Page last updated: 2024-11-07

spironolactone and Endomyocardial Fibrosis

spironolactone has been researched along with Endomyocardial Fibrosis in 20 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Endomyocardial Fibrosis: A condition characterized by the thickening of the ventricular ENDOCARDIUM and subendocardium (MYOCARDIUM), seen mostly in children and young adults in the TROPICAL CLIMATE. The fibrous tissue extends from the apex toward and often involves the HEART VALVES causing restrictive blood flow into the respective ventricles (CARDIOMYOPATHY, RESTRICTIVE).

Research Excerpts

ExcerptRelevanceReference
"We sought to evaluate the effects of spironolactone on neurohumoral factors and left ventricular remodeling in patients with congestive heart failure (CHF)."9.09Effect of spironolactone on plasma brain natriuretic peptide and left ventricular remodeling in patients with congestive heart failure. ( Fujii, M; Hayashi, M; Kinoshita, M; Mabuchi, N; Maeda, K; Matsui, T; Matsumoto, T; Ohnishi, M; Sawaki, M; Tsutamoto, T; Tsutsui, T; Wada, A, 2001)
"These results show that in old normotensive rats, spironolactone can markedly prevent cardiac and, to a lesser extent, arterial fibrosis and improve arterial stiffness, despite a lack of hypotensive effect."7.71Prevention of aortic and cardiac fibrosis by spironolactone in old normotensive rats. ( Benetos, A; Labat, C; Lacolley, P; Ledudal, K; Lucet, B; Safar, ME, 2001)
"Aldosterone has a variety of detrimental effects on the heart and vasculature and is increasingly recognized as an important target in chronic heart failure, as illustrated by the Randomized Aldactone Evaluation Study."6.42The role of aldosterone in heart failure and the clinical benefits of aldosterone blockade. ( Davies, JI; Dawson, A; Struthers, AD, 2004)
"Aldosterone was shown to promote cardiac fibrosis in various experimental models."6.41Treatment of congestive heart failure: interfering the aldosterone-cardiac extracellular matrix relationship. ( Alla, F; Dousset, B; Zannad, F, 2001)
"Mortality of patients with severe congestive heart failure (CHF) is still high despite combined treatment with angiotensin-converting enzyme (ACE) inhibitors, diuretics, and digitalis."6.40[Spironolactone: renaissance of anti-aldosterone therapy in heart failure?]. ( Brilla, CG; Rupp, H; Scheer, C; Schencking, M, 1997)
"Aldosterone has been shown to have an acute arrhythmogenic effect as well as a potential detrimental effect on baroreflex function, a marker of prognosis in CHF."6.39Aldosterone escape during ACE inhibitor therapy in chronic heart failure. ( Struthers, AD, 1995)
"Thus, in rats with aldosteronism, in which a reduction in effective refractory period was not evident, the mechanism for VA susceptibility is presumably linked to a decrease in conduction velocity and/or increased dispersion of refractoriness, probably caused by consequential myocardial fibrosis."5.37Spironolactone prevents the inducibility of ventricular tachyarrhythmia in rats with aldosteronism. ( Bellary, SR; de Jongh Curry, AL; Deshmukh, PA; Kamalov, G; Magotra, M; Schwender, FT; Sun, Y; Weber, KT, 2011)
"Losartan treatment decreased systolic pressure and yellow-red collagen fiber content in all areas, whereas spironolactone treatment decreased green collagen fiber content without decreasing systolic pressure."5.29Left ventricular fibrosis in renovascular hypertensive rats. Effect of losartan and spironolactone. ( Appay, MD; Bariety, J; Heudes, D; Hinglais, N; Michel, JB; Nicoletti, A; Philippe, M; Sassy-Prigent, C, 1995)
"We sought to evaluate the effects of spironolactone on neurohumoral factors and left ventricular remodeling in patients with congestive heart failure (CHF)."5.09Effect of spironolactone on plasma brain natriuretic peptide and left ventricular remodeling in patients with congestive heart failure. ( Fujii, M; Hayashi, M; Kinoshita, M; Mabuchi, N; Maeda, K; Matsui, T; Matsumoto, T; Ohnishi, M; Sawaki, M; Tsutamoto, T; Tsutsui, T; Wada, A, 2001)
"These results show that in old normotensive rats, spironolactone can markedly prevent cardiac and, to a lesser extent, arterial fibrosis and improve arterial stiffness, despite a lack of hypotensive effect."3.71Prevention of aortic and cardiac fibrosis by spironolactone in old normotensive rats. ( Benetos, A; Labat, C; Lacolley, P; Ledudal, K; Lucet, B; Safar, ME, 2001)
"The role of renin-angiotensin-aldosterone system in cardiac remodelling was studied in isoproterenol-induced cardiac hypertrophy in rats."3.71Spironolactone and captopril attenuates isoproterenol-induced cardiac remodelling in rats. ( Casis, O; Echevarria, E; Espiña, L; Gallego, M; Iriarte, MM; Vegas, L, 2001)
"Aldosterone has a variety of detrimental effects on the heart and vasculature and is increasingly recognized as an important target in chronic heart failure, as illustrated by the Randomized Aldactone Evaluation Study."2.42The role of aldosterone in heart failure and the clinical benefits of aldosterone blockade. ( Davies, JI; Dawson, A; Struthers, AD, 2004)
"Aldosterone was shown to promote cardiac fibrosis in various experimental models."2.41Treatment of congestive heart failure: interfering the aldosterone-cardiac extracellular matrix relationship. ( Alla, F; Dousset, B; Zannad, F, 2001)
"Mortality of patients with severe congestive heart failure (CHF) is still high despite combined treatment with angiotensin-converting enzyme (ACE) inhibitors, diuretics, and digitalis."2.40[Spironolactone: renaissance of anti-aldosterone therapy in heart failure?]. ( Brilla, CG; Rupp, H; Scheer, C; Schencking, M, 1997)
"Aldosterone has been shown to have an acute arrhythmogenic effect as well as a potential detrimental effect on baroreflex function, a marker of prognosis in CHF."2.39Aldosterone escape during ACE inhibitor therapy in chronic heart failure. ( Struthers, AD, 1995)
"Hypertension results in left ventricular hypertrophy and cardiac dysfunction."1.51Myocardial global longitudinal strain: An early indicator of cardiac interstitial fibrosis modified by spironolactone, in a unique hypertensive rat model. ( Coffey, S; Leader, CJ; Moharram, M; Sammut, IA; Walker, RJ; Wilkins, GW, 2019)
"Thus, in rats with aldosteronism, in which a reduction in effective refractory period was not evident, the mechanism for VA susceptibility is presumably linked to a decrease in conduction velocity and/or increased dispersion of refractoriness, probably caused by consequential myocardial fibrosis."1.37Spironolactone prevents the inducibility of ventricular tachyarrhythmia in rats with aldosteronism. ( Bellary, SR; de Jongh Curry, AL; Deshmukh, PA; Kamalov, G; Magotra, M; Schwender, FT; Sun, Y; Weber, KT, 2011)
"Spironolactone has been noted to attenuate cardiac fibrosis."1.35Spironolactone attenuates experimental uremic cardiomyopathy by antagonizing marinobufagenin. ( Bagrov, AY; Cooper, CJ; El-Okdi, N; Elkareh, J; Fedorova, OV; Gohara, S; Gupta, S; Haller, S; Malhotra, D; Periyasamy, SM; Shapiro, JI; Shidyak, A; Taleb, M; Tian, J; Xie, Z, 2009)
"Thus aldosterone and salt treatment in uninephrectomized rats led to severe hypertension and the development of a vascular inflammatory phenotype in the heart, which may represent one mechanism by which aldosterone contributes to myocardial disease."1.31Aldosterone induces a vascular inflammatory phenotype in the rat heart. ( Blomme, EA; Delyani, JA; Frierdich, GE; Kekec, BK; McMahon, EG; Nachowiak, DA; Rocha, R; Rudolph, AE, 2002)
"DOCA-salt hypertension was induced in 8-wk-old male Wistar rats by uninephrectomy and administration of DOCA (25 mg every fourth day, subcutaneously) and 1% NaCl in the drinking water for 4 wk."1.30Reversal of cardiac fibrosis in deoxycorticosterone acetate-salt hypertensive rats by inhibition of the renin-angiotensin system. ( Brown, L; Duce, B; Miric, G; Sernia, C, 1999)
"Losartan treatment decreased systolic pressure and yellow-red collagen fiber content in all areas, whereas spironolactone treatment decreased green collagen fiber content without decreasing systolic pressure."1.29Left ventricular fibrosis in renovascular hypertensive rats. Effect of losartan and spironolactone. ( Appay, MD; Bariety, J; Heudes, D; Hinglais, N; Michel, JB; Nicoletti, A; Philippe, M; Sassy-Prigent, C, 1995)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (20.00)18.2507
2000's12 (60.00)29.6817
2010's4 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Leader, CJ1
Moharram, M1
Coffey, S1
Sammut, IA1
Wilkins, GW1
Walker, RJ1
Cai, J1
Chen, X2
Chen, L1
Zheng, G1
Zhou, H1
Zhou, X1
Mori, T1
Kurumazuka, D1
Matsumoto, C1
Shirakawa, H1
Kimura, S1
Kitada, K1
Kobayashi, K1
Matsuda, H1
Hayashi, T1
Kitaura, Y1
Matsumura, Y1
Tian, J1
Shidyak, A1
Periyasamy, SM1
Haller, S1
Taleb, M1
El-Okdi, N1
Elkareh, J1
Gupta, S1
Gohara, S1
Fedorova, OV1
Cooper, CJ1
Xie, Z1
Malhotra, D1
Bagrov, AY1
Shapiro, JI1
Habibi, J1
DeMarco, VG1
Ma, L1
Pulakat, L1
Rainey, WE1
Whaley-Connell, AT1
Sowers, JR1
Deshmukh, PA1
Bellary, SR1
Schwender, FT1
Kamalov, G1
Magotra, M1
de Jongh Curry, AL1
Sun, Y1
Weber, KT1
Sanderson, JE1
Rocha, R1
Rudolph, AE1
Frierdich, GE1
Nachowiak, DA1
Kekec, BK1
Blomme, EA1
McMahon, EG1
Delyani, JA1
Martin, N1
Ott, R1
Klues, HG1
Dawson, A1
Davies, JI1
Struthers, AD2
Nicoletti, A1
Heudes, D1
Hinglais, N1
Appay, MD1
Philippe, M1
Sassy-Prigent, C1
Bariety, J1
Michel, JB1
Brilla, CG1
Schencking, M1
Scheer, C1
Rupp, H1
Brown, L1
Duce, B1
Miric, G1
Sernia, C1
Zannad, F2
Lacolley, P1
Safar, ME1
Lucet, B1
Ledudal, K1
Labat, C1
Benetos, A1
Tsutamoto, T1
Wada, A1
Maeda, K1
Mabuchi, N1
Hayashi, M1
Tsutsui, T1
Ohnishi, M1
Sawaki, M1
Fujii, M1
Matsumoto, T1
Matsui, T1
Kinoshita, M1
Gallego, M1
Espiña, L1
Vegas, L1
Echevarria, E1
Iriarte, MM1
Casis, O1
Dousset, B1
Alla, F1
Satoh, M1
Nakamura, M1
Saitoh, H1
Satoh, H1
Akatsu, T1
Iwasaka, J1
Masuda, T1
Hiramori, K1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
E_Stethoscope : Portable Digital Auscultation Based on Wireless Sensor Node to Diagnose Diastolic Dysfunction in Hypertensive Heart Disease[NCT02809040]60 participants (Anticipated)Observational2015-02-28Active, not recruiting
A Prospective Randomized Placebo-controlled Study of the Effect of Eplerenone on Left Ventricular Diastolic Function in Women Receiving Anthracycline Therapy for Breast Cancer[NCT01708798]Phase 2/Phase 344 participants (Actual)Interventional2014-05-31Terminated (stopped due to Futility)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for spironolactone and Endomyocardial Fibrosis

ArticleYear
The role of aldosterone in heart failure and the clinical benefits of aldosterone blockade.
    Expert review of cardiovascular therapy, 2004, Volume: 2, Issue:1

    Topics: Aldosterone; Autonomic Nervous System Diseases; Endomyocardial Fibrosis; Eplerenone; Heart Failure;

2004
Aldosterone escape during ACE inhibitor therapy in chronic heart failure.
    European heart journal, 1995, Volume: 16 Suppl N

    Topics: Aldosterone; Angiotensin-Converting Enzyme Inhibitors; Arrhythmias, Cardiac; Chronic Disease; Drug T

1995
[Spironolactone: renaissance of anti-aldosterone therapy in heart failure?].
    Praxis, 1997, Apr-02, Volume: 86, Issue:14

    Topics: Animals; Diuretics; Endomyocardial Fibrosis; Heart Failure; Humans; Microcirculation; Mineralocortic

1997
Treatment of congestive heart failure: interfering the aldosterone-cardiac extracellular matrix relationship.
    Hypertension (Dallas, Tex. : 1979), 2001, Volume: 38, Issue:5

    Topics: Aldosterone; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; An

2001
Treatment of congestive heart failure: interfering the aldosterone-cardiac extracellular matrix relationship.
    Hypertension (Dallas, Tex. : 1979), 2001, Volume: 38, Issue:5

    Topics: Aldosterone; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; An

2001
Treatment of congestive heart failure: interfering the aldosterone-cardiac extracellular matrix relationship.
    Hypertension (Dallas, Tex. : 1979), 2001, Volume: 38, Issue:5

    Topics: Aldosterone; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; An

2001
Treatment of congestive heart failure: interfering the aldosterone-cardiac extracellular matrix relationship.
    Hypertension (Dallas, Tex. : 1979), 2001, Volume: 38, Issue:5

    Topics: Aldosterone; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; An

2001

Trials

1 trial available for spironolactone and Endomyocardial Fibrosis

ArticleYear
Effect of spironolactone on plasma brain natriuretic peptide and left ventricular remodeling in patients with congestive heart failure.
    Journal of the American College of Cardiology, 2001, Volume: 37, Issue:5

    Topics: Aged; Aldosterone; Cardiac Volume; Endomyocardial Fibrosis; Female; Follow-Up Studies; Heart Failure

2001

Other Studies

15 other studies available for spironolactone and Endomyocardial Fibrosis

ArticleYear
Myocardial global longitudinal strain: An early indicator of cardiac interstitial fibrosis modified by spironolactone, in a unique hypertensive rat model.
    PloS one, 2019, Volume: 14, Issue:8

    Topics: Animals; Cardiotonic Agents; Disease Models, Animal; Echocardiography; Endomyocardial Fibrosis; Hype

2019
Anti-Fibrosis Effect of Relaxin and Spironolactone Combined on Isoprenaline-Induced Myocardial Fibrosis in Rats via Inhibition of Endothelial-Mesenchymal Transition.
    Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology, 2017, Volume: 41, Issue:3

    Topics: Actins; Animals; Antigens, CD; Cadherins; Cardiotonic Agents; Collagen Type I; Collagen Type III; Dr

2017
Dietary salt restriction activates mineralocorticoid receptor signaling in volume-overloaded heart failure.
    European journal of pharmacology, 2009, Nov-25, Volume: 623, Issue:1-3

    Topics: Aldosterone; Animals; Atrial Natriuretic Factor; Body Weight; Cell Size; Contraindications; Diet, So

2009
Spironolactone attenuates experimental uremic cardiomyopathy by antagonizing marinobufagenin.
    Hypertension (Dallas, Tex. : 1979), 2009, Volume: 54, Issue:6

    Topics: Animals; Bufanolides; Canrenone; Cardiomyopathies; Cardiotonic Agents; Cells, Cultured; Disease Mode

2009
Mineralocorticoid receptor blockade improves diastolic function independent of blood pressure reduction in a transgenic model of RAAS overexpression.
    American journal of physiology. Heart and circulatory physiology, 2011, Volume: 300, Issue:4

    Topics: Animals; Blood Pressure; Cardiomegaly; Endomyocardial Fibrosis; Male; Mineralocorticoid Receptor Ant

2011
Spironolactone prevents the inducibility of ventricular tachyarrhythmia in rats with aldosteronism.
    Journal of cardiovascular pharmacology, 2011, Volume: 58, Issue:5

    Topics: Aldosterone; Animals; Blood Pressure; Body Weight; Collagen; Electric Stimulation; Electrocardiograp

2011
New treatments for myocardial fibrosis.
    Cardiovascular drugs and therapy, 2002, Volume: 16, Issue:3

    Topics: Aldosterone; Angiotensin-Converting Enzyme Inhibitors; Animals; Canrenone; Clinical Trials as Topic;

2002
Aldosterone induces a vascular inflammatory phenotype in the rat heart.
    American journal of physiology. Heart and circulatory physiology, 2002, Volume: 283, Issue:5

    Topics: Aldosterone; Animals; Blood Pressure; Chemokine CCL2; Coronary Vessels; Cyclooxygenase 2; Endomyocar

2002
[Idiopathic hypereosinophilia with cardiac involvement].
    Deutsche medizinische Wochenschrift (1946), 2004, Mar-12, Volume: 129, Issue:11

    Topics: Adult; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Cardiomyopathy, Restrictiv

2004
Left ventricular fibrosis in renovascular hypertensive rats. Effect of losartan and spironolactone.
    Hypertension (Dallas, Tex. : 1979), 1995, Volume: 26, Issue:1

    Topics: Angiotensin II; Angiotensin Receptor Antagonists; Animals; Antihypertensive Agents; Biochemical Phen

1995
Reversal of cardiac fibrosis in deoxycorticosterone acetate-salt hypertensive rats by inhibition of the renin-angiotensin system.
    Journal of the American Society of Nephrology : JASN, 1999, Volume: 10 Suppl 11

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Animals; Benzimidazoles;

1999
[Anti-aldosterone: the evidence of the RALES study].
    Archives des maladies du coeur et des vaisseaux, 2000, Volume: Spec No

    Topics: Angiotensin-Converting Enzyme Inhibitors; Biomarkers; Cardiac Output, Low; Diuretics; Endomyocardial

2000
Prevention of aortic and cardiac fibrosis by spironolactone in old normotensive rats.
    Journal of the American College of Cardiology, 2001, Volume: 37, Issue:2

    Topics: Age Factors; Aldosterone; Animals; Aorta; Carotid Arteries; Endomyocardial Fibrosis; Fibrosis; Hemod

2001
Spironolactone and captopril attenuates isoproterenol-induced cardiac remodelling in rats.
    Pharmacological research, 2001, Volume: 44, Issue:4

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Blood Pressure; Captopril; Cardiomegaly; Collagen

2001
Aldosterone synthase (CYP11B2) expression and myocardial fibrosis in the failing human heart.
    Clinical science (London, England : 1979), 2002, Volume: 102, Issue:4

    Topics: Adult; Angiotensin-Converting Enzyme Inhibitors; Collagen; Cytochrome P-450 CYP11B2; Diuretics; Drug

2002