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Differential Actions of Vasopeptidase Inhibition Versus Angiotensin-Converting Enzyme Inhibition on Diuretic Therapy in Experimental Congestive Heart Failure
Author(s) -
Alessandro Cataliotti,
Guido Boerrigter,
Horng H. Chen,
Michihisa Jougasaki,
Lisa C. Costello,
Toshihiro Tsuruda,
Shang-Chiun Lee,
Lorenzo Malatino,
John C. Burnett
Publication year - 2002
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/hc0502.102962
Subject(s) - heart failure , medicine , diuretic , aldosterone , ace inhibitor , renin–angiotensin system , adrenomedullin , diuresis , endocrinology , plasma renin activity , atrial natriuretic peptide , angiotensin converting enzyme , renal function , blood pressure , receptor
Omapatrilat (OMA), a vasopeptidase inhibitor, simultaneously inhibits angiotensin-converting enzyme (ACE) and neutral endopeptidase, which degrades vasodilatory factors (eg, ADM) and natriuretic peptides. Based on the beneficial cardiorenal and humoral properties of the natriuretic peptides, we hypothesized that an acute vasopeptidase inhibitor with or without diuretic would result in more favorable cardiorenal and hormonal actions than ACE inhibition plus diuretic (ACEI+D) in congestive heart failure.

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