Relationship between transcardiac extraction of aldosterone and left ventricular remodeling in patients with first acute myocardial infarction: extracting aldosterone through the heart promotes ventricular remodeling after acute myocardial infarction
OBJECTIVES The purpose of this study was to evaluate whether plasma aldosterone (ALD) is extracted or produced through the heart in patients with acute myocardial infarction (AMI) and to determine the relationship between transcardiac extraction of plasma ALD and left ventricular (LV) remodeling. BA...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2001-11, Vol.38 (5), p.1375-1382 |
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| creator | Hayashi, Masaru Tsutamoto, Takayoshi Wada, Atsuyuki Maeda, Keiko Mabuchi, Naoko Tsutsui, Takashi Matsui, Toshiki Fujii, Masanori Matsumoto, Takehiro Yamamoto, Takashi Horie, Hajime Ohnishi, Masato Kinoshita, Masahiko |
| description | OBJECTIVES
The purpose of this study was to evaluate whether plasma aldosterone (ALD) is extracted or produced through the heart in patients with acute myocardial infarction (AMI) and to determine the relationship between transcardiac extraction of plasma ALD and left ventricular (LV) remodeling.
BACKGROUND
Although we demonstrated that circulating ALD was extracted through the failing heart and that transcardiac extraction of ALD correlated with LV end-diastolic volume index (LVEDVI) in patients with congestive heart failure, the existence and increase of ALD synthase in the hearts of infarct rats were reported, suggesting cardiac production of ALD in patients with AMI.
METHODS
We measured plasma ALD in the aortic root (Ao) and coronary sinus (CS) in 57 consecutive patients who received successful revascularization and enalapril, with first AMI at acute phase and after one month. We also measured plasma procollagen type III aminoterminal peptide (PIIINP) in the CS.
RESULTS
Plasma ALD was significantly lower in the CS than it was in the Ao at the acute phase (84.7 ± 6.3 pg/ml vs. 105.5 ± 8.0 pg/ml, p < 0.0001). Significant positive correlations exist between the transcardiac gradient of ALD at the acute phase and the LVEDVI at one month. Moreover, the transcardiac gradient of plasma ALD at the acute phase has a significant correlation with plasma PIIINP, a biochemical marker of fibrosis, after one month. Stepwise multivariate analysis showed that transcardiac extraction of plasma ALD at the acute phase had an independent and significant positive relationship with a large LVEDVI after one month.
CONCLUSIONS
These results indicate that plasma ALD is extracted through the heart in patients with AMI at the acute phase and that the extracted ALD plays an important role in modulating post-infarct LV remodeling. |
| doi_str_mv | 10.1016/S0735-1097(01)01539-X |
| format | Article |
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The purpose of this study was to evaluate whether plasma aldosterone (ALD) is extracted or produced through the heart in patients with acute myocardial infarction (AMI) and to determine the relationship between transcardiac extraction of plasma ALD and left ventricular (LV) remodeling.
BACKGROUND
Although we demonstrated that circulating ALD was extracted through the failing heart and that transcardiac extraction of ALD correlated with LV end-diastolic volume index (LVEDVI) in patients with congestive heart failure, the existence and increase of ALD synthase in the hearts of infarct rats were reported, suggesting cardiac production of ALD in patients with AMI.
METHODS
We measured plasma ALD in the aortic root (Ao) and coronary sinus (CS) in 57 consecutive patients who received successful revascularization and enalapril, with first AMI at acute phase and after one month. We also measured plasma procollagen type III aminoterminal peptide (PIIINP) in the CS.
RESULTS
Plasma ALD was significantly lower in the CS than it was in the Ao at the acute phase (84.7 ± 6.3 pg/ml vs. 105.5 ± 8.0 pg/ml, p < 0.0001). Significant positive correlations exist between the transcardiac gradient of ALD at the acute phase and the LVEDVI at one month. Moreover, the transcardiac gradient of plasma ALD at the acute phase has a significant correlation with plasma PIIINP, a biochemical marker of fibrosis, after one month. Stepwise multivariate analysis showed that transcardiac extraction of plasma ALD at the acute phase had an independent and significant positive relationship with a large LVEDVI after one month.
CONCLUSIONS
These results indicate that plasma ALD is extracted through the heart in patients with AMI at the acute phase and that the extracted ALD plays an important role in modulating post-infarct LV remodeling.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/S0735-1097(01)01539-X</identifier><identifier>PMID: 11691511</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute Disease ; Aged ; Aldosterone - blood ; Aldosterone - physiology ; Angioplasty, Balloon, Coronary ; Angiotensin-Converting Enzyme Inhibitors - therapeutic use ; Aorta - chemistry ; Biological and medical sciences ; Biomarkers - analysis ; Biomarkers - blood ; Cardiology. Vascular system ; Coronary heart disease ; Coronary Vessels - chemistry ; Cytochrome P-450 CYP11B2 - analysis ; Cytochrome P-450 CYP11B2 - physiology ; Disease Progression ; Enalapril - therapeutic use ; Female ; Fibrosis ; Heart ; Heart Failure - etiology ; Heart Failure - metabolism ; Heart Failure - pathology ; Heart Failure - physiopathology ; Heart Failure - therapy ; Humans ; Male ; Medical sciences ; Middle Aged ; Mineralocorticoid Receptor Antagonists ; Multivariate Analysis ; Myocardial Infarction - complications ; Myocardial Infarction - metabolism ; Myocardial Infarction - pathology ; Myocardial Infarction - physiopathology ; Myocardial Infarction - therapy ; Peptide Fragments - blood ; Procollagen - blood ; Prospective Studies ; Severity of Illness Index ; Stroke Volume ; Time Factors ; Veins ; Ventricular Remodeling - physiology</subject><ispartof>Journal of the American College of Cardiology, 2001-11, Vol.38 (5), p.1375-1382</ispartof><rights>2001 American College of Cardiology</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-4b9b6eb4be89ef08587624fde3b766b2e0a436ca53ba15634d54aa6753530463</citedby><cites>FETCH-LOGICAL-c426t-4b9b6eb4be89ef08587624fde3b766b2e0a436ca53ba15634d54aa6753530463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0735-1097(01)01539-X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14095941$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11691511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayashi, Masaru</creatorcontrib><creatorcontrib>Tsutamoto, Takayoshi</creatorcontrib><creatorcontrib>Wada, Atsuyuki</creatorcontrib><creatorcontrib>Maeda, Keiko</creatorcontrib><creatorcontrib>Mabuchi, Naoko</creatorcontrib><creatorcontrib>Tsutsui, Takashi</creatorcontrib><creatorcontrib>Matsui, Toshiki</creatorcontrib><creatorcontrib>Fujii, Masanori</creatorcontrib><creatorcontrib>Matsumoto, Takehiro</creatorcontrib><creatorcontrib>Yamamoto, Takashi</creatorcontrib><creatorcontrib>Horie, Hajime</creatorcontrib><creatorcontrib>Ohnishi, Masato</creatorcontrib><creatorcontrib>Kinoshita, Masahiko</creatorcontrib><title>Relationship between transcardiac extraction of aldosterone and left ventricular remodeling in patients with first acute myocardial infarction: extracting aldosterone through the heart promotes ventricular remodeling after acute myocardial infarction</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>OBJECTIVES
The purpose of this study was to evaluate whether plasma aldosterone (ALD) is extracted or produced through the heart in patients with acute myocardial infarction (AMI) and to determine the relationship between transcardiac extraction of plasma ALD and left ventricular (LV) remodeling.
BACKGROUND
Although we demonstrated that circulating ALD was extracted through the failing heart and that transcardiac extraction of ALD correlated with LV end-diastolic volume index (LVEDVI) in patients with congestive heart failure, the existence and increase of ALD synthase in the hearts of infarct rats were reported, suggesting cardiac production of ALD in patients with AMI.
METHODS
We measured plasma ALD in the aortic root (Ao) and coronary sinus (CS) in 57 consecutive patients who received successful revascularization and enalapril, with first AMI at acute phase and after one month. We also measured plasma procollagen type III aminoterminal peptide (PIIINP) in the CS.
RESULTS
Plasma ALD was significantly lower in the CS than it was in the Ao at the acute phase (84.7 ± 6.3 pg/ml vs. 105.5 ± 8.0 pg/ml, p < 0.0001). Significant positive correlations exist between the transcardiac gradient of ALD at the acute phase and the LVEDVI at one month. Moreover, the transcardiac gradient of plasma ALD at the acute phase has a significant correlation with plasma PIIINP, a biochemical marker of fibrosis, after one month. Stepwise multivariate analysis showed that transcardiac extraction of plasma ALD at the acute phase had an independent and significant positive relationship with a large LVEDVI after one month.
CONCLUSIONS
These results indicate that plasma ALD is extracted through the heart in patients with AMI at the acute phase and that the extracted ALD plays an important role in modulating post-infarct LV remodeling.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Aldosterone - blood</subject><subject>Aldosterone - physiology</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</subject><subject>Aorta - chemistry</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Biomarkers - blood</subject><subject>Cardiology. Vascular system</subject><subject>Coronary heart disease</subject><subject>Coronary Vessels - chemistry</subject><subject>Cytochrome P-450 CYP11B2 - analysis</subject><subject>Cytochrome P-450 CYP11B2 - physiology</subject><subject>Disease Progression</subject><subject>Enalapril - therapeutic use</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Heart</subject><subject>Heart Failure - etiology</subject><subject>Heart Failure - metabolism</subject><subject>Heart Failure - pathology</subject><subject>Heart Failure - physiopathology</subject><subject>Heart Failure - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mineralocorticoid Receptor Antagonists</subject><subject>Multivariate Analysis</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - metabolism</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Peptide Fragments - blood</subject><subject>Procollagen - blood</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Stroke Volume</subject><subject>Time Factors</subject><subject>Veins</subject><subject>Ventricular Remodeling - physiology</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1TAURS0EopfCJ4A8AcEgYMeP3HSCUMVLqoQEHXRmnTgnjZETX2ynpb_OCN-HWibAyLK89tlHXoQ85ew1Z1y_-cYaoSrO2uYl468YV6KtLu6RFVdqXQnVNvfJ6hY5Io9S-s4Y02vePiRHnOuWK85X5NdX9JBdmNPoNrTDfI040xxhThZi78BS_FmudsvQMFDwfUgZY5iRwtxTj0OmVzjn6OziIdKIU-jRu_mSupluyvDymOi1yyMdXEyZgl0y0ukm7Bt84QaIu4aT27YS_7MqjzEsl2M5kY4IMdNNDFPImP5WDkOJ_qvrMXkwgE_45HAek_MP789PP1VnXz5-Pn13VllZ61zJru00drLDdYsDW6t1o2s59Ci6RuuuRgZSaAtKdMCVFrJXEkA3SijBpBbH5MV-bFn4x4Ipm8kli97DjGFJpqlrpbQUBVR70MaQUsTBbKKbIN4YzszWudk5N1uhhnGzc24uSu7ZoWDpJuzvUgfJBXh-AKBI9UORa1264yRrVSu33Ns9h-U3rhxGk2yRZ7F3EW02fXD_WeU3gD7S_g</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Hayashi, Masaru</creator><creator>Tsutamoto, Takayoshi</creator><creator>Wada, Atsuyuki</creator><creator>Maeda, Keiko</creator><creator>Mabuchi, Naoko</creator><creator>Tsutsui, Takashi</creator><creator>Matsui, Toshiki</creator><creator>Fujii, Masanori</creator><creator>Matsumoto, Takehiro</creator><creator>Yamamoto, Takashi</creator><creator>Horie, Hajime</creator><creator>Ohnishi, Masato</creator><creator>Kinoshita, Masahiko</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Relationship between transcardiac extraction of aldosterone and left ventricular remodeling in patients with first acute myocardial infarction: extracting aldosterone through the heart promotes ventricular remodeling after acute myocardial infarction</title><author>Hayashi, Masaru ; Tsutamoto, Takayoshi ; Wada, Atsuyuki ; Maeda, Keiko ; Mabuchi, Naoko ; Tsutsui, Takashi ; Matsui, Toshiki ; Fujii, Masanori ; Matsumoto, Takehiro ; Yamamoto, Takashi ; Horie, Hajime ; Ohnishi, Masato ; Kinoshita, Masahiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-4b9b6eb4be89ef08587624fde3b766b2e0a436ca53ba15634d54aa6753530463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Aldosterone - blood</topic><topic>Aldosterone - physiology</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</topic><topic>Aorta - chemistry</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - analysis</topic><topic>Biomarkers - blood</topic><topic>Cardiology. Vascular system</topic><topic>Coronary heart disease</topic><topic>Coronary Vessels - chemistry</topic><topic>Cytochrome P-450 CYP11B2 - analysis</topic><topic>Cytochrome P-450 CYP11B2 - physiology</topic><topic>Disease Progression</topic><topic>Enalapril - therapeutic use</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Heart</topic><topic>Heart Failure - etiology</topic><topic>Heart Failure - metabolism</topic><topic>Heart Failure - pathology</topic><topic>Heart Failure - physiopathology</topic><topic>Heart Failure - therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mineralocorticoid Receptor Antagonists</topic><topic>Multivariate Analysis</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - metabolism</topic><topic>Myocardial Infarction - pathology</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Peptide Fragments - blood</topic><topic>Procollagen - blood</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Stroke Volume</topic><topic>Time Factors</topic><topic>Veins</topic><topic>Ventricular Remodeling - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayashi, Masaru</creatorcontrib><creatorcontrib>Tsutamoto, Takayoshi</creatorcontrib><creatorcontrib>Wada, Atsuyuki</creatorcontrib><creatorcontrib>Maeda, Keiko</creatorcontrib><creatorcontrib>Mabuchi, Naoko</creatorcontrib><creatorcontrib>Tsutsui, Takashi</creatorcontrib><creatorcontrib>Matsui, Toshiki</creatorcontrib><creatorcontrib>Fujii, Masanori</creatorcontrib><creatorcontrib>Matsumoto, Takehiro</creatorcontrib><creatorcontrib>Yamamoto, Takashi</creatorcontrib><creatorcontrib>Horie, Hajime</creatorcontrib><creatorcontrib>Ohnishi, Masato</creatorcontrib><creatorcontrib>Kinoshita, Masahiko</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayashi, Masaru</au><au>Tsutamoto, Takayoshi</au><au>Wada, Atsuyuki</au><au>Maeda, Keiko</au><au>Mabuchi, Naoko</au><au>Tsutsui, Takashi</au><au>Matsui, Toshiki</au><au>Fujii, Masanori</au><au>Matsumoto, Takehiro</au><au>Yamamoto, Takashi</au><au>Horie, Hajime</au><au>Ohnishi, Masato</au><au>Kinoshita, Masahiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between transcardiac extraction of aldosterone and left ventricular remodeling in patients with first acute myocardial infarction: extracting aldosterone through the heart promotes ventricular remodeling after acute myocardial infarction</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>38</volume><issue>5</issue><spage>1375</spage><epage>1382</epage><pages>1375-1382</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>OBJECTIVES
The purpose of this study was to evaluate whether plasma aldosterone (ALD) is extracted or produced through the heart in patients with acute myocardial infarction (AMI) and to determine the relationship between transcardiac extraction of plasma ALD and left ventricular (LV) remodeling.
BACKGROUND
Although we demonstrated that circulating ALD was extracted through the failing heart and that transcardiac extraction of ALD correlated with LV end-diastolic volume index (LVEDVI) in patients with congestive heart failure, the existence and increase of ALD synthase in the hearts of infarct rats were reported, suggesting cardiac production of ALD in patients with AMI.
METHODS
We measured plasma ALD in the aortic root (Ao) and coronary sinus (CS) in 57 consecutive patients who received successful revascularization and enalapril, with first AMI at acute phase and after one month. We also measured plasma procollagen type III aminoterminal peptide (PIIINP) in the CS.
RESULTS
Plasma ALD was significantly lower in the CS than it was in the Ao at the acute phase (84.7 ± 6.3 pg/ml vs. 105.5 ± 8.0 pg/ml, p < 0.0001). Significant positive correlations exist between the transcardiac gradient of ALD at the acute phase and the LVEDVI at one month. Moreover, the transcardiac gradient of plasma ALD at the acute phase has a significant correlation with plasma PIIINP, a biochemical marker of fibrosis, after one month. Stepwise multivariate analysis showed that transcardiac extraction of plasma ALD at the acute phase had an independent and significant positive relationship with a large LVEDVI after one month.
CONCLUSIONS
These results indicate that plasma ALD is extracted through the heart in patients with AMI at the acute phase and that the extracted ALD plays an important role in modulating post-infarct LV remodeling.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11691511</pmid><doi>10.1016/S0735-1097(01)01539-X</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American College of Cardiology, 2001-11, Vol.38 (5), p.1375-1382 |
| issn | 0735-1097 1558-3597 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Acute Disease Aged Aldosterone - blood Aldosterone - physiology Angioplasty, Balloon, Coronary Angiotensin-Converting Enzyme Inhibitors - therapeutic use Aorta - chemistry Biological and medical sciences Biomarkers - analysis Biomarkers - blood Cardiology. Vascular system Coronary heart disease Coronary Vessels - chemistry Cytochrome P-450 CYP11B2 - analysis Cytochrome P-450 CYP11B2 - physiology Disease Progression Enalapril - therapeutic use Female Fibrosis Heart Heart Failure - etiology Heart Failure - metabolism Heart Failure - pathology Heart Failure - physiopathology Heart Failure - therapy Humans Male Medical sciences Middle Aged Mineralocorticoid Receptor Antagonists Multivariate Analysis Myocardial Infarction - complications Myocardial Infarction - metabolism Myocardial Infarction - pathology Myocardial Infarction - physiopathology Myocardial Infarction - therapy Peptide Fragments - blood Procollagen - blood Prospective Studies Severity of Illness Index Stroke Volume Time Factors Veins Ventricular Remodeling - physiology |
| title | Relationship between transcardiac extraction of aldosterone and left ventricular remodeling in patients with first acute myocardial infarction: extracting aldosterone through the heart promotes ventricular remodeling after acute myocardial infarction |
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