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心房利钠肽水平并不总是与心房压力一致:如在戈登综合征和巴特综合征中所证实的,是否存在其他调节机制?

Levels of atrial natriuretic peptide are not always consistent with atrial pressure: is there alternative regulation as evidenced in Gordon's and Bartter's syndromes?

作者信息

Klemm S A, Gordon R D, Tunny T J, Hawkins P G, Finn W L, Hamlet S M, Kewal N K, Purton K J

机构信息

Endocrine-Hypertension Research Unit, Greenslopes Hospital, Brisbane, Queensland, Australia.

出版信息

Clin Exp Pharmacol Physiol. 1989 Apr;16(4):269-74. doi: 10.1111/j.1440-1681.1989.tb01556.x.

DOI:10.1111/j.1440-1681.1989.tb01556.x
PMID:2525973
Abstract
  1. In Bartter's syndrome, atrial pressures were low, consistent with volume contraction, while atrial natriuretic peptide (ANP) levels were unexpectedly elevated. Infusion of normal saline increased both right atrial pressure (RAP) and ANP levels, while administration of prostaglandin inhibitors raised RAP, probably due to volume expansion, but ANP levels fell paradoxically. 2. In Gordon's syndrome, atrial pressures were unexpectedly low or normal despite volume expansion, while ANP levels were normal. Pressor infusions of angiotensin II either raised right and left atrial pressures (LAP) without increasing ANP, or increased ANP without increasing atrial pressures. 3. In these two syndromes, atrial pressures and ANP levels were poorly correlated, leading to the proposal that other regulators of ANP may be important.
摘要
  1. 在巴特综合征中,心房压力较低,与容量收缩一致,而心房利钠肽(ANP)水平却意外升高。输注生理盐水可使右心房压力(RAP)和ANP水平均升高,而给予前列腺素抑制剂可使RAP升高,这可能是由于容量扩张所致,但ANP水平却反而下降。2. 在戈登综合征中,尽管存在容量扩张,但心房压力却意外地降低或正常,而ANP水平正常。血管紧张素II的升压输注要么使右心房和左心房压力(LAP)升高而不增加ANP,要么使ANP增加而不增加心房压力。3. 在这两种综合征中,心房压力与ANP水平相关性较差,这提示可能还有其他ANP调节因子发挥重要作用。

相似文献

1
Levels of atrial natriuretic peptide are not always consistent with atrial pressure: is there alternative regulation as evidenced in Gordon's and Bartter's syndromes?心房利钠肽水平并不总是与心房压力一致:如在戈登综合征和巴特综合征中所证实的,是否存在其他调节机制?
Clin Exp Pharmacol Physiol. 1989 Apr;16(4):269-74. doi: 10.1111/j.1440-1681.1989.tb01556.x.
2
Atrial natriuretic peptide levels during angiotensin infusion and indomethacin administration are consistent with angiotensin-mediated regulation in man.血管紧张素输注和吲哚美辛给药期间的心房利钠肽水平与人体中血管紧张素介导的调节一致。
J Hypertens Suppl. 1987 Dec;5(5):S75-8.
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Plasma levels of atrial natriuretic peptide in man in primary aldosteronism, in Gordon's syndrome and in Bartter's syndrome.
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Effects of posture and saline infusion on atrial natriuretic peptide and haemodynamics in patients with Bartter's syndrome and healthy controls.
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Elevated levels of plasma atrial natriuretic peptide in Bartter's syndrome fall to normal with indomethacin: implications for atrial natriuretic peptide regulation in man.巴特综合征患者血浆心房利钠肽水平升高,使用吲哚美辛后降至正常:对人类心房利钠肽调节的启示。
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Altering angiotensin levels by administration of captopril or indomethacin, or by angiotensin infusion, contributes to an understanding of atrial natriuretic peptide regulation in man.通过给予卡托普利或吲哚美辛、或输注血管紧张素改变血管紧张素水平,有助于了解人体心房利钠肽的调节。
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Plasma atrial natriuretic peptide in primary aldosteronism (before and after treatment) and in Bartter's and Gordon's syndromes.原发性醛固酮增多症(治疗前后)、巴特综合征和戈登综合征中的血浆心房利钠肽。
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[Elevated atrial natriuretic peptide (ANP) levels and normotension in Bartter's syndrome in childhood].[儿童巴特综合征中升高的心房利钠肽(ANP)水平与血压正常]
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Role of prostaglandins in the pathogenesis of Bartter's syndrome.
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Effects of volume expansion and contraction on plasma levels of atrial natriuretic peptide in man.容量扩张和收缩对人体血浆心房利钠肽水平的影响。
Clin Exp Pharmacol Physiol. 1988 Apr;15(4):311-5. doi: 10.1111/j.1440-1681.1988.tb01079.x.