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人类高血压中的动脉血动力学. 上腺体阻塞的作用
C T Ting1, C Y Chou, M S Chang
1Department of Medicine, Veterans General Hospital, Taiwan, Republic of China.
Circulation
|September 1, 1991
概括
基本高血压涉及增加的血管阻力和波反射. 阿尔法上腺素阻塞部分降低血压,但不能完全正常化这些血液动力学变化在高血压个体.
科学领域:
- 心血管生理学心血管生理学
- 高血压研究 高血压研究
- 血液动力学 血液动力学
背景情况:
- 基本高血压的特点是与正常血压的个体相比,抗力,脉冲波速度和波反射的增加.
- 这些变化在尼托普鲁西德下正常化,但在β阻塞下恶化,这表明增强的光滑肌肉调由上腺体血管扩张调节.
研究的目的:
- 调查基本高血压中增强的光滑肌肉度在何种程度上是由α-adrenergically介导的血管收缩引起的.
主要方法:
- 在年龄相匹配的正常血压和高血压的中国受试者中,在上升性大动脉中使用了带导管的微观 manometer 和电磁流速传感器.
- 在基线,β阻塞 (propranolol) 和α阻塞 (phentolamine) 条件下使用福里埃分析分析了大动脉阻抗和波反射特性.
主要成果:
- 高血压患者与正常血压患者相比,表现出较高的基线电阻,总功率,反射压力波,反射与前进波的比率和脉冲波速度.
- 结合的α-和β-上腺素阻塞降低了血压,但阻力,反射波和反射到前进波的比率仍然持续高于正常值.
结论:
- 阿尔法-上腺体介导的血管收缩并不能完全解释在基本高血压中观察到的血液动力学变化.
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