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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2001-4-12
pubmed:abstractText
The aim of the present study was to assess the possible differences in hemodynamic and neurohumoral responses to local ACE inhibition in the human forearm of patients with essential hypertension with either quinaprilat or enalaprilat. Forearm vascular responses to infusion of quinaprilat or enalaprilat (0.5 microg/dL/min) into the brachial artery were studied in 12 male patients with essential hypertension. The experiments were performed in a randomized, double-blind, crossover fashion. Before and during ACE inhibition, the vasoconstrictor response to four cumulative doses of angiotensin I (Ang I) was studied. Forearm blood flow was assessed using venous occlusion plethysmography. Local quinaprilat infusion induced a more rapid (even after 15 minutes; median vasodilation quinaprilat 29% vs. enalaprilat --1%, P < 0.02) and longer lasting forearm vasodilation as compared with enalaprilat. After 15 minutes of local ACE inhibition, the vasoconstrictor response to Ang I was completely blocked by both ACE inhibitors. We conclude that in patients with essential hypertension quinaprilat induces a more rapid and longer lasting vasodilatation than enalaprilat. These effects of quinaprilat are possibly related to its higher affinity for vascular ACE. On the other hand, the fact that these effects of quinaprilat were observed despite a similar degree of ACE inhibition as during enalaprilat may suggest that quinaprilat directly stimulates another vasodilatating mechanism.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0920-3206
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
657-63
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11300367-Aged, pubmed-meshheading:11300367-Angiotensin II, pubmed-meshheading:11300367-Angiotensin-Converting Enzyme Inhibitors, pubmed-meshheading:11300367-Blood Pressure, pubmed-meshheading:11300367-Cross-Over Studies, pubmed-meshheading:11300367-Dose-Response Relationship, Drug, pubmed-meshheading:11300367-Double-Blind Method, pubmed-meshheading:11300367-Enalaprilat, pubmed-meshheading:11300367-Forearm, pubmed-meshheading:11300367-Heart Rate, pubmed-meshheading:11300367-Humans, pubmed-meshheading:11300367-Hypertension, pubmed-meshheading:11300367-Isoquinolines, pubmed-meshheading:11300367-Male, pubmed-meshheading:11300367-Middle Aged, pubmed-meshheading:11300367-Peptidyl-Dipeptidase A, pubmed-meshheading:11300367-Regional Blood Flow, pubmed-meshheading:11300367-Tetrahydroisoquinolines, pubmed-meshheading:11300367-Vasodilation
pubmed:year
2000
pubmed:articleTitle
Quinaprilat-induced vasodilatation in forearm vasculature of patients with essential hypertension: comparison with enalaprilat.
pubmed:affiliation
Department of Internal Medicine, University Hospital Maastricht, The Netherlands. BHO@sint.azm.nl
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't