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The Role of Angiotensin Type I Receptor in the Regulation of Human Coronary Vascular Function
This study has been completed.
Sponsored by: National Heart, Lung, and Blood Institute (NHLBI)
Information provided by: National Institutes of Health Clinical Center (CC)
ClinicalTrials.gov Identifier: NCT00001629
  Purpose

The renin angiotensin system (RAS) plays an important physiological and pathophysiological role in the control of blood pressure and plasma volume. Inhibition of the RAS is useful in the treatment of hypertension, cardiac failure and in some patients with myocardial infarction. Several recent clinical trials with angiotensin converting enzyme inhibitors (ACEI) have shown that they also reduce the incidence of myocardial infarction, but the mechanisms underlying this anti-ischemic effect are poorly understood. ACEI reduce angiotensin II synthesis and prevent bradykinin degradation. Results from ongoing studies in the Cardiology Branch (Protocol 95-H-0099) designed to investigate the link between ACEI and the vascular endothelium indicate that ACEI improve both endothelial dysfunction and metabolic coronary vasodilation, an effect that is partially mediated by bradykinin. The current protocol is designed to investigate whether the beneficial effects of ACEI on endothelial function are also partly due to inhibition of angiotensin II. The recent development of selective angiotensin II type 1 (AT1) receptor antagonists allows us to specifically examine the effects of angiotensin II on vasomotor activity.


Condition Intervention Phase
Atherosclerosis
Heart Failure, Congestive
Hypertension
Myocardial Infarction
Drug: Angiotensin II type 1 receptor antagonists
Phase III

MedlinePlus related topics: Heart Attack Heart Failure High Blood Pressure
Drug Information available for: Angiotensin II Angiotensin II, ile(5)-
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Efficacy Study
Official Title: The Role of Angiotensin Type I Receptor in the Regulation of Human Coronary Vascular Function

Further study details as provided by National Institutes of Health Clinical Center (CC):

Estimated Enrollment: 49
Study Start Date: July 1997
Estimated Study Completion Date: September 2000
Detailed Description:

The renin angiotensin system (RAS) plays an important physiological and pathophysiological role in the control of blood pressure and plasma volume. Inhibition of the RAS is useful in the treatment of hypertension, cardiac failure and in some patients with myocardial infarction. Several recent clinical trials with angiotensin converting enzyme inhibitors (ACEI) have shown that they also reduce the incidence of myocardial infarction, but the mechanisms underlying this anti-ischemic effect are poorly understood. ACEI reduce angiotensin II synthesis and prevent bradykinin degradation. Results from ongoing studies in the Cardiology Branch (Protocol 95-H-0099) designed to investigate the link between ACEI and the vascular endothelium indicate that ACEI improve both endothelial dysfunction and metabolic coronary vasodilation, an effect that is partially mediated by bradykinin. The current protocol is designed to investigate whether the beneficial effects of ACEI on endothelial function are also partly due to inhibition of angiotensin II. The recent development of selective angiotensin II type 1 (AT1) receptor antagonists allows us to specifically examine the effects of angiotensin II on vasomotor activity.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Patient must be over 18 years of age requiring diagnostic cardiac catheterization will participate.

Women on chronic estrogen therapy are eligible for the study.

Patients investigated for chest pain syndrome with normal coronary arteries with and without risk factors for atherosclerosis, patients with coronary artery disease, and patients with heart failure.

No patients with unstable angina; significant left main disease (greater than 50% stenosis); Recent myocardial infarction (less than 1 month); Pregnancy, lactation; Allergy to losartan; Renal failure (creatinine greater than 2.5 mg/dl); Inability to withdraw ACE inhibitors.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00001629

Locations
United States, Maryland
National Heart, Lung and Blood Institute (NHLBI)
Bethesda, Maryland, United States, 20892
Sponsors and Collaborators
  More Information

Publications:
Study ID Numbers: 970142, 97-H-0142
Study First Received: November 3, 1999
Last Updated: March 3, 2008
ClinicalTrials.gov Identifier: NCT00001629  
Health Authority: United States: Federal Government

Keywords provided by National Institutes of Health Clinical Center (CC):
Angiotensin AT-1 Receptor
Angiotensin Receptor Antagonist
Atherosclerosis
Blood Flow
Cold Pressor Test
Endothelium
Exercise
Coronary Artery Disease
Heart Failure

Study placed in the following topic categories:
Atherosclerosis
Arterial Occlusive Diseases
Heart Failure
Heart Diseases
Ataxia-Telangiectasia
Myocardial Ischemia
Vascular Diseases
Arteriosclerosis
Ischemia
Angiotensin II
Coronary Disease
Necrosis
Ataxia Telangiectasia
Infarction
Myocardial Infarction
Coronary Artery Disease
Hypertension

Additional relevant MeSH terms:
Pathologic Processes
Therapeutic Uses
Vasoconstrictor Agents
Cardiovascular Diseases
Cardiovascular Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009