in chronic heart failure in rats
Cardiovasc Res, January 1, 1999; 41(1): 100 - 108.
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A. Hammes, S. Oberdorf-Maass, T. Rother, K. Nething, F. Gollnick, K. W. Linz, R. Meyer, K. Hu, H. Han, P. Gaudron, et al.
Overexpression of the Sarcolemmal Calcium Pump in the Myocardium of Transgenic Rats
Circ. Res., November 2, 1998; 83(9): 877 - 888.
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Cardiovasc ResHome page
P. Mulder, V. Richard, F. Bouchart, G. Derumeaux, K. Munter, and C. Thuillez
Selective ETA receptor blockade prevents left ventricular remodeling and deterioration of cardiac function in experimental heart failure
Cardiovasc Res, September 1, 1998; 39(3): 600 - 608.
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J Am Coll CardiolHome page
H. V. Barron, A. D. Michaels, C. Maynard, N. R. Every, and for the National Registry of Myocardial Infarction
Use of angiotensin-converting enzyme inhibitors at discharge in patients with acute myocardial infarction in the United States: data from the National Registry of Myocardial Infarction 2
J. Am. Coll. Cardiol., August 1, 1998; 32(2): 360 - 367.
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Cardiovasc ResHome page
K. Hu, P. Gaudron, H.-J. Anders, F. Weidemann, O. Turschner, M. Nahrendorf, and G. Ertl
Chronic effects of early started angiotensin converting enzyme inhibition and angiotensin AT1-receptor subtype blockade in rats with myocardial infarction: role of bradykinin
Cardiovasc Res, August 1, 1998; 39(2): 401 - 412.
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CirculationHome page
M. A. Pfeffer
ACE Inhibitors in Acute Myocardial Infarction : Patient Selection and Timing
Circulation, June 9, 1998; 97(22): 2192 - 2194.
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CirculationHome page
N. J. Brown and D. E. Vaughan
Angiotensin-Converting Enzyme Inhibitors
Circulation, April 14, 1998; 97(14): 1411 - 1420.
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Cardiovasc ResHome page
D. Grimm, D. Elsner, H. Schunkert, M. Pfeifer, D. Griese, G. Bruckschlegel, F. Muders, G. A.J Riegger, and E. P Kromer
Development of heart failure following isoproterenol administration in the rat: role of the renin-angiotensin system
Cardiovasc Res, January 1, 1998; 37(1): 91 - 100.
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Cardiovasc ResHome page
R. G Schoemaker, P. R Saxena, and E. A.J Kalkman
Low-dose aspirin improves in vivo hemodynamics in conscious, chronically infarcted rats
Cardiovasc Res, January 1, 1998; 37(1): 108 - 114.
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CirculationHome page
D. Fraccarollo, K. Hu, P. Galuppo, P. Gaudron, and G. Ertl
Chronic Endothelin Receptor Blockade Attenuates Progressive Ventricular Dilation and Improves Cardiac Function in Rats With Myocardial Infarction : Possible Involvement of Myocardial Endothelin System in Ventricular Remodeling
Circulation, December 2, 1997; 96(11): 3963 - 3973.
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CirculationHome page
I. S. Anand, D. Liu, S. S. Chugh, A. J.C. Prahash, S. Gupta, R. John, F. Popescu, and Y. Chandrashekhar
Isolated Myocyte Contractile Function Is Normal in Postinfarct Remodeled Rat Heart With Systolic Dysfunction
Circulation, December 2, 1997; 96(11): 3974 - 3984.
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Am. J. Physiol. Heart Circ. Physiol.Home page
T. E. Raya, M. Gaballa, P. Anderson, and S. Goldman
Left ventricular function and remodeling after myocardial infarction in aging rats
Am J Physiol Heart Circ Physiol, December 1, 1997; 273(6): H2652 - H2658.
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HypertensionHome page
T. Nishikimi, T. Horio, T. Sasaki, F. Yoshihara, S. Takishita, A. Miyata, H. Matsuo, and K. Kangawa
Cardiac Production and Secretion of Adrenomedullin Are Increased in Heart Failure
Hypertension, December 1, 1997; 30(6): 1369 - 1375.
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CirculationHome page
M. St. J. Sutton, M. A. Pfeffer, L. Moye, T. Plappert, J. L. Rouleau, G. Lamas, J. Rouleau, J. O. Parker, M. O. Arnold, B. Sussex, et al.
Cardiovascular Death and Left Ventricular Remodeling Two Years After Myocardial Infarction : Baseline Predictors and Impact of Long-term Use of Captopril: Information From the Survival and Ventricular Enlargement (SAVE) Trial
Circulation, November 18, 1997; 96(10): 3294 - 3299.
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T. A. Fischer, P. L. McNeil, R. Khakee, P. Finn, R. A. Kelly, M. A. Pfeffer, and J. M. Pfeffer
Cardiac Myocyte Membrane Wounding in the Abruptly Pressure-Overloaded Rat Heart Under High Wall Stress
Hypertension, November 1, 1997; 30(5): 1041 - 1046.
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HypertensionHome page
M. Flesch, F. Schiffer, O. Zolk, Y. Pinto, S. Rosenkranz, C. Hirth-Dietrich, G. Arnold, M. Paul, and M. Bohm
Contractile Systolic and Diastolic Dysfunction in Renin-Induced Hypertensive Cardiomyopathy
Hypertension, September 1, 1997; 30(3): 383 - 391.
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CirculationHome page
M. A. Pfeffer, S. C. Greaves, J. M. O. Arnold, R. J. Glynn, F. S. LaMotte, R. T. Lee, F. J. Menapace Jr, E. Rapaport, P. M. Ridker, J.-L. Rouleau, et al.
Early Versus Delayed Angiotensin-Converting Enzyme Inhibition Therapy in Acute Myocardial Infarction : The Healing and Early Afterload Reducing Therapy Trial
Circulation, June 17, 1997; 95(12): 2643 - 2651.
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CirculationHome page
E. O. Weinberg, M. A. Lee, M. Weigner, K. Lindpaintner, S. P. Bishop, C. R. Benedict, K. K. L. Ho, P. S. Douglas, E. Chafizadeh, and B. H. Lorell
Angiotensin AT1 Receptor Inhibition : Effects on Hypertrophic Remodeling and ACE Expression in Rats With Pressure-Overload Hypertrophy due to Ascending Aortic Stenosis
Circulation, March 18, 1997; 95(6): 1592 - 1600.
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P. Mulder, B. Devaux, V. Richard, J.-P. Henry, M.-C. Wimart, E. Thibout, B. Mace, and C. Thuillez
Early Versus Delayed Angiotensin-Converting Enzyme Inhibition in Experimental Chronic Heart Failure: Effects on Survival, Hemodynamics, and Cardiovascular Remodeling
Circulation, March 4, 1997; 95(5): 1314 - 1319.
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CirculationHome page
Y. Kagaya, R. J. Hajjar, J. K. Gwathmey, W. H. Barry, and B. H. Lorell
Long-term Angiotensin-Converting Enzyme Inhibition With Fosinopril Improves Depressed Responsiveness to Ca2+ in Myocytes From Aortic-Banded Rats
Circulation, December 1, 1996; 94(11): 2915 - 2922.
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E. J. Eichhorn and M. R. Bristow
Medical Therapy Can Improve the Biological Properties of the Chronically Failing Heart: A New Era in the Treatment of Heart Failure
Circulation, November 1, 1996; 94(9): 2285 - 2296.
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Circ. Res.Home page
A. Simonini, C. S. Long, G. A. Dudley, P. Yue, J. McElhinny, and B. M. Massie
Heart Failure in Rats Causes Changes in Skeletal Muscle Morphology and Gene Expression That Are Not Explained by Reduced Activity
Circ. Res., July 1, 1996; 79(1): 128 - 136.
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B. I. Jugdutt, M. J. Joljart, and M. I. Khan
Rate of Collagen Deposition During Healing and Ventricular Remodeling After Myocardial Infarction in Rat and Dog Models
Circulation, July 1, 1996; 94(1): 94 - 101.
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