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October 1, 2001Acta Anaesthesiologica Scandinavica6 citations

Acute effects of angiotensin II on myocardial performance

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MBMichael BrooméMHMargaret HaneySHS. Häggmark

Key Result

Angiotensin II infusion caused dose-dependent increases in systolic function indices (end-systolic elastance and preload recruitable stroke work) in anaesthetised pigs.

Structured PICO

Does angiotensin II infusion alter left ventricular systolic and diastolic function in an anaesthetised pig model?

P
Population
10 anaesthetised instrumented pigs evaluated for left ventricular function during angiotensin II administration.
I
Intervention
Angiotensin II infusion in incremental doses (0-200 microg x h(-1))
O
Outcome
Cardiac systolic and diastolic function evaluated by analysis of the left ventricular pressure-volume relationshipsurrogate

Angiotensin II infusion acutely increases myocardial contractility indices in a dose-dependent manner in an in vivo pig model.

Abstract

BACKGROUND: Specific angiotensin II (Ang II) receptors exist in many organs including peripheral blood vessels, cardiac myocytes and the central nervous system. This suggests multiple sites of actions for Ang II throughout the cardiovascular system. Cardiac effects of Ang II are not completely understood, though its prominent vasoconstrictor actions are well described. This study was designed to assess left ventricular function during administration of Ang II using relatively load-independent methods in a whole-animal model. METHODS: Ang II was infused in incremental doses (0-200 microg x h(-1)) in anaesthetised instrumented pigs (n=10). Cardiac systolic and diastolic function were evaluated by analysis of the left ventricular pressure-volume relationship. RESULTS: Heart rate (HR), mean arterial pressure (MAP) and systemic vascular resistance (SVR) increased dose-dependently with Ang II, while cardiac output (CO) remained unchanged. Systolic function indices, end-systolic elastance (Ees) and preload recruitable stroke work (PRSW), demonstrated dose-dependent increases. The diastolic function parameter tau (tau) did not change with increasing Ang II dose. CONCLUSION: Ang II infusion caused increases in contractility indices in anaesthetised pigs in the doses used in this study. The mechanisms for these systolic function effects may be a direct myocardial effect or modulated through changes in autonomic nervous system activity.

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Cite This Study

Broomé et al. (2001) studied this question. Angiotensin II vs. Baseline (0 microg x h(-1)) was evaluated on Left ventricular function (systolic and diastolic). Angiotensin II infusion caused dose-dependent increases in systolic function indices (end-systolic elastance and preload recruitable stroke work) in anaesthetised pigs.

synapsesocial.com/papers/6a1ff09a3224f8dacd0da99ahttps://doi.org/10.1034/j.1399-6576.2001.450916.x
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