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J Am Coll Cardiol, 2003; 41:426-432, doi:10.1016/S0735-1097(02)02822-X
© 2003 by the American College of Cardiology Foundation
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High-dose angiotensin-converting enzyme inhibition restores body fluid homeostasis in heart-transplant recipients

Randy W. Braith, PhD*,*, Roger M. Mills, MD, FACC*, Christopher S. Wilcox, MD, PhD{dagger}, Gary L. Davis, MD*, James A. Hill, MD, FACC* and Charles E. Wood, PhD*

* Center for Exercise Science, College of Health and Human Performance, and the Departments of Medicine and Physiology, University of Florida, Gainesville, Florida, USA
{dagger} Department of Medicine, Georgetown University, Washington, DC, USA



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Figure 1 Changes ({delta}) in blood pressure during a 4-h infusion of isotonic saline and the 48-h period after the infusion in heart- (HTR) and liver- transplant recipients (LTR) both before (W/O ACEi) and after stabilization (With ACEi) on captopril (225 mg/day). Data are mean value ± SEM. *p ≤ 0.05 versus baseline value. {dagger}p ≤ 0.05 HTRs before captopril versus HTRs after captopril and LTR both before and after captopril. ACEi = angiotensin-converting enzyme inhibition.

 


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Figure 2 Changes in urine flow rate (UV) and urinary salt excretion (UnaV) during a 4-h infusion of isotonic saline and the 48-h period after the infusion in heart- (HTR) and liver-transplant recipients (LTR) both before (W/O ACEi) and after stabilization (With ACEi) on captopril (225 mg/day). Data are mean value ± SEM. *p ≤ 0.05 HTRs before captopril versus HTRs after captopril and LTR both before and after captopril. ACEi = angiotensin-converting enzyme inhibition.

 


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Figure 3 Changes ({delta}) in plasma angiotensin II (ANG II) and aldosterone (ALDO) concentrations during a 4-h infusion of isotonic saline and the 48-h period after the infusion in heart- (HTR W/O ACEi) and liver- transplant recipients (LTR W/O ACEi) before stabilization on captopril (225 mg/day). Data are mean value ± SEM. *p ≤ 0.05 versus baseline value. ACEi = angiotensin-converting enzyme inhibition.

 


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Figure 4 Changes ({delta}) in plasma arginine vasopressin (AVP) and atrial natriuretic peptide (ANP) concentrations during a 4-h infusion of isotonic saline and the 48-h period after the infusion in heart- (HTR) and liver- transplant recipients (LTR) both before (W/O ACEi) and after stabilization (With ACEi) on captopril (225 mg/day). Data are mean value ± SEM. *p ≤ 0.05 versus baseline value. {dagger}p ≤ 0.05 HTRs versus LTR both before and after captopril. ACEi = angiotensin-converting enzyme inhibition.

 





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