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Am J Physiol Heart Circ Physiol 274: H609-H615, 1998;
0363-6135/98 $5.00
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Vol. 274, Issue 2, H609-H615, February 1998

Load-sensitive diastolic relaxation in hypertrophied left ventricles

Wataru Hayashida1, Julian Donckier2, Henri Van Mechelen1, André A. Charlier1, and Hubert Pouleur1

1 Department of Physiology and Pharmacology, University of Louvain School of Medicine, 1200 Brussels; and 2 Divisions of Endocrinology and Internal Medicine, University Hospital, Université Catholique de Louvain of Mont-Godinne, 5530 Yvoir, Belgium

We studied effects of enalaprilat and L-158,809, an angiotensin II type-1 receptor antagonist, on left ventricular (LV) diastolic relaxation in 11 normal control dogs and 16 LV hypertrophied (LVH) dogs with perinephritic hypertension. At baseline, LV systolic and end-diastolic pressures and end-systolic elastance were increased in the LVH group (all P < 0.01 vs. the control group). LV relaxation time constant was also prolonged (P < 0.01), suggesting impaired LV diastolic relaxation in this model of LVH. Before and after the administration of enalaprilat (0.25 mg/kg) and L-158,809 (0.30 mg/kg), LV relaxation was assessed over a wide range of LV loading conditions during vena caval occlusion. LV relaxation time constant was insensitive to load reduction in the control group, which was not affected by enalaprilat or L-158,809. In contrast, LV unloading caused a significant prolongation of the relaxation time constant in the LVH group. This load-sensitive LV relaxation abnormality was significantly improved by enalaprilat or L-158,809. These results support the concept that angiotensin II is involved in the pathogenesis of diastolic dysfunction in pressure-overloaded LVH and also suggest that angiotensin-converting enzyme inhibitors and angiotensin II type-1 receptor antagonists are potentially beneficial in the treatment of the hypertrophied heart.

angiotensin-converting enzyme inhibitor; AT1-receptor blocker; diastolic function


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Am. J. Physiol. Heart Circ. Physiol.Home page
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Decreased expression of myocardial eNOS and caveolin in dogs with hypertrophic cardiomyopathy
Am J Physiol Heart Circ Physiol, January 1, 2002; 282(1): H219 - H231.
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