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原发性高血压患者急性β受体阻滞剂治疗前后的运动血流动力学与肾素

[Exercise hemodynamics and renin before and after acute beta block in patients with essential hypertension].

作者信息

Burkart F, Bühler F R, Pfisterer M, Küng M

出版信息

Schweiz Med Wochenschr. 1976 Dec 4;106(49):1732-5.

PMID:13488
Abstract

Hemodynamic and renin studies at rest and during graded upright ergometry were performed in 21 patients with essential hypertension before and after propranolol. Beta-adrenergic receptor blockade reduced exercise-stimulated cardiac and renin responses significantly more when compared with the corresponding effects at rest. Propranolol increased peripheral resistance at rest but not during exercise. The degree of the individual hemodynamic changes after propranolol correlated better with the corresponding control values than with age or renin. A direct relationship between the percent reduction of heart rate and renin responses after acute beta-blockade indicates a parallel suppression of cardiac and renal receptor functions.

摘要

对21例原发性高血压患者在服用普萘洛尔前后进行了静息状态和分级直立运动试验时的血流动力学及肾素研究。与静息时的相应效应相比,β-肾上腺素能受体阻断对运动刺激引起的心脏和肾素反应的降低更为显著。普萘洛尔使静息时的外周阻力增加,但运动时未增加。普萘洛尔治疗后个体血流动力学变化的程度与相应的对照值相关性更好,而非与年龄或肾素相关性更好。急性β受体阻断后心率降低百分比与肾素反应之间的直接关系表明心脏和肾脏受体功能受到平行抑制。

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