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August 1, 1998Journal of the American College of CardiologyOpen Access

L-arginine treatment led to a 1.7-fold increase in LV cyclic GMP levels (p < 0.05) but did not suppress LVH and depressed in vivo LV systolic pressure (163 +/- 16 vs 198 +/- 10 mm Hg, p < 0.05).

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Why the study?

Does L-arginine increase cardiac cyclic GMP and modify left ventricular hypertrophy and beta-adrenergic contractile response in rats with aortic stenosis?

Population

80 rats (40 control rats and 40 rats with aortic stenosis left ventricular hypertrophy)

Comparison

L-arginine (0.40 g/kg/day) for 6 weeks vs No drug for 6 weeks

Design

Preclinical, randomized

Follow-up

6 weeks

Authors

JBJozef BartúnekSDStephen DempseyEWEllen O. Weinberg

Discussion

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Overview

L-arginine may worsen LV systolic function despite raising cGMP in pressure overload; leaves open whether cGMP augmentation can regress LVH in humans.

Structured PICO

Does L-arginine increase cardiac cyclic GMP and modify left ventricular hypertrophy and beta-adrenergic contractile response in rats with aortic stenosis?

P
Population
80 rats (40 control rats and 40 rats with aortic stenosis left ventricular hypertrophy)
I
Intervention
L-arginine (0.40 g/kg/day) for 6 weeks
C
Comparator
No drug for 6 weeks
O
Outcome
Cardiac cyclic GMP production, left ventricular mass/hypertrophy, and beta-adrenergic contractile responsesurrogate

In a rat model of aortic stenosis, chronic L-arginine increased cardiac cGMP but failed to reduce hypertrophy and worsened LV systolic function and contractile reserve.

Cite This Study

Bartúnek et al. (1998) studied this question.

synapsesocial.com/papers/6a71ff4926a7f98052de14dfhttps://doi.org/10.1016/s0735-1097(98)00262-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Chronic <scp>l</scp> -Arginine Administration Attenuates Cardiac Hypertrophy in Spontaneously Hypertensive Rats1996 · 117 citations
  2. 2Determinants of aortic cyclic guanosine monophosphate in hypertension induced by chronic inhibition of nitric oxide synthase.1992 · 260 citations
  3. 3Chronic Dietary<scp>l</scp>‐Arginine Down‐Regulates Adenosine Receptor and Nitric Oxide Synthase Expression in Rat Heart2008 · 2 citations
  4. 4Mechanism of Structural Remodelling of the Rat Aorta During Long-Term NG-Nitro-L-arginine Methyl Ester Treatment1999 · 15 citations
  5. 5Role of nitric oxide in mediating cardiovascular alterations accompanying heart failure in rats2004 · 10 citations