Objective:To investigate the effect of astragaloside IV combined with enalapril on cardiac function after acute myocardial infarction(AMI)in mice. Methods:Twenty-four 8-week old male C57BL/6 mice were randomly divided into 4 groups,including the sham group,the CTL group,the enalapril group and the AS-IV+enalapril group. The CTL group,the enalapril group and the AS-IV+enalapril group were subjected to left anterior descending coronary artery ligation as AMI model. Mice in the enalapril group(enalapril 7.5 mg/kg)and the AS-IV+enalapril group(AS+IV 10 mg/kg + enalapril 7.5 mg/kg)were treated with the corresponding medicine,respectively. Echocardiography was applied to measure cardiac function 2 weeks later. Pathological changes of heart were studied by HE staining. CD31/ VEGFR3 double immunofluorescent staining were used to observe the density of vessels and angiogenesis. Results:Compared to the CTL group,the cardiac function was significantly improved in the enalapril group and the AS-IV+enalapril group,especially the latter one. Compared to the CTL group,there was significantly more angiogenesis to be observed in the peri- infarction region of the enalapril group and the AS-IV+enalapril group. This effect was better in the AS-IV+enalapril group. Conclusion:Astragaloside-IV combined with enalapril can effectively improve the cardiac function of mice after myocardial infarction and promote the regeneration of blood vessels in the peri-infarction region.