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• W2168653950 abstract "Activation of the sympathetic and renin-angiotensin-aldosterone systems in acute myocardial infarction (AMI) has been associated with serious clinical course and poor prognosis.[ 1 Januszewicz W Sznajderman M Wocial B Prejbisz J Urinary excretion of free norepinephrine and free epinephrine in patients with acute myocardial infarction in relation to its clinical course. Am Heart J. 1968; 3: 345-352 Abstract Full Text PDF Scopus (35) Google Scholar , 2 Jewitt DE Mercer CJ Reid D Valori C Thomas M Shillingford JP Free noradrenaline and adrenaline excretion in relation to the development of cardiac arrhythmias and heart failure in patients with acute myocardial infarction. Lancet. 1969; 1: 635-641 Abstract PubMed Google Scholar , 3 Kalsberg RP Roberts R Serial plasma catecholamine response early in the course of clinical acute myocardial infarction relation to infarct extend and mortality. Am Heart J. 1981; 102: 24-29 Abstract Full Text PDF PubMed Scopus (210) Google Scholar , 4 Michorowski B Ceremużyński L The renin-angiotensin-aldosterone system and the clinical course of acute myocardial infarction. Eur Heart J. 1983; 4: 259-264 PubMed Google Scholar ]Pharmacologic blockade of the renin-angiotensin-aldosterone axis with angiotensin-converting enzyme (ACE) inhibitor favorably influences the clinical course of AMI[ 5 Pipilis A Flather M Collins R Coats A Conway M Appleby P Sleight P Hemodynamic effects of captopril and isosorbide mononitrate started early in acute myocardial infarction a randomized placebo-controlled study. J Am Coll Cardiol. 1993; 21: 73-79 Abstract Full Text PDF PubMed Scopus (15) Google Scholar ]and improves prognosis.[ 6 Pfeffer MA Braunwald E Moye LA Basta L Brown EJ Cuddy TE Davis BT Geltman EM Goldman S Flaker GC Klein M Lamas GA Packer M Rouleau JL Futherford J Wertheimer JH Hawkins on Behalf of the Save InvestigatorsEffects of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction. N Engl J Med. 1992; 327: 669-677 Crossref PubMed Scopus (5402) Google Scholar , 7 The Acute Infarction Ramipril Efficacy (AIRE) study investigatorsEffects of ramipril on mortality and morbidity of survivors of acute myocardial infarction with clinical evidence of heart failure. Lancet. 1993; 432: 821-828 Google Scholar , 8 Gruppo Italiano per lo Studio della Sopravvivenza nell’Infarto MiocardicoGISSI-3 Effects of lisinopril and transdermal glyceryl trinitrate singly and together on 6-week mortality and ventricular function after acute myocardial infarction. Lancet. 1994; 343: 1115-1122 PubMed Google Scholar , 9 ISIS-4 Collaborative GroupA randomized factorial trial assessing early oral captopril, oral mononitrate and intravenous magnesium sulphate in 58,050 patients with suspected acute myocardial infarction. Lancet. 1995; 345: 669-685 Crossref PubMed Scopus (1913) Google Scholar ]It is generally believed that the mechanism underlying the beneficial effects of ACE inhibitor in AMI is related to prevention of angiotensin II (AII) generation and attenuation of the effects of this hormone. In fact, suppression of circulating AII by ACE inhibitor in AMI has been reported in some[ 10 Nabel EG Topol EJ Galeana A Ellis SC Bates ER Werns SW Walton JA Muller DW Schwaiger M Pitt B A randomized placebo-controlled trial of combined early intravenous captopril and recombinant tissue-type plasminogen activator therapy in acute myocardial infarction. J Am Coll Cardiol. 1991; 17: 467-473 Abstract Full Text PDF PubMed Scopus (85) Google Scholar , 11 Ray SG Pye M Oldroyd KG Christie J Connelly DT Northridge DG Ford I Morton JJ Dargie HJ Cobbe SM Early treatment with captopril after acute myocardial infarction. Br Heart J. 1993; 69: 215-222 Crossref PubMed Scopus (52) Google Scholar , 12 Foy SG Crozier IG Richards AM Nicholis MG Turner JG Frampton CM Ikram H Neurohumoral changes after acute myocardial infarction Relationships with haemodynamic indices and effects of ACE inhibition. Eur Heart J. 1995; 16: 770-778 PubMed Google Scholar , 13 Flather MD Pipilis A Conway M Foster C Morton JJ Feng YH Collins R Early captopril treatment reduces angiotensin II levels after acute myocardial infarction (abstr). J Am Coll Cardiol. 1992; 19: 380 Google Scholar ]but not in all[ 14 Sigurdsson A Held P Swedberg K Wall B Neurohumoral effects of early treatment with enalapril after acute myocardial infarction and the impact on left ventricular remodelling. Eur Heart J. 1993; 14: 1110-1117 Crossref PubMed Scopus (15) Google Scholar ]studies. The concept that the clinical benefits of an ACE inhibitor may be related to reduction of sympathetic overstimulation seems of particular interest, as enhanced activity of the sympathetic nervous system in AMI is related to the magnitude of myocardial damage,[ 3 Kalsberg RP Roberts R Serial plasma catecholamine response early in the course of clinical acute myocardial infarction relation to infarct extend and mortality. Am Heart J. 1981; 102: 24-29 Abstract Full Text PDF PubMed Scopus (210) Google Scholar , 15 Sigurdsson A Held P Swedberg K Short and long-term neurohumoral activation following acute myocardial infarction. Am Heart J. 1993; 126: 1068-1076 Abstract Full Text PDF PubMed Scopus (113) Google Scholar ]clinical severity,[ 1 Januszewicz W Sznajderman M Wocial B Prejbisz J Urinary excretion of free norepinephrine and free epinephrine in patients with acute myocardial infarction in relation to its clinical course. Am Heart J. 1968; 3: 345-352 Abstract Full Text PDF Scopus (35) Google Scholar , 2 Jewitt DE Mercer CJ Reid D Valori C Thomas M Shillingford JP Free noradrenaline and adrenaline excretion in relation to the development of cardiac arrhythmias and heart failure in patients with acute myocardial infarction. Lancet. 1969; 1: 635-641 Abstract PubMed Google Scholar ]and adverse prognosis.[ 3 Kalsberg RP Roberts R Serial plasma catecholamine response early in the course of clinical acute myocardial infarction relation to infarct extend and mortality. Am Heart J. 1981; 102: 24-29 Abstract Full Text PDF PubMed Scopus (210) Google Scholar ]The objectives of the present study were: (1) to investigate whether treatment with ACE inhibitors results in suppression of sympathetic response assessed by measurement of circulating catecholamines in patients with AMI; and (2) to evaluate the effect of this treatment on the activity of the renin-angiotensin-aldosterone system as assessed by measurement of plasma renin activity, AII, and aldosterone concentrations." @default.
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• W2168653950 title "Effect of Early Captopril Treatment on Blood Adrenaline Levels in Acute Myocardial Infarction (The Substudy of ISIS-4)" @default.
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