Hypertension, Vol 20, 175-180, Copyright © 1992 by American Heart Association
Y Hirooka, T Imaizumi, H Masaki, S Ando, S Harada, M Momohara and A Takeshita
Animal studies suggest that some angiotensin converting enzyme inhibitors
augment endothelium-dependent vasorelaxation. We aimed to determine if
captopril augments endothelium-dependent vasodilation in middle-aged
hypertensive patients. By using strain-gauge plethysmography, forearm
vasodilation evoked with intra-arterial acetylcholine (4, 8, 16, and 24
micrograms/min) or nitroprusside (0.2, 0.4, 0.8, and 1.2 micrograms/min)
was examined before and after captopril administration (25 mg per os).
Before captopril, forearm vasodilation with acetylcholine was less in
hypertensive patients (n = 12) than in age-matched (n = 7) or young (n = 7)
normotensive subjects, but forearm vasodilation with nitroprusside did not
differ among the three groups. Captopril improved forearm vasodilation in
hypertensive patients (n = 7) with acetylcholine but nitroprusside did not.
In contrast, nifedipine (10 mg per os) did not alter forearm vasodilation
with acetylcholine or nitroprusside in hypertensive patients (n = 5). The
decreases in mean blood pressure caused by captopril and nifedipine in
hypertensive subjects were comparable. Captopril did not alter forearm
vasodilation with acetylcholine or nitroprusside in young normotensive
subjects (n = 7). These results suggest that captopril in hypertensive
patients may acutely improve impaired endothelium- dependent forearm
vasodilation that does not result from reduction in blood pressure per se.
ARTICLES
Captopril improves impaired endothelium-dependent vasodilation in hypertensive patients
Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
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