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依那普利对压力超负荷诱导的猫左心室肥厚的影响。

Effects of enalapril in cats with pressure overload-induced left ventricular hypertrophy.

作者信息

Ishikawa Yumi, Uechi Masami, Hori Yasutomo, Yamano Shigeki, Enomoto Youko

机构信息

Veterinary Teaching Hospital, Kitasato University, 23-35-1 Higashi, Towada, Aomori 034-8628, Japan.

出版信息

J Feline Med Surg. 2007 Feb;9(1):29-35. doi: 10.1016/j.jfms.2006.02.008. Epub 2006 Aug 23.

DOI:10.1016/j.jfms.2006.02.008
PMID:16934512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10911577/
Abstract

In order to evaluate the effect of enalapril on haemodynamics and renal function in a pressure overload model, we prepared eight feline models of left ventricular hypertrophy (LVH) by banding of the aortic arch. The LVH cats were assigned to the placebo group or the enalapril group (0.5 mg/kg, PO, sid) 3 months following surgery, and each received its respective drug for 4 weeks. Each week, blood pressure, angiotensin converting enzyme (ACE) activity in blood, and creatinine clearance were measured, and complete blood count (CBC), biochemical examination of the blood, echocardiography, and chest radiography were carried out. The interventricular septum thickness (IVSd, IVSs), fractional shortening (FS), and ejection fraction (EF) increased significantly in the LVH cats following surgery (P<0.05). There was no significant difference between the placebo group and the enalapril group with respect to general physical parameters, CBC, biochemical parameters and renal function. In the enalapril group, systolic arterial pressure, mean arterial pressure, and ACE activity in blood decreased significantly following administration (P<0.05). In addition, the left ventricular free wall thickness in diastole and IVSd decreased significantly following administration (P<0.05). These results suggest that, in a pressure overload model, enalapril (0.5 mg/kg, sid) inhibits cardiac hypertrophy, reduces blood pressure, and does not adversely affect renal function.

摘要

为了评估依那普利在压力超负荷模型中对血流动力学和肾功能的影响,我们通过结扎主动脉弓制备了八只猫左心室肥厚(LVH)模型。LVH猫在手术后3个月被分配到安慰剂组或依那普利组(0.5mg/kg,口服,每日一次),每组接受相应药物治疗4周。每周测量血压、血液中血管紧张素转换酶(ACE)活性和肌酐清除率,并进行全血细胞计数(CBC)、血液生化检查、超声心动图和胸部X线检查。手术后LVH猫的室间隔厚度(IVSd、IVSs)、缩短分数(FS)和射血分数(EF)显著增加(P<0.05)。安慰剂组和依那普利组在一般身体参数、CBC、生化参数和肾功能方面无显著差异。在依那普利组中,给药后收缩压、平均动脉压和血液中ACE活性显著降低(P<0.05)。此外,给药后舒张期左心室游离壁厚度和IVSd显著降低(P<0.05)。这些结果表明,在压力超负荷模型中,依那普利(0.5mg/kg,每日一次)可抑制心脏肥大、降低血压,且对肾功能无不良影响。

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本文引用的文献

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An evaluation of risk factors for adverse drug events associated with angiotensin-converting enzyme inhibitors.血管紧张素转换酶抑制剂相关药物不良事件的危险因素评估
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Safety and efficacy of angiotensin-converting enzyme inhibitors in symptomatic severe aortic stenosis: Symptomatic Cardiac Obstruction-Pilot Study of Enalapril in Aortic Stenosis (SCOPE-AS).血管紧张素转换酶抑制剂在有症状的重度主动脉瓣狭窄中的安全性和有效性:有症状的心脏梗阻——依那普利治疗主动脉瓣狭窄的初步研究(SCOPE-AS)
Am Heart J. 2004 Apr;147(4):E19. doi: 10.1016/j.ahj.2003.10.017.
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Effects of long-term administration of enalapril on clinical indicators of renal function in dogs with compensated mitral regurgitation.长期给予依那普利对代偿性二尖瓣反流犬肾功能临床指标的影响。
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The renin-angiotensin-aldosterone system: a specific target for hypertension management.肾素-血管紧张素-醛固酮系统:高血压管理的特定靶点。
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