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  2. Keyword: Antihypertensive
Figure 1
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Original Article

Antihypertensive Activity of Sauromatum guttatum Mediated by Vasorelaxation and Myocardial Depressant Effects

Bibi Rabia et al. Umme Salma Kashif Bashir Taous Khan Abdul Jabbar Shah

Abstract

Background:

Sauromatum guttatum (S. guttatum) is used in the treatment of blood disorders and reportedly has a spasmolytic activity through Ca2+channel inhibition.

Objectives:

The aim of this study was to investigate the antihypertensive potential of S. guttatum in high salt-induced hypertensive Sprague-Dawley (SD) rat model (HSHRs).

Methods:

SD rats were divided into normotensive, hypertensive, S. guttatum and verapamil treated groups. S. guttatum crude extract (Sg.Cr) (100, 150 and 300 mg/kg/day) and verapamil (5, 10 and 15 mg/kg/day) were administered orally along with NaCl. Aortic rings and right atrial strips from normotensive rats were used to investigate the underlying mechanisms. The level of statistical significance was set at 5%.

Results:

Mean arterial pressure decreased in the Sg.Cr and verapamil-treated hypertensive groups in a dose-dependent manner (p < 0.001). In the vascular reactivity study, acetylcholine induced relaxations with an EC50value of 0.6 µ g/mL (0.3–1.0) in Sg.Cr-treated hypertensive rats (300 mg/kg), suggesting endothelial preservation. In isolated normotensive rat aorta, Sg.Cr-treated rats showed vasorelaxation with an EC50value of 0.15 mg/mL (0.10-0.20), ablated by endothelial denudation or pretreatment withL-NAME and atropine. Sg.Cr treatment caused relaxation against high K+-induced contractions, like verapamil. Sg.Cr showed negative inotropic (82%) and chronotropic effects (56%) in isolated rat atrial preparations reduced with atropine. The phytochemical investigation indicated presence of alkaloids, flavonoids and tannins.

Conclusion:

S. guttatum has a vasodilatory effect through endothelial function preservation, muscarinic receptor-mediated NO release and Ca2+movement inhibition, while atrial myocardial depressant effect can be linked to the muscarinic receptor. These findings provide pharmacological base for using S. guttatum extract as an antihypertensive medication.

  • Antihypertensive
  • Blood Pressure
  • calcium channel blockers
  • Cardiac Performance
  • Hypertension
  • Rats
  • Sauromatum guttatum
  • Vasodilatation
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Creative Commons Attribution (CC BY) Creative Commons license
04/09/2021 DOI: 10.36660/abc.20200055
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Original Article

New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality

Kisa Hyde Congo et al. Adriana Belo João Carvalho David Neves … Rui Guerreiro João António Pais Diogo Brás Mafalda Carrington Bruno Piçarra Ana Rita Santos José Aguiar

Abstract

Backgrund:

New-onset atrial fibrillation complicating acute myocardial infarction represents an important challenge, with prognostic significance.

Objective:

To study the incidence, impact on therapy and mortality, and to identify predictors of development of new-onset atrial fibrillation during hospital stay for ST-segment elevation myocardial infarction.

Methods:

We studied all patients with ST-elevation myocardial infarction included consecutively, between 2010 and 2017, in a Portuguese national registry and compared two groups: 1 – no atrial fibrillation and 2 – new-onset atrial fibrillation. We adjusted a logistic regression model data analysis to assess the impact of new-onset atrial fibrillation on in-hospital mortality and to identify independent predictors of its development. A p value < 0.05 was considered significant.

Results:

We studied 6325 patients, and new-onset atrial fibrillation was found in 365 (5.8%). Reperfusion was successfully accomplished in both groups with no difference regarding type of reperfusion. In group 2, therapy with beta-blockers and angiotensin-conversion enzyme (ACE) inhibitors/angiotensin receptor blockers (ARBs) was less frequent, 20.6% received anticoagulation at discharge and 16.1% were on triple therapy. New-onset atrial fibrillation was associated with more in-hospital complications and mortality. However, it was not found as an independent predictor of in-hospital mortality. We identified age, prior stroke, inferior myocardial infarction and complete atrioventricular block as independent predictors of new-onset atrial fibrillation.

Conclusion:

New-onset atrial fibrillation remains a frequent complication of myocardial infarction and is associated with higher rate of complications and in-hospital mortality. Age, prior stroke, inferior myocardial infarction and complete atrioventricular block were independent predictors of new onset atrial fibrillation. Only 36.7% of the patients received anticoagulation at discharge.

  • Anticoagulants
  • Antihypertensive
  • Atrial Fibrillation
  • Hospitalization
  • Mortality
  • ST Elevation Myocardial Infarction/complications
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Creative Commons Attribution (CC BY) Creative Commons license
23/09/2019 DOI: 10.5935/abc.20190190 Views 1

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Rabia B, Salma U, Bashir K, Khan T, Shah AJ. Antihypertensive Activity of Sauromatum guttatum Mediated by Vasorelaxation and Myocardial Depressant Effects. Arquivos Brasileiros de Cardiologia 2021;117(6):1093-10.

Electronic Document Format (ABNT)

Rabia, Bibi; Salma, Umme; Bashir, Kashif; Khan, Taous; Shah, Abdul Jabbar. Antihypertensive Activity of Sauromatum guttatum Mediated by Vasorelaxation and Myocardial Depressant Effects. Arquivos Brasileiros de Cardiologia, v. 117, n. 6, p. 1093-1103, Nov. 2020.

Electronic Document Format (APA)

Rabia, B., Salma, U., Bashir, K., Khan, T., & Shah, A. J. (2021). Antihypertensive Activity of Sauromatum guttatum Mediated by Vasorelaxation and Myocardial Depressant Effects. Arquivos Brasileiros de Cardiologia, 117(6), 1093-1103.

Electronic Document Format (ISO)

Rabia, Bibi and Salma, Umme and Bashir, Kashif and Khan, Taous and Shah, Abdul Jabbar. Antihypertensive Activity of Sauromatum guttatum Mediated by Vasorelaxation and Myocardial Depressant Effects. Arquivos Brasileiros de Cardiologia [online]. 2021, vol. 117, n. 6, [cited 2026-10-14], pp. 1093-1103. Available from: <https://journals.cardiol.br/en/article/antihypertensive-activity-of-sauromatum-guttatum-mediated-by-vasorelaxation-and-myocardial-depressant-effects/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Congo KH, Belo A, Carvalho J, Neves D, Guerreiro R, Pais JA, Brás D, et al. New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality. Arquivos Brasileiros de Cardiologia 2019;113(5):948-57.

Electronic Document Format (ABNT)

Congo, Kisa Hyde; Belo, Adriana; Carvalho, João; Neves, David; Guerreiro, Rui; Pais, João António; Brás, Diogo; Carrington, Mafalda; Piçarra, Bruno; Santos, Ana Rita; Aguiar, José. New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality. Arquivos Brasileiros de Cardiologia, v. 113, n. 5, p. 948-957, Sep. 2019.

Electronic Document Format (APA)

Congo, K. H., Belo, A., Carvalho, J., Neves, D., Guerreiro, R., Pais, J. A., Brás, D., Carrington, M., Piçarra, B., Santos, A. R., & Aguiar, J. (2019). New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality. Arquivos Brasileiros de Cardiologia, 113(5), 948-957.

Electronic Document Format (ISO)

Congo, Kisa Hyde and Belo, Adriana and Carvalho, João and Neves, David and Guerreiro, Rui and Pais, João António and Brás, Diogo and Carrington, Mafalda and Piçarra, Bruno and Santos, Ana Rita and Aguiar, José. New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality. Arquivos Brasileiros de Cardiologia [online]. 2019, vol. 113, n. 5, [cited 2026-10-14], pp. 948-957. Available from: <https://journals.cardiol.br/en/article/new-onset-atrial-fibrillation-in-st-segment-elevation-myocardial-infarction-predictors-and-impact-on-therapy-and-mortality/>. ISSN 0066-782X

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