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慢性抑制转换酶对神经源性高血压的缓解作用。

Attenuation of neurogenic hypertension by chronic converting enzyme inhibition.

作者信息

Longo V L, Farah V M, Gutierrez M A, Krieger E M

机构信息

Heart Institute, University Hospital, Faculty of Medicine, University of São Paulo, Brazil.

出版信息

J Hypertens Suppl. 1989 Dec;7(6):S44-5. doi: 10.1097/00004872-198900076-00019.

Abstract

We compared the effects produced by acute and chronic administration of captopril in sinoaortic denervated rats. In conscious undisturbed rats acute administration of captopril (10 mg/kg intravenously) produced acute transient reductions in mean arterial pressure of 16 and 26%, 6 h (mean arterial pressure 148 +/- 4 mmHg) and 24 h (133 +/- 3 mmHg) after the sinoaortic denervation, respectively. Chronic captopril treatment (30 mg/day orally) produced a permanent attenuation of the hypertension induced by sino-aortic denervation, as shown by a beat-to-beat analysis of arterial pressure for 80 min. The attenuation was 11% (131 +/- 7 versus 148 +/- 4 mmHg) and 24% (103 +/- 9 versus 133 +/- 3 mmHg) in rats studied 6 and 24 h after the sinoaortic denervation, respectively. Chronic captopril administration produced no alteration in the tachycardia, nor in the heart rate variability of the sinoaortic denervated rats; the latter was lower than that of normotensive rats. These data show that while acute administration of captopril in sinoaortic denervated rats produced a rapid hypotensive response, chronic administration produced a long-lasting attenuation of hypertension, presumably by interference with sympathetic cardiovascular control.

摘要

我们比较了卡托普利急性和慢性给药对去窦主动脉神经大鼠的影响。在清醒未受干扰的大鼠中,卡托普利急性给药(静脉注射10mg/kg)在去窦主动脉神经后6小时(平均动脉压148±4mmHg)和24小时(133±3mmHg)分别使平均动脉压急性短暂降低16%和26%。慢性卡托普利治疗(口服30mg/天)使去窦主动脉神经诱导的高血压得到永久性减轻,这通过对动脉压进行80分钟的逐搏分析得以显示。在去窦主动脉神经后6小时和24小时研究的大鼠中,减轻幅度分别为11%(131±7对148±4mmHg)和24%(103±9对133±3mmHg)。慢性给予卡托普利对去窦主动脉神经大鼠的心动过速和心率变异性均无影响;后者低于正常血压大鼠。这些数据表明,虽然在去窦主动脉神经大鼠中急性给予卡托普利会产生快速的降压反应,但慢性给药会使高血压得到长期减轻,推测是通过干扰交感神经对心血管的控制实现的。

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