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血管紧张素转换酶抑制剂在高血压诊断与治疗中的应用。

The use of angiotensin-converting enzyme inhibitor in the diagnosis and treatment of hypertension.

作者信息

Gavras H, Brunner H R, Laragh J H, Gavras I, Vukovich R A

出版信息

Clin Sci Mol Med Suppl. 1975 Jun;2:57s-60s. doi: 10.1042/cs048057s.

DOI:10.1042/cs048057s
PMID:1077792
Abstract
  1. The anti-hypertensive effect of converting enzyme inhibition was evaluated in twenty-three hypertensive patients (seven renovascular, four essential, four malignant, one scleroderma, three chronic renal failure, four primary or idiopathic aldosteronism). 2. In sixteen patients a single injection (1--4 mg/kg) of the inhibitor produced an immediate anti-hypertensive effect, which lasted up to 16 h. In six patients the anti-hypertensive effect of the inhibitor was significantly improved after sodium depletion. 3. Plasma renin activities increased and plasma aldosterone concentrations decreased consistently except in idiopathic aldosteronism. 4. Converting enzyme inhibition provides a direct way of defining the degree of renin-dependency of the hypertension. Accordingly, it can be used diagnostically and for planning appropriate therapy. Therapeutically, it could be advantageous in hypertensive emergencies because of its safety, specificity and capacity to reduce aldosterone secretion.
摘要
  1. 对23例高血压患者(7例肾血管性、4例原发性、4例恶性、1例硬皮病、3例慢性肾衰竭、4例原发性或特发性醛固酮增多症)评估了转换酶抑制的降压作用。2. 16例患者单次注射(1 - 4mg/kg)抑制剂产生了即刻降压作用,持续长达16小时。6例患者在钠缺失后抑制剂的降压作用显著增强。3. 除特发性醛固酮增多症外,血浆肾素活性升高而血浆醛固酮浓度持续降低。4. 转换酶抑制提供了一种直接界定高血压肾素依赖性程度的方法。因此,它可用于诊断并规划适当的治疗。在治疗方面,因其安全性、特异性及降低醛固酮分泌的能力,在高血压急症中可能具有优势。

相似文献

1
The use of angiotensin-converting enzyme inhibitor in the diagnosis and treatment of hypertension.血管紧张素转换酶抑制剂在高血压诊断与治疗中的应用。
Clin Sci Mol Med Suppl. 1975 Jun;2:57s-60s. doi: 10.1042/cs048057s.
2
Effect of angiotensin converting enzyme inhibition on blood pressure, plasma renin activity and plasma aldosterone in essential hypertension.血管紧张素转换酶抑制对原发性高血压患者血压、血浆肾素活性及血浆醛固酮的影响。
J Clin Endocrinol Metab. 1978 Feb;46(2):220-6. doi: 10.1210/jcem-46-2-220.
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The effect of the converting enzyme inhibitor SQ 20.881 on kinins, renin-angiotensin-aldosterone and catecholamines in relation to blood pressure in hypertensive patients.转化酶抑制剂SQ 20.881对高血压患者激肽、肾素-血管紧张素-醛固酮及儿茶酚胺与血压关系的影响。
Acta Med Scand. 1978;204(6):497-502. doi: 10.1111/j.0954-6820.1978.tb08479.x.
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Hormonal and blood pressure changes during converting enzyme inhibition by teprotide.替普罗肽抑制转化酶期间的激素及血压变化
Postgrad Med J. 1981 May;57(667):283-8. doi: 10.1136/pgmj.57.667.283.
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Angiotensin inhibitors for hypertension.用于治疗高血压的血管紧张素抑制剂
Compr Ther. 1980 May;6(5):14-8.
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Converting-enzyme inhibition corrects the altered adrenal response to angiotensin II in essential hypertension.转换酶抑制可纠正原发性高血压中肾上腺对血管紧张素II反应的改变。
Hypertension. 1984 Jan-Feb;6(1):92-9. doi: 10.1161/01.hyp.6.1.92.
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[The acute effects of the new angiotensin I-converting enzyme inhibitor, enalapril maleate, on blood pressure, plasma renin, aldosterone and kinins in hypertensive patients].[新型血管紧张素I转换酶抑制剂马来酸依那普利对高血压患者血压、血浆肾素、醛固酮及激肽的急性影响]
Nihon Naibunpi Gakkai Zasshi. 1985 May 20;61(5):619-29. doi: 10.1507/endocrine1927.61.5_619.
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Converting enzyme inhibition in hypertensive emergencies.高血压急症中的转换酶抑制作用。
Ann Intern Med. 1979 Jan;90(1):43-7. doi: 10.7326/0003-4819-90-1-43.
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Treatment of patients with severe hypertension by inhibition of angiotensin-converting enzyme.通过抑制血管紧张素转换酶治疗重度高血压患者。
Clin Sci Mol Med Suppl. 1975 Jun;2:53s-56s. doi: 10.1042/cs048053s.
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An angiotensin converting-enzyme inhibitor to identify and treat vasoconstrictor and volume factors in hypertensive patients.一种用于识别和治疗高血压患者血管收缩和容量因素的血管紧张素转换酶抑制剂。
N Engl J Med. 1974 Oct 17;291(16):817-21. doi: 10.1056/NEJM197410172911603.

引用本文的文献

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Renin angiotensin aldosterone inhibition in the treatment of cardiovascular disease.肾素-血管紧张素-醛固酮抑制在心血管疾病治疗中的应用。
Pharmacol Res. 2017 Nov;125(Pt A):57-71. doi: 10.1016/j.phrs.2017.05.020. Epub 2017 May 29.
2
New physiological concepts of the renin-angiotensin system from the investigation of precursors and products of angiotensin I metabolism.从血管紧张素I代谢前体和产物的研究中得出的肾素-血管紧张素系统新的生理学概念。
Hypertension. 2010 Feb;55(2):445-52. doi: 10.1161/HYPERTENSIONAHA.109.145839. Epub 2009 Dec 21.
3
Fate of bradykinin-potentiating peptide 9a after intravenous injection.
静脉注射后缓激肽增强肽9a的转归
Biochem J. 1979 Dec 15;184(3):713-6. doi: 10.1042/bj1840713.