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Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
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Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
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Heart Failure Drugs: Inotropic Agents

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Related Experiment Video

Updated: May 18, 2026

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema
08:44

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema

Published on: September 1, 2016

Tolvaptan improves left ventricular dysfunction after myocardial infarction in rats.

Takanori Yamazaki1, Yasukatsu Izumi, Yasuhiro Nakamura

  • 1Department of Internal Medicine and Cardiology, Osaka City University Medical School, Osaka, Japan.

Circulation. Heart Failure
|September 18, 2012
PubMed
Summary

Tolvaptan improved cardiac function in rats with heart failure after myocardial infarction (MI). This novel drug reduced cardiac volumes and fibrosis, offering a potential new treatment for heart failure.

More Related Videos

Acute Myocardial Infarction in Rats
07:45

Acute Myocardial Infarction in Rats

Published on: February 16, 2011

Related Experiment Videos

Last Updated: May 18, 2026

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema
08:44

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema

Published on: September 1, 2016

Acute Myocardial Infarction in Rats
07:45

Acute Myocardial Infarction in Rats

Published on: February 16, 2011

Area of Science:

  • Cardiology
  • Pharmacology

Background:

  • Arginine vasopressin levels increase in chronic heart failure, contributing to renal water reabsorption.
  • Left ventricular dysfunction following myocardial infarction (MI) is a significant clinical challenge.

Purpose of the Study:

  • To compare the efficacy of tolvaptan, a V(2) receptor antagonist, with furosemide and a combination therapy in a rat model of post-MI left ventricular dysfunction.
  • To investigate the impact of tolvaptan on cardiac remodeling, inflammation, and neurohumoral activation.

Main Methods:

  • Rats with established MI were randomized into groups receiving vehicle, furosemide, tolvaptan (3 or 10 mg·kg(-1)·day(-1)), or furosemide plus tolvaptan for 4 weeks.
  • Cardiac volumes, ejection fraction, macrophage infiltration, interstitial fibrosis, and gene expression of key cardiac markers were assessed.

Main Results:

  • Tolvaptan treatment significantly reduced left ventricular end-diastolic and systolic volumes and improved ejection fraction compared to vehicle.
  • Tolvaptan suppressed MI-induced macrophage infiltration and interstitial fibrosis in the left ventricle.
  • Tolvaptan attenuated the expression of genes associated with neurohumoral activation (natriuretic peptides, vasopressin V(1a) receptor, endothelin-1) and inflammation (monocyte chemotactic protein-1).

Conclusions:

  • Tolvaptan demonstrates potential in improving cardiac dysfunction post-MI.
  • The beneficial effects of tolvaptan may be attributed to the suppression of the vasopressin V(1a) receptor, neurohumoral pathways, and inflammatory processes.