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盐敏感性原发性高血压患者交感神经系统与钠钾三磷酸腺苷酶抑制剂之间的关系

Relationship between the sympathetic nervous system and sodium potassium adenosine triphosphatase inhibitor in salt-sensitive patients with essential hypertension.

作者信息

Nishio I, Shima H, Tsuda K, Hano T, Masuyama Y

机构信息

Department of Cardiology, Internal Medicine, Wakayama Medical College, Japan.

出版信息

J Hypertens Suppl. 1988 Dec;6(4):S216-8. doi: 10.1097/00004872-198812040-00064.

Abstract

In order to evaluate endogenous Na+,K+-ATPase inhibitor on sympathetic nerve endings, endogenous Na+,K+-ATPase inhibitor and plasma noradrenaline were determined in patients with essential hypertension under different sodium conditions. Compared with the plasma from non-salt-sensitive patients, that from salt-sensitive patients showed significantly higher Na+,K+-ATPase inhibitor and plasma noradrenaline levels. Salt-induced changes in endogenous Na+,K+-ATPase inhibitor and those in blood pressure or plasma noradrenaline showed positive correlations. These results suggest that the salt-induced increase in endogenous Na+,K+-ATPase inhibitor might induce blood pressure elevation in essential hypertension, at least partly via increased noradrenaline levels.

摘要

为了评估内源性钠钾ATP酶抑制剂对交感神经末梢的作用,我们测定了不同钠条件下原发性高血压患者体内的内源性钠钾ATP酶抑制剂及血浆去甲肾上腺素水平。与盐不敏感患者的血浆相比,盐敏感患者的血浆中钠钾ATP酶抑制剂及血浆去甲肾上腺素水平显著更高。盐诱导的内源性钠钾ATP酶抑制剂变化与血压或血浆去甲肾上腺素变化呈正相关。这些结果表明,盐诱导的内源性钠钾ATP酶抑制剂增加可能至少部分通过去甲肾上腺素水平升高,导致原发性高血压患者血压升高。

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