Key result
The renin inhibitor H77 and ACE inhibitor captopril produced quantitatively similar reductions in blood pressure and heart rate in sodium-depleted dogs.
Why the study?
Does the renin inhibitor H77 compare to captopril in reducing blood pressure and heart rate in conscious dogs during sodium depletion?
Does the renin inhibitor H77 compare to captopril in reducing blood pressure and heart rate in conscious dogs during sodium depletion?
The renin inhibitor H77 and ACE inhibitor captopril lower blood pressure primarily via renin-angiotensin system inhibition, with captopril showing minor additional hypotensive effects under severe sodium restriction.
Answers are grounded in this paper and cite their sources.
Warrants caution against clinical extrapolation; leaves open whether renin inhibition matches ACE inhibition in patients.
Changes in blood pressure and heart rate in response to the renin inhibitor H77 and the angiotensin-converting enzyme inhibitor captopril were compared in conscious dogs during progressive sodium depletion. There were significant positive correlations between plasma renin activities immediately prior to administration of the inhibitors and the subsequent reductions in blood pressure produced by the inhibitors. The slopes and intercepts were similar for the two inhibitors, suggesting that both H77 and captopril were operating predominantly via inhibition of the renin-angiotensin system. Although the effects of H77 and captopril on heart rate and blood pressure were quantitatively similar, a small additional action of captopril was observed in dogs that had been sodium restricted for 12 days. Captopril injected during H77 infusion also had a small additional hypotensive action and caused a significant further increase in heart rate.
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Oldham et al. (1984) studied Progressive sodium depletion. Renin inhibitor H77 vs. Angiotensin-converting enzyme inhibitor captopril was evaluated on Changes in blood pressure and heart rate. The renin inhibitor H77 and ACE inhibitor captopril produced quantitatively similar reductions in blood pressure and heart rate in sodium-depleted dogs.
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