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Objective:To study the effects of phentolamine on myocardial extracellular matrix of cardiac remodeling induced by norepinephrine in rats.Methods:24SD rats were divided into3 groups randomly: control groups, norepinephrine groups(model groups), norepinephrine+phentolamine groups(treatment groups).Echocardiography was used to detect changes in cardiac structure and function, the level of collagen volume fraction(CVF) and hydroxyproline as well as collagen content were determined in myocardial tissue, matrix metalloproteinases-2 and collagen Ⅰ in myocardial tissue were localized by immunohistochemitry.Results:Compared with control groups, left ventricular hypertrophy in the model group rats, the hydroxyproline content and CVF was significantly higher(P<0.01), and matrix metalloproteinase-2 and collagen Ⅰ protein expression was significantly increased(P<0.01).Phentolamine significantly improved cardiac hypertrophy in treatment group rats, reduced hydroxyproline,CVF, matrix metalloproteinase2 and collagen Ⅰprotein expression(P<0.05).Conclusions:Phentolamine can effectively reduce the incidence of myocardial hypertrophy and myocardial extracellular matrix remodeling inSD rats, and it can ease myocardial extracellular matrix of cardiac remodeling.It may be associated with reduced expression of matrix metalloproteinase2 and collagen Ⅰ in myocardial tissue remodeling.