Acute effects of atrial natriuretic peptide on left ventricular diastolic function. a pulsed wave Doppler study in

P B Clarkson1, N M Wheeldon, C Macleod

  • 1University Department of Clinical Pharmacology, Ninewells Hospital and Medical School, Dundee, Scotland, U.K.

European Heart Journal
|November 1, 1995
PubMed

Insights

Atrial natriuretic peptide infusions improved diastolic function in healthy males by speeding myocardial relaxation. This peptide significantly reduced isovolumic relaxation time and increased early to late transmitral flow velocity ratios.

Area of Science:

  • Cardiology
  • Physiology
  • Pharmacology

Background:

  • Atrial natriuretic peptide (ANP) plays a role in cardiovascular homeostasis.
  • Understanding ANP's effects on diastolic function is crucial for cardiovascular health.
  • Previous research indicates ANP influences systemic hemodynamics.

Purpose of the Study:

  • To investigate the effects of ANP on diastolic function and systemic hemodynamics in healthy individuals.
  • To determine the dose-response relationship of ANP on cardiac indices.
  • To assess changes in myocardial relaxation and transmitral flow patterns.

Main Methods:

  • Ten healthy male subjects received infusions of ANP at varying doses (0.5-5 pmol.kg-1.min-1) and placebo.
  • Doppler echocardiography was used to measure diastolic function indices, including isovolumic relaxation time and transmitral flow velocities.
  • Systemic hemodynamic parameters such as heart rate, blood pressure, and aortic stroke distance were monitored.

Main Results:

  • ANP infusion resulted in a significant, dose-dependent reduction in isovolumic relaxation time.
  • A significant increase in the ratio of early to late transmitral peak velocities was observed with ANP.
  • No significant changes in heart rate, blood pressure, or aortic stroke distance were noted compared to placebo.

Conclusions:

  • Pathophysiological plasma concentrations of ANP enhance diastolic function in healthy individuals.
  • ANP improves diastolic function primarily by increasing the rate of myocardial relaxation.
  • These findings highlight ANP's potential therapeutic role in diastolic dysfunction.