Pressor response to saralasin (1-sar-8-ala-angiotensin II) bolus injection in hypertensive patients.

Abstract:

:A 10 mg bolus of the angiotensin blocker saralasin was injected 113 times in 68 subjects with essential or renovascular hypertension. Ninety percent of injections caused a transient increase in blood pressure, which correlated with plasma renin activity (PRA) (r = -0.54); Mean increase at 2 minutes was 21/13.4 mm Hg (P less than 0.001) and was independent of pre-injection control blood pressure, with a rapid decrease to or below control values thereafter. Thirty-seven subjects were studied on successive days before and after furosemide-induced sodium depletion (152 +/- 26 mEq [SE] sodium loss). In the low renin group, sodium depletion did not change PRA or the magnitude of the pressor response to saralasin, but significantly decreased control MAP by 13 mm Hg (P less than 0.01). In normal and high renin patients, MAP was unchanged after diuresis, but PRA increased significantly and the pressor response was attenuated. The net effect of sodium depletion was to reduce the pressor response to saralasin in all renin subgroups by 9 to 12 mm Hg. Saralasin bolus injection, unlike infusion, saturates available vascular receptors only briefly, eliminating prolonged pressor responses.

journal_name

Circulation

journal_title

Circulation

authors

Waks UA,Maxwell MH,Marks L,Zawada ET,Kaufman JJ

doi

10.1161/01.cir.57.6.1165

subject

Has Abstract

pub_date

1978-06-01 00:00:00

pages

1165-70

issue

6

eissn

0009-7322

issn

1524-4539

journal_volume

57

pub_type

杂志文章
  • Surgery for coarctation of the aorta in the neonate.

    abstract::Between 1972 and 1984, 100 consecutive neonates (less than or equal to 30 days old) underwent repair of coarctation of the aorta. Mean (+/- SD) age at operation was 12.0 +/- 8.0 days; mean weight was 3.1 +/- 0.5 kg. Simple coarctation was present in 29 patients (group I), 32 patients had additional ventricular septal ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Ziemer G,Jonas RA,Perry SB,Freed MD,Castaneda AR

    更新日期:1986-09-01 00:00:00

  • Role of ATP-sensitive K+ channel on ECG ST segment elevation during a bout of myocardial ischemia. A study on epicardial mapping in dogs.

    abstract:BACKGROUND:ATP-sensitive K+ channels are activated when the myocardium becomes ischemic. However, the role of the ATP-sensitive K+ current in the emergence of ECG ST changes during ischemia remained unclarified. METHODS AND RESULTS:The left anterior descending coronary artery (LAD) was cannulated and perfused with art...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.4.1845

    authors: Kubota I,Yamaki M,Shibata T,Ikeno E,Hosoya Y,Tomoike H

    更新日期:1993-10-01 00:00:00

  • Does retrograde warm blood cardioplegia provide equal protection to both ventricles? A magnetic resonance spectroscopy study in pigs.

    abstract:BACKGROUND:The degree of protection provided to the right ventricle during retrograde continuous normothermic blood cardioplegia (RCNBC) remains controversial. The purpose of this study was to determine whether RCNBC is able to provide "adequate" nutritive flow to both ventricles to prevent ischemic metabolism in norma...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Ye J,Sun J,Shen J,Gregorash L,Summers R,Salerno TA,Deslauriers R

    更新日期:1997-11-04 00:00:00

  • Red wine inhibits monocyte chemotactic protein-1 expression and modestly reduces neointimal hyperplasia after balloon injury in cholesterol-Fed rabbits.

    abstract:BACKGROUND:Wine consumption decreases the risk of myocardial infarction. Intimal hyperplasia contributes to restenosis after angioplasty. Local ethanol delivery inhibits intimal hyperplasia after balloon injury in rabbit iliac and pig coronary arteries. The effects of wine consumption on intimal response and monocyte c...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.22.2254

    authors: Feng AN,Chen YL,Chen YT,Ding YZ,Lin SJ

    更新日期:1999-11-30 00:00:00

  • High-density lipoproteins neutralize C-reactive protein proinflammatory activity.

    abstract:BACKGROUND:C-reactive protein (CRP), a well-recognized marker of atherosclerosis, has recently been suggested to have a direct proinflammatory effect. The constitutive expression of low levels of CRP in normal plasma suggests the likelihood that a natural factor exists to neutralize the effect of CRP. This factor(s) ha...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000127419.45975.26

    authors: Wadham C,Albanese N,Roberts J,Wang L,Bagley CJ,Gamble JR,Rye KA,Barter PJ,Vadas MA,Xia P

    更新日期:2004-05-04 00:00:00

  • Influenza Vaccine in Heart Failure.

    abstract:BACKGROUND:Influenza infection is a serious event for patients with heart failure (HF). Little knowledge exists about the association between influenza vaccination and outcome in patients with HF. This study sought to determine whether influenza vaccination is associated with improved long-term survival in patients wit...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.036788

    authors: Modin D,Jørgensen ME,Gislason G,Jensen JS,Køber L,Claggett B,Hegde SM,Solomon SD,Torp-Pedersen C,Biering-Sørensen T

    更新日期:2019-01-29 00:00:00

  • Long-term results (≤18 years) of the edge-to-edge mitral valve repair without annuloplasty in degenerative mitral regurgitation: implications for the percutaneous approach.

    abstract:BACKGROUND:To assess the long-term results of the edge-to-edge mitral repair performed without annuloplasty in degenerative mitral regurgitation (MR). METHODS AND RESULTS:From 1993 to 2002, 61 patients with degenerative MR were treated with an isolated edge-to-edge suture without any annuloplasty. Annuloplasty was omi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.007885

    authors: De Bonis M,Lapenna E,Maisano F,Barili F,La Canna G,Buzzatti N,Pappalardo F,Calabrese M,Nisi T,Alfieri O

    更新日期:2014-09-09 00:00:00

  • Dronedarone.

    abstract::Amiodarone is the most effective antiarrhythmic drug for maintaining sinus rhythm for patients with atrial fibrillation. Extra-cardiac side effects have been a limiting factor, especially during chronic use, and may offset its benefits. Dronedarone is a noniodinated benzofuran derivative of amiodarone that has been de...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.109.858027

    authors: Patel C,Yan GX,Kowey PR

    更新日期:2009-08-18 00:00:00

  • Quantification of infarction in cross sections of canine myocardium in vivo with positron emission transaxial tomography and 11C-palmitate.

    abstract::To assess myocardial infarction quantitatively in 15 mm thick transverse sections of the canine heart in vivo we utilized a new technique, positron emission transaxial tomography (PETT) and cyclotron-produced 11C-palmitate (11C-P) injected intravenously. Results were compared to regional myocardial creatine phosphokin...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.1.66

    authors: Weiss ES,Ahmed SA,Welch MJ,Williamson JR,Ter-Pogossian MM,Sobel BE

    更新日期:1977-01-01 00:00:00

  • Prostacyclin analogue iloprost decreases thrombolytic potential of tissue-type plasminogen activator in canine coronary thrombosis.

    abstract::Platelets play an important role in the formation of a coronary thrombus and reocclusion after thrombolysis. Therefore, we examined the thrombolytic potential of concomitant intravenous administration of potent platelet inhibitor iloprost, a prostacyclin analogue, with tissue-type plasminogen activator (t-PA; n = 8) a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.3.1115

    authors: Nicolini FA,Mehta JL,Nichols WW,Saldeen TG,Grant M

    更新日期:1990-03-01 00:00:00

  • Congenital aneurysm (diverticulum) of the right atrium. Clinical manifestations and results of operative treatment.

    abstract::A patient is described in whom a large congenital aneurysm or diverticulum of the right atrium caused repeated attacks of supraventricular arrhythmia and a strikingly reduced cardiac output. The aneurysm, which contained a large thrombus, was demonstrated by preoperative angiographic examinations. At the time of opera...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.38.1.124

    authors: Morrow AG,Behrendt DM

    更新日期:1968-07-01 00:00:00

  • Effects of aortopulmonary collaterals on cerebral cooling and cerebral metabolic recovery after circulatory arrest.

    abstract:BACKGROUND:Aortopulmonary collaterals (APC) have been associated with an increased risk of choreoathetosis after deep hypothermic circulatory arrest (DHCA). To study the effects of APC on cerebral hemodynamics and metabolism before and after DHCA, a piglet model was developed. METHODS AND RESULTS:Protocol 1: Eight 4- ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.490

    authors: Kirshbom PM,Skaryak LA,DiBernardo LR,Kern FH,Greeley WJ,Gaynor JW,Ungerleider RM

    更新日期:1995-11-01 00:00:00

  • Immunomodulating therapy with intravenous immunoglobulin in patients with chronic heart failure.

    abstract:BACKGROUND:Congestive heart failure (CHF) is characterized by enhanced immune activation, and immune-mediated mechanisms may play a pathogenic role in this disorder. Based on the immunomodulatory effects of intravenous immunoglobulin (IVIG), we hypothesized that IVIG could downregulate inflammatory responses in CHF pat...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.103.2.220

    authors: Gullestad L,Aass H,Fjeld JG,Wikeby L,Andreassen AK,Ihlen H,Simonsen S,Kjekshus J,Nitter-Hauge S,Ueland T,Lien E,Frøland SS,Aukrust P

    更新日期:2001-01-16 00:00:00

  • Improved vascular endothelial function after oral B vitamins: An effect mediated through reduced concentrations of free plasma homocysteine.

    abstract:BACKGROUND:Hyperhomocysteinemia is an independent risk factor for coronary heart disease (CHD). Dietary supplementation with B vitamins lowers plasma homocysteine by up to 30%. However, little is known about the potential beneficial effects of homocysteine lowering on vascular function in patients with CHD. METHODS AN...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.102.20.2479

    authors: Chambers JC,Ueland PM,Obeid OA,Wrigley J,Refsum H,Kooner JS

    更新日期:2000-11-14 00:00:00

  • The angiogenic factor secretoneurin induces coronary angiogenesis in a model of myocardial infarction by stimulation of vascular endothelial growth factor signaling in endothelial cells.

    abstract:BACKGROUND:Secretoneurin is a neuropeptide located in nerve fibers along blood vessels, is upregulated by hypoxia, and induces angiogenesis. We tested the hypothesis that secretoneurin gene therapy exerts beneficial effects in a rat model of myocardial infarction and evaluated the mechanism of action on coronary endoth...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.076950

    authors: Albrecht-Schgoer K,Schgoer W,Holfeld J,Theurl M,Wiedemann D,Steger C,Gupta R,Semsroth S,Fischer-Colbrie R,Beer AG,Stanzl U,Huber E,Misener S,Dejaco D,Kishore R,Pachinger O,Grimm M,Bonaros N,Kirchmair R

    更新日期:2012-11-20 00:00:00

  • Effects of calcium entry blockade on hypertension-induced left ventricular hypertrophy.

    abstract::Left ventricular hypertrophy (LVH) is a structural adaptation of the heart and is a response to increased hemodynamic and metabolic demands, which are most commonly caused by systemic hypertension. LVH induced by hypertension is associated with reduced myocardial compliance, structural alterations, and changes in coro...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Frishman WH,Skolnick AE,Strom JA

    更新日期:1989-12-01 00:00:00

  • Association of levels of lipoprotein Lp(a), plasma lipids, and other lipoproteins with coronary artery disease documented by angiography.

    abstract::In a study of 307 white patients who underwent coronary angiography, the relationship of coronary artery disease (CAD) to plasma levels of lipoprotein Lp(a) and other lipid-lipoprotein variables was examined. Lp(a) resembles low-density lipoprotein (LDL) in several ways, but can be distinguished and quantified by elec...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.4.758

    authors: Dahlen GH,Guyton JR,Attar M,Farmer JA,Kautz JA,Gotto AM Jr

    更新日期:1986-10-01 00:00:00

  • Systolic and diastolic dysfunction in patients with clinical diagnosis of dilated cardiomyopathy. Relation to symptoms and prognosis.

    abstract:BACKGROUND:Dilated cardiomyopathy is an important cause of morbidity and mortality among patients with congestive heart failure. Hemodynamic and prognostic characterization are critical in guiding selection of medical and surgical therapies. METHODS AND RESULTS:A cohort of 102 patients with the clinical diagnosis of d...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.6.2772

    authors: Rihal CS,Nishimura RA,Hatle LK,Bailey KR,Tajik AJ

    更新日期:1994-12-01 00:00:00

  • Transvenous coronary ultrasound imaging. A novel approach to visualization of the coronary arteries.

    abstract:BACKGROUND:Catheter-based ultrasound is a new imaging modality to examine endovascular detail in the coronary circulation. This technique requires direct placement of the catheter in the arterial segment of interest. METHODS AND RESULTS:We examined the feasibility of a less invasive approach by imaging the coronary ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.5.1957

    authors: Sudhir K,Fitzgerald PJ,MacGregor JS,DeMarco T,Ports TA,Chatterjee K,Yock PG

    更新日期:1991-11-01 00:00:00

  • Pulmonary artery index. A nonpredictor of operative survival in patients undergoing modified Fontan repair.

    abstract::The importance of pulmonary artery size and the value of a standardized pulmonary artery index (PAI) in predicting outcome after Fontan's repair have previously been reported and questioned. We retrospectively reviewed 29 patients undergoing modified Fontan repair at The Children's Hospital of Philadelphia to examine ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Bridges ND,Farrell PE Jr,Pigott JD 3rd,Norwood WI,Chin AJ

    更新日期:1989-09-01 00:00:00

  • Considerations in evaluating new antianginal drugs.

    abstract::Diseases that cause symptoms incompletely relieved by available modes of treatment stimulate search for new therapies. Chronic disease processes, in which interventions are palliative rather than curative provide a particular challenge in determining the value of therapeutic intervention. Management of patients with a...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:

    authors: Parisi AF,Strauss WE,McIntyre KM,Sasahara AA

    更新日期:1982-01-01 00:00:00

  • RAGE blockade stabilizes established atherosclerosis in diabetic apolipoprotein E-null mice.

    abstract:BACKGROUND:Previous studies suggested that blockade of RAGE in diabetic apolipoprotein (apo) E-null mice suppressed early acceleration of atherosclerosis. A critical test of the potential applicability of RAGE blockade to clinical settings was its ability to impact established vascular disease. In this study, we tested...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000039325.03698.36

    authors: Bucciarelli LG,Wendt T,Qu W,Lu Y,Lalla E,Rong LL,Goova MT,Moser B,Kislinger T,Lee DC,Kashyap Y,Stern DM,Schmidt AM

    更新日期:2002-11-26 00:00:00

  • Comparison of Events Across Bleeding Scales in the ENGAGE AF-TIMI 48 Trial.

    abstract:BACKGROUND:Numerous scales exist for the classification of major bleeding events. Limited data compare the most commonly used bleeding scales within a single at-risk cohort of patients with atrial fibrillation. Here, we analyze bleeding outcomes according to the ISTH (International Society on Thrombosis and Hemostasis)...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.119.041346

    authors: Bergmark BA,Kamphuisen PW,Wiviott SD,Ruff CT,Antman EM,Nordio F,Kuder JF,Mercuri MF,Lanz HJ,Braunwald E,Giugliano RP

    更新日期:2019-11-26 00:00:00

  • Uteroplacental blood flow, cardiac function, and pregnancy outcome in women with congenital heart disease.

    abstract:BACKGROUND:Pregnant women with congenital heart disease (CHD) are susceptible to cardiovascular, obstetric, and offspring complications. In women with CHD, cardiac dysfunction may compromise uteroplacental flow and contribute to the increased incidence of obstetric and offspring events. METHODS AND RESULTS:We performe...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.113.002810

    authors: Pieper PG,Balci A,Aarnoudse JG,Kampman MA,Sollie KM,Groen H,Mulder BJ,Oudijk MA,Roos-Hesselink JW,Cornette J,van Dijk AP,Spaanderman ME,Drenthen W,van Veldhuisen DJ,ZAHARA II investigators.

    更新日期:2013-12-03 00:00:00

  • Transcriptional genomics associates FOX transcription factors with human heart failure.

    abstract:BACKGROUND:Specific transcription factors (TFs) modulate cardiac gene expression in murine models of heart failure, but their relevance in human subjects remains untested. We developed and applied a computational approach called transcriptional genomics to test the hypothesis that a discrete set of cardiac TFs is assoc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.632430

    authors: Hannenhalli S,Putt ME,Gilmore JM,Wang J,Parmacek MS,Epstein JA,Morrisey EE,Margulies KB,Cappola TP

    更新日期:2006-09-19 00:00:00

  • Unrecognized pulmonary venous desaturation early after Norwood palliation confounds Gp:Gs assessment and compromises oxygen delivery.

    abstract:BACKGROUND:Hemodynamic stability after Norwood palliation often requires manipulation of pulmonary vascular resistance to alter the pulmonary-to-systemic blood flow ratio (Qp:Qs). Qp:Qs is often estimated from arterial saturation (SaO2), a practice based on 2 untested assumptions: constant systemic arteriovenous O2 dif...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.22.2699

    authors: Taeed R,Schwartz SM,Pearl JM,Raake JL,Beekman RH 3rd,Manning PB,Nelson DP

    更新日期:2001-06-05 00:00:00

  • Operative management of tricuspid regurgitation.

    abstract::From January 1968 to June 1975 tricuspid regurgitation was encountered in 238 patients of a total of 1074 patients undergoing operations on the mitral valve. During this time tricuspid annuloplasty (TA) was performed in 137 patients and the tricuspid valve was replaced (TVR) in 101 patients. Comparison of hospital mor...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Reed GE,Boyd AD,Spencer FC,Engelman RM,Isom OW,Cunningham JN Jr

    更新日期:1976-12-01 00:00:00

  • Twenty-four-hour ambulatory blood pressure in shift workers.

    abstract::Blood pressure and heart rate of 15 male shift workers were measured every 15 minutes for 24 hours during three work shifts: morning, 4:00 AM to noon; afternoon, noon to 8:00 PM; and night, 8:00 PM to 4:00 AM. For each shift, 24-hour systolic and diastolic blood pressure showed a large "trough" (the low pressure span)...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.2.341

    authors: Chau NP,Mallion JM,de Gaudemaris R,Ruche E,Siche JP,Pelen O,Mathern G

    更新日期:1989-08-01 00:00:00

  • The stunned myocardium: prolonged, postischemic ventricular dysfunction.

    abstract::Myocardial ischemia has, for many decades, been viewed as an all-or-none process that causes myocardial necrosis when prolonged and severe, but whose effects are transient when it is brief or mild. In view of the evidence that the ischemic process may "hit, run and stun," perhaps our thinking about the consequences of...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.66.6.1146

    authors: Braunwald E,Kloner RA

    更新日期:1982-12-01 00:00:00

  • Extending the boundaries of the primary arterial switch operation in patients with transposition of the great arteries and intact ventricular septum.

    abstract:BACKGROUND:We have previously suggested that the primary arterial switch operation is a feasible strategy for patients with transposition of the great arteries and intact ventricular septum (TGA-IVS) up to age 2 months. This study reports our current results with this approach and examines whether this policy could be ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.CIR.0000138221.68312.33

    authors: Kang N,de Leval MR,Elliott M,Tsang V,Kocyildirim E,Sehic I,Foran J,Sullivan I

    更新日期:2004-09-14 00:00:00