Effects of losartan and captopril on left ventricular systolic and diastolic function after acute myocardial infarction: results of the Optimal Trial in Myocardial Infarction with Angiotensin II Antagonist Losartan (OPTIMAAL) echocardiographic substudy.

Abstract:

BACKGROUND:Angiotensin-converting enzyme inhibitors have been shown to attenuate adverse remodeling after acute myocardial infarction (AMI), and the same has been suggested for angiotensin II type 1 receptor antagonists in animal models. Therefore the aim of the study was to compare the effects of losartan and captopril on regional systolic, diastolic, and overall left ventricular (LV) function after AMI. METHODS:Two hundred twenty-five patients aged > or =50 years with documented AMI and heart failure and/or LV dysfunction were randomly assigned treatment with either losartan (50 mg/d) or captopril (50 mg 3 times/d). Echocardiography was performed at randomization and after 3 months; echocardiograms were analyzed blinded at the core laboratory. Main outcome measures were changes in wall motion score index (WMSI), E-wave deceleration time (E-DT), and Tei index of overall LV function. RESULTS:WMSI decreased in both groups (losartan 1.58 +/- 0.23 to 1.52 +/- 0.26, P =.009, captopril 1.60 +/- 0.24 to 1.48 +/- 0.22, P <.001), although the decrease was greater in patients allocated to captopril (captopril -0.12 +/- 0.17 vs losartan -0.05 +/- 0.19, P =.007). In both groups E-DT increased, although the increase was significant only in patients treated with captoril (193 +/- 61 ms to 208 +/- 70 ms, P =.05). The change in E-DT was not different between treatment groups (captopril 14 +/- 74 ms vs losartan 7 +/- 80 ms, P =.52). Tei index decreased in both groups (losartan 0.59 +/- 0.13 to 0.55 +/- 0.15, P =.04, captopril 0.62 +/- 0.15 to 0.55 +/- 0.13, P <.001). However, the reduction was significantly greater in patients treated with captopril (captopril -0.08 +/- 0.14 vs losartan -0.03 +/- 0.14, P =.01). CONCLUSION:Losartan and captopril improve systolic and overall LV function after AMI, but the benefit is greater for patients treated with captopril.

journal_name

Am Heart J

journal_title

American heart journal

authors

Møller JE,Dahlström U,Gøtzsche O,Lahiri A,Skagen K,Andersen GS,Egstrup K,OPTIMAAL Study Group.

doi

10.1016/j.ahj.2003.10.031

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

494-501

issue

3

eissn

0002-8703

issn

1097-6744

pii

S0002870303007762

journal_volume

147

pub_type

临床试验,杂志文章,随机对照试验
  • Effect of somatic nerve stimulation on coronary blood flow in anesthetized dogs.

    abstract::Left circumflex coronary blood flow was increased significantly (20 per cent) during stimulation of somatic afferent fibers. The change in CBF was associated with significant increases in heart rate and arterial pressure and significant decrease in coronary vascular resistance. Controlling heart rate or preventing car...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(79)90318-1

    authors: Kline RL

    更新日期:1979-07-01 00:00:00

  • Gender does not influence acute myocardial infarction in adult dogs.

    abstract::Mechanisms responsible for the well-documented "protection" against myocardial ischemia and infarction in young women and subsequent loss of protection after menopause remain speculative. One possibility is that gender-related variables (such as endogenous hormone levels or regular loss of stored iron) alter the susce...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(95)90390-9

    authors: Przyklenk K,Ovize M,Bauer B,Kloner RA

    更新日期:1995-06-01 00:00:00

  • Mitochondrial defects in cardiomyopathy and neuromuscular disease.

    abstract::Over the past 11 years, a considerable body of evidence has accumulated implicating defects in the mitochondrial energy-generating pathway, oxidative phosphorylation, in a wide variety of degenerative diseases including myopathy and cardiomyopathy. Most classes of pathogenic mitochondrial DNA mutations affect the hear...

    journal_title:American heart journal

    pub_type: 杂志文章,评审

    doi:10.1067/mhj.2000.103934

    authors: Wallace DC

    更新日期:2000-02-01 00:00:00

  • Complete heart block as a cause of syncope in asymmetric septal hypertrophy.

    abstract::This case report presents a young adult with asymmetric septal hypertrophy (ASH) and syncope. Infranodal complete heart block was demonstrated as his cause for syncope. Therapy consisted of implantation of a A-V sequential pacemaker. Cardiac output determinations and systolic time intervals demonstrated the beneficial...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(77)80177-4

    authors: Chmielewski CA,Riley RS,Mahendran A,Most AS

    更新日期:1977-01-01 00:00:00

  • Assessing the role of eptifibatide in patients with diffuse coronary disease undergoing drug-eluting stenting: the INtegrilin plus STenting to Avoid myocardial Necrosis Trial.

    abstract:BACKGROUND:The optimal antiplatelet regimen in elective patients undergoing complex percutaneous coronary interventions (PCIs) is uncertain. We aimed to assess the impact of glycoprotein IIb/IIIa (GpIIb/IIIa) inhibition with eptifibatide in clinically stable subjects with diffuse coronary lesions. METHODS:Patients wit...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2012.02.009

    authors: Biondi-Zoccai G,Valgimigli M,Margheri M,Marzocchi A,Lettieri C,Stabile A,Petronio AS,Binetti G,Bolognese L,Bellone P,Sardella G,Contarini M,Sheiban I,Marra S,Piscione F,Romeo F,Colombo A,Sangiorgi G

    更新日期:2012-05-01 00:00:00

  • Quinidine therapy in hospitalized patients with ventricular arrhythmias.

    abstract::Quinidine serum levels and pharmacokinetic data were assessed during steady state therapy with oral quinidine sulfate in 19 hospitalized patients who were being treated for ventricular arrhythmias. A new high performance liquid chromatography assay was employed. Four patients were studied both after the first dose of ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(79)90467-8

    authors: Carliner NH,Crouthamel WG,Fisher ML,Mugmon MA,Vassar DL,Narang PK,Plotnick GD

    更新日期:1979-12-01 00:00:00

  • Evaluation of coronary artery bypass grafts and native coronary arteries using 64-slice multidetector computed tomography.

    abstract:BACKGROUND:The conventional use of 16-slice multidetector computed tomography (MDCT) remains somewhat limited for evaluating stenoses in vein graft distal anastomotic sites and in coronary arteries. We investigated the diagnostic accuracy of 64-slice MDCT for assessment of both grafts and coronary arteries in patients ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2007.04.054

    authors: Onuma Y,Tanabe K,Chihara R,Yamamoto H,Miura Y,Kigawa I,Fukuda S,Miyairi T,Nakajima H,Hara K

    更新日期:2007-09-01 00:00:00

  • Response of reperfusion-salvaged, stunned myocardium to inotropic stimulation.

    abstract::The purpose of this study was to determine whether myocardium salvaged by reperfusion following coronary occlusion could respond to inotropic stimulation by dopamine. Mongrel dogs underwent a 2-hour occlusion of the proximal left anterior descending coronary artery, followed by reperfusion for 5 or 28 hours. Dopamine ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(84)90126-1

    authors: Ellis SG,Wynne J,Braunwald E,Henschke CI,Sandor T,Kloner RA

    更新日期:1984-01-01 00:00:00

  • Evaluation of pericardial effusion with computed tomography.

    abstract::Evaluation of pericardial effusion was attempted with computed tomography in 11 patients. The volume and distribution of pericardial fluid were assessed with satisfactory resolution and the nature of the fluid was estimated by the difference in x-ray transparency (CT numbers). The volume of pericardial fluid calculate...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(80)90618-3

    authors: Tomoda H,Hoshiai M,Furuya H,Oeda Y,Matsumoto S,Tanabe T,Tamachi H,Sasamoto H,Koide S,Kuribayashi S,Matsuyama S

    更新日期:1980-06-01 00:00:00

  • Left atrial thrombus resolution in atrial fibrillation or flutter: Results of a prospective study with rivaroxaban (X-TRA) and a retrospective observational registry providing baseline data (CLOT-AF).

    abstract:BACKGROUND:Data on left atrial/left atrial appendage (LA/LAA) thrombus resolution after non-vitamin K antagonist (VKA) oral anticoagulant treatment are scarce. The primary objective of X-TRA was to explore the use of rivaroxaban for the resolution of LA/LAA thrombi in patients with nonvalvular atrial fibrillation (AF) ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2016.05.007

    authors: Lip GY,Hammerstingl C,Marin F,Cappato R,Meng IL,Kirsch B,van Eickels M,Cohen A,X-TRA study and CLOT-AF registry investigators.

    更新日期:2016-08-01 00:00:00

  • Mitral valve repair for significant mitral insufficiency.

    abstract::There has been skepticism since the early days of open heart surgery that good long-term or even short-term results were possible with repair of pure mitral insufficiency. The authors report 145 patients in whom a markedly insufficient mitral valve was repaired 6 months to 17 years previously and another 55 patients i...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(78)90094-7

    authors: Kay JH,Zubiate P,Mendez MA,Vanstrom N,Yokoyama T

    更新日期:1978-08-01 00:00:00

  • Long-term economic outcomes associated with intensive versus moderate lipid-lowering therapy in coronary artery disease: results from the Treating to New Targets (TNT) Trial.

    abstract:BACKGROUND:In 10,001 patients with stable coronary artery disease (CAD) enrolled in the Treating to New Targets (TNT) trial, 80 mg/d of atorvastatin (high-dose regimen) reduced the composite primary end point of death from CAD, nonfatal myocardial infarction, resuscitation from cardiac arrest, or stroke by 22% relative...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2008.05.032

    authors: Mark DB,Knight JD,Cowper PA,Davidson-Ray L,Anstrom KJ

    更新日期:2008-10-01 00:00:00

  • Spaced administration of PA32540 and clopidogrel results in greater platelet inhibition than synchronous administration of enteric-coated aspirin and enteric-coated omeprazole and clopidogrel.

    abstract:BACKGROUND:A common regimen for patients requiring dual-antiplatelet therapy who are at risk for gastrointestinal complications is the synchronous administration of enteric-coated (EC) aspirin, a proton pump inhibitor, and clopidogrel, although proton pump inhibitors have the potential for pharmacodynamic interaction w...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2012.07.032

    authors: Gurbel PA,Bliden KP,Fort JG,Jeong YH,Shuldiner A,Chai S,Gesheff T,Antonino M,Gesheff M,Zhang Y,Tantry US

    更新日期:2013-02-01 00:00:00

  • Peripheral hemodynamic effects of captopril in patients with congestive heart failure.

    abstract::In 14 patients with severe congestive heart failure, the effects of captopril on the forearm circulation were evaluated with strain gauge plethysmography. Changes in plasma renin activity, angiotensin II, norepinephrine, epinephrine, bradykinin, prostaglandin E2, and 6-keto-prostaglandin F1 alpha concentrations were a...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(89)90662-5

    authors: Nishimura H,Kubo S,Ueyama M,Kubota J,Kawamura K

    更新日期:1989-01-01 00:00:00

  • Reduction of neointimal hyperplasia after coronary stenting by pioglitazone in nondiabetic patients with metabolic syndrome.

    abstract:BACKGROUND:This study investigates whether pioglitazone reduces neointimal hyperplasia after coronary stenting in nondiabetic patients with metabolic syndrome (MS) using intravascular ultrasound (IVUS). Pioglitazone, a novel insulin-sensitizing thiazolidinedione, has been shown to reduce neointimal hyperplasia after co...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2007.02.022

    authors: Katayama T,Ueba H,Tsuboi K,Kubo N,Yasu T,Kuroki M,Saito M,Momomura S,Kawakami M

    更新日期:2007-05-01 00:00:00

  • Coronary artery bypass surgery in patients with acute coronary syndromes is difficult to predict.

    abstract:BACKGROUND:Although the use of clopidogrel in patients "unlikely" to require coronary artery bypass grafting (CABG) is recommended in current guidelines of acute coronary syndrome (ACS) management, an important minority of patients require CABG. We assessed the ability to predict need for CABG from demographics known a...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2007.12.002

    authors: Chew DP,Mahaffey KW,White HD,Huang Z,Hoekstra JW,Ferguson JJ,Califf RM,Aylward PE

    更新日期:2008-05-01 00:00:00

  • Myocardial reperfusion injury in the canine model after 40 minutes of ischemia: effect of intracoronary adenosine.

    abstract::To explore the contribution of reperfusion injury to final infarct size after a short duration of ischemia, closed-chest dogs underwent 40 minutes of proximal left anterior descending artery occlusion followed by 3 days of reperfusion. Animals randomly received intracoronary adenosine (n = 8) at 3.75 mg/min during the...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(91)90272-j

    authors: Velasco CE,Turner M,Cobb MA,Virmani R,Forman MB

    更新日期:1991-12-01 00:00:00

  • Treatment with adenosine diphosphate receptor inhibitors-longitudinal assessment of treatment patterns and events after acute coronary syndrome (TRANSLATE-ACS) study design: expanding the paradigm of longitudinal observational research.

    abstract:BACKGROUND:Platelet inhibition is critical in reducing both short- and long-term atherothrombotic risks after acute myocardial infarction (MI), especially among patients managed with percutaneous coronary intervention (PCI). Currently available antiplatelet medications, including adenosine diphosphate (ADP) receptor in...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2011.08.021

    authors: Chin CT,Wang TY,Anstrom KJ,Zhu B,Maa JF,Messenger JC,Ryan KA,Davidson-Ray L,Zettler M,Effron MB,Mark DB,Peterson ED

    更新日期:2011-11-01 00:00:00

  • Risk markers of incident atrial fibrillation in patients with coronary heart disease.

    abstract:BACKGROUND:In patients with coronary heart disease (CHD), atrial fibrillation (AF) is associated with increased morbidity and mortality. We investigated the associations between clinical risk factors and biomarkers with incident AF in patients with CHD. METHODS AND RESULTS:Around 13,153 patients with optimally treated...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2020.12.016

    authors: Tomasdottir M MD,Held C MD, PhD,Hadziosmanovic N,Westerbergh J,Lindbäck J,Aylward PE,Budaj A,Cannon CP,Engdahl J,Granger CB,Koenig W,Manolis AJ,Oldgren J,Stewart RAH,Svennberg E,Vinereanu D,White HD,Siegbahn A,Wallent

    更新日期:2021-01-02 00:00:00

  • Neopterin levels in patients with coronary artery disease are independent of Chlamydia pneumoniae seropositivity.

    abstract:BACKGROUND:Chronic infection with Chlamydia pneumoniae (Cpn) has been associated with atherosclerotic cardiovascular disease in sero-epidemiological, pathological and animal-model studies. Inflammation and immune activation has been proposed as the pathophysiological link between chronic infection and atherosclerosis. ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/S0002-8703(03)00101-7

    authors: Smith DA,Zouridakis EG,Mariani M,Fredericks S,Cole D,Kaski JC

    更新日期:2003-07-01 00:00:00

  • The 6-minute walk test: how important is the learning effect?

    abstract:BACKGROUND:The 6-minute walk test is a submaximal exercise test that is widely used as an outcomes measure in clinical trials and cardiopulmonary rehabilitation. An initial learning effect with repeated administration is well documented, but it is unknown whether this learning effect persists with time. METHODS:This s...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/S0002-8703(03)00119-4

    authors: Wu G,Sanderson B,Bittner V

    更新日期:2003-07-01 00:00:00

  • Effect of oral combination therapy with mexiletine and quinidine on left and right ventricular function.

    abstract::Combination therapy with mexiletine (MEX) and quinidine (Q) may be more efficacious than monotherapy with either drug in suppressing ventricular arrhythmias, but its effects on ventricular performance are not known. Thus, right ventricular ejection fraction (RVEF) and left ventricular ejection fraction (LVEF) and wall...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-8703(88)90072-5

    authors: Sheldon RS,Duff HJ,Mitchell LB,Wyse DG,Manyari DE

    更新日期:1988-05-01 00:00:00

  • Progression to left ventricular dilatation in patients with hypertrophic obstructive cardiomyopathy.

    abstract::Congestive heart failure with dilated left ventricle developed in two patients with symptomatic hypertrophic obstructive cardiomyopathy. Both patients previously underwent cardiac surgery for relief of their outflow obstruction. Alterations in structure and function of the left ventricle during their episode of cardia...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(79)90012-7

    authors: ten Cate FJ,Roelandt J

    更新日期:1979-06-01 00:00:00

  • Residual atrial septal perforation after percutaneous transvenous mitral commissurotomy with Inoue balloon catheter.

    abstract::To estimate the incidence of residual atrial septal perforation (ASP) following percutaneous transvenous mitral commissurotomy (PTMC) with the Inoue balloon catheter and to examine the factors contributing to ASP, we studied 46 patients with mitral stenosis undergoing PTMC. Residual ASP was evaluated by Doppler color ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(90)90203-a

    authors: Ishikura F,Nagata S,Yasuda S,Yamashita N,Miyatake K

    更新日期:1990-10-01 00:00:00

  • Results of a phase I/II multi-center investigation of udenafil in adolescents after fontan palliation.

    abstract:BACKGROUND:The Fontan operation results in a circulation that is dependent on low pulmonary vascular resistance to maintain an adequate cardiac output. Medical therapies that lower pulmonary vascular resistance may augment cardiac output and improve long-term outcomes. OBJECTIVES:This phase I/II clinical trial conduct...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2017.02.030

    authors: Goldberg DJ,Zak V,Goldstein BH,Chen S,Hamstra MS,Radojewski EA,Maunsell E,Mital S,Menon SC,Schumacher KR,Payne RM,Stylianou M,Kaltman JR,deVries TM,Yeager JL,Paridon SM,Pediatric Heart Network Investigators.

    更新日期:2017-06-01 00:00:00

  • How does warfarin affect the activated coagulation time?

    abstract:BACKGROUND:The activated coagulation time (ACT) is a rapid measurement of a patient's level of heparin anticoagulation during cardiac catheterization. Patients receiving warfarin therapy occasionally are seen at the catheterization laboratory for emergent procedures. The effects of warfarin on ACT activity have not bee...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(98)70223-6

    authors: Chang RJ,Doherty TM,Goldberg SL

    更新日期:1998-09-01 00:00:00

  • Effects of peripheral blood stem cell mobilization with granulocyte-colony stimulating factor and their transcoronary transplantation after primary stent implantation for acute myocardial infarction.

    abstract:BACKGROUND:There is increasing evidence that transplantation of autologous stem cells improves cardiac function after acute myocardial infarction (AMI). For propagation of peripheral blood stem cells (PBSCs), application of granulocyte-colony stimulating factor (G-CSF) has been shown to be feasible, effective, and safe...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ahj.2006.03.012

    authors: Steinwender C,Hofmann R,Kammler J,Kypta A,Pichler R,Maschek W,Schuster G,Gabriel C,Leisch F

    更新日期:2006-06-01 00:00:00

  • Clinical correlates of in-hospital costs for acute myocardial infarction in patients 65 years of age and older.

    abstract::Although cost estimates for acute myocardial infarction are necessary for decisions about allocating scarce resources, there is a relative paucity of studies that estimate these costs across the entire spectrum of hospitals in actual clinical practice. This study sought to determine the correlates of in-hospital costs...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(98)70331-x

    authors: Krumholz HM,Chen J,Murillo JE,Cohen DJ,Radford MJ

    更新日期:1998-03-01 00:00:00

  • Hemodynamic response patterns to mental stress: diagnostic and therapeutic implications.

    abstract::Stress has been identified as contributing to the development of cardiovascular disease. The pathophysiologic link between stress and disease still remains unclear. Because experimental stress testing in the laboratory permits the examination of the underlying mechanism for stress-induced blood pressure, analyses of c...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(88)90560-1

    authors: Rüddel H,Langewitz W,Schächinger H,Schmieder R,Schulte W

    更新日期:1988-08-01 00:00:00

  • The assessment of contractile reserve after thrombolytic therapy for acute myocardial infarction.

    abstract::"Stunned" myocardium prevents the assessment of myocardial salvage after streptokinase. In order to unmask "stunning," we sought to evaluate left ventricular inotropic contractile reserve of patients after streptokinase. Radionuclide ventriculograms were obtained in 75 consecutive patients 2 weeks after myocardial inf...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(86)90628-9

    authors: Satler LF,Kent KM,Fox LM,Goldstein HA,Green CE,Rogers WJ,Pallas RS,Del Negro AA,Pearle DL,Rackley CE

    更新日期:1986-05-01 00:00:00