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利美尼定对人体自主神经功能测试的影响。

The effects of rilmenidine on tests of autonomic function in humans.

作者信息

McKaigue J P, Harron D W

机构信息

Department of Therapeutics and Pharmacology, Queen's University of Belfast, Northern Ireland.

出版信息

Clin Pharmacol Ther. 1992 Nov;52(5):511-7. doi: 10.1038/clpt.1992.179.

DOI:10.1038/clpt.1992.179
PMID:1358495
Abstract

The effects of rilmenidine, a new centrally acting antihypertensive agent, on a number of tests of autonomic function were investigated in six healthy male volunteers. Baroreflex function (delta RR interval [in milliseconds] with each millimeter of mercury change in systolic blood pressure) was determined in response to changes in pressure after injections of phenylephrine and nitroglycerin. Reflex cardiovascular responses to handgrip and standing, as well as during deep breathing and the Valsalva maneuver, were also investigated. Rilmenidine produced a dose-dependent decrease in blood pressure that was not accompanied by an increase in heart rate. Under conditions of low basal sympathetic activity, rilmenidine enhanced parasympathetic tone during the early reflex heart rate changes that occur immediately after standing and during deep breathing, as well as baroreflex heart rate responses to phenylephrine. During a test of sympathetic function, standing blood pressure, and heart rate after 3 minutes, rilmenidine reduced sympathetic tone.

摘要

在6名健康男性志愿者中研究了新型中枢性抗高血压药物利美尼定对多项自主神经功能测试的影响。通过注射去氧肾上腺素和硝酸甘油后压力变化来测定压力反射功能(收缩压每变化1毫米汞柱时RR间期的变化[以毫秒为单位])。还研究了对手握力、站立以及深呼吸和瓦尔萨尔瓦动作时的反射性心血管反应。利美尼定使血压呈剂量依赖性下降,且不伴有心率增加。在基础交感神经活动较低的情况下,利美尼定在站立后和深呼吸后立即出现的早期反射性心率变化以及对去氧肾上腺素的压力反射性心率反应期间增强了副交感神经张力。在交感神经功能测试中,站立3分钟后的血压和心率,利美尼定降低了交感神经张力。

相似文献

1
The effects of rilmenidine on tests of autonomic function in humans.利美尼定对人体自主神经功能测试的影响。
Clin Pharmacol Ther. 1992 Nov;52(5):511-7. doi: 10.1038/clpt.1992.179.
2
Antihypertensive drugs and baroreflex sensitivity. Effects of rilmenidine.
Am J Med. 1989 Sep 18;87(3C):57S-62S. doi: 10.1016/0002-9343(89)90507-x.
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Acute and chronic effects of rilmenidine on baroreflex function in conscious dogs.利美尼定对清醒犬压力反射功能的急性和慢性影响。
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Cardiac and renal baroreflex control during stress in conscious renovascular hypertensive rabbits: effect of rilmenidine.清醒肾血管性高血压兔应激时心脏和肾脏压力反射控制:利美尼定的作用
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The effects of rilmenidine and atenolol on mental stress, dynamic exercise and autonomic function in mild to moderate hypertension.利美尼定和阿替洛尔对轻至中度高血压患者精神应激、动态运动及自主神经功能的影响
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[The effects of rilmenidine on cardiac autonomic function in healthy volunteers].
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Drugs. 1999 Nov;58(5):799-812. doi: 10.2165/00003495-199958050-00003.
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Determinants of heart rate variability during deep breathing: basic findings and clinical applications.
Clin Auton Res. 1997 Jun;7(3):131-5. doi: 10.1007/BF02308840.
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Inhibition of centrally induced ventricular arrhythmias by rilmenidine and idazoxan in rabbits.利美尼定和咪唑克生对兔中枢性诱导室性心律失常的抑制作用。
Naunyn Schmiedebergs Arch Pharmacol. 1996 Nov;354(5):598-605. doi: 10.1007/BF00170834.
5
The effects of rilmenidine and atenolol on mental stress, dynamic exercise and autonomic function in mild to moderate hypertension.利美尼定和阿替洛尔对轻至中度高血压患者精神应激、动态运动及自主神经功能的影响
Br J Clin Pharmacol. 1995 Dec;40(6):563-9. doi: 10.1111/j.1365-2125.1995.tb05801.x.
6
The effects of clonidine on cardiovascular responses to standing in healthy volunteers.可乐定对健康志愿者站立时心血管反应的影响。
Clin Auton Res. 1995 Jun;5(3):171-7. doi: 10.1007/BF01826201.