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精神应激对原发性高血压患者及健康受试者儿茶酚胺、其代谢产物和血浆肾素活性的影响。

The effect of mental stress on catecholamines, their metabolites and plasma renin activity in patients with essential hypertension and in healthy subjects.

作者信息

Januszewicz W, Sznajderman M, Wocial B, Feltynowski T, Klonowicz T

出版信息

Clin Sci (Lond). 1979 Dec;57 Suppl 5:229s-231s. doi: 10.1042/cs057229s.

DOI:10.1042/cs057229s
PMID:396071
Abstract
  1. Ten patients with essential hypertension and ten healthy men were submitted to mental stress consisting of Kraepelin's arithmetic test combined with noise. Concentrations of plasma and urine catecholamines and of their metabolites as well as plasma renin activity before and after the test were studied. 2. In both groups a significant increase of noradrenaline and adrenaline in blood and noradrenaline in urine was observed. The urinary excretion of dopamine fell significantly in both groups after stress. 3. After mental stress a significant increase in urinary excretion of 3-methoxy-4-hydroxyphenylglycol was observed in both groups. The excretion of vanillylmandelic acid decreased significantly only in healthy subjects. 4. The plasma renin activity rose significantly in both groups but the increase was more pronounced in healthy subjects.
摘要
  1. 对10名原发性高血压患者和10名健康男性施加由克雷佩林算术测试与噪音相结合的精神压力。研究了测试前后血浆和尿液中儿茶酚胺及其代谢产物的浓度以及血浆肾素活性。2. 两组均观察到血液中去甲肾上腺素和肾上腺素以及尿液中去甲肾上腺素显著增加。应激后两组多巴胺的尿排泄量均显著下降。3. 精神应激后两组3-甲氧基-4-羟基苯乙二醇的尿排泄量均显著增加。香草扁桃酸的排泄量仅在健康受试者中显著下降。4. 两组血浆肾素活性均显著升高,但健康受试者中升高更为明显。

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Kinetics and Interrelations of the Renin Aldosterone Response to Acute Psychosocial Stress: A Neglected Stress System.
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Failure of salt to mobilise renal dopamine in essential hypertension.盐不能调动原发性高血压患者肾脏中的多巴胺。
Lancet. 1980;2(8208-8209):1370. doi: 10.1016/s0140-6736(80)92432-0.