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依那普利与自主神经反射及运动表现

Enalapril and autonomic reflexes and exercise performance.

作者信息

Reid J L, Millar J A, Campbell B C

出版信息

J Hypertens Suppl. 1983 Oct;1(1):129-34.

PMID:6100601
Abstract

Enalapril (10 mg), in young sodium replete normotensive males significantly reduced systolic and diastolic blood pressures in both the supine and erect posture without orthostatic effects. As with captopril (25 mg) erect and supine heart rate did not differ from that after inactive placebo even at the time of maximum blood pressure reduction. The absence of reflex bradycardia was not related to a sympatho-inhibitory effect as the responses to Valsalva's manoeuvre, cold stress and dynamic and isometric exercise were unchanged by enalapril. Plasma noradrenaline was not different from that found after placebo treatment. Increased parasympathetic tone may contribute to the absence of tachycardia after converting enzyme inhibitors.

摘要

依那普利(10毫克),在钠储备充足的年轻血压正常男性中,显著降低了仰卧位和直立位的收缩压和舒张压,且无体位性影响。与卡托普利(25毫克)一样,即使在血压最大降幅时,直立位和仰卧位的心率与服用无活性安慰剂后相比也没有差异。无反射性心动过缓与交感神经抑制作用无关,因为依那普利对瓦尔萨尔瓦动作、冷应激以及动态和等长运动的反应未发生改变。血浆去甲肾上腺素与安慰剂治疗后无差异。副交感神经张力增加可能是转换酶抑制剂后无心动过速的原因之一。

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Enalapril and autonomic reflexes and exercise performance.依那普利与自主神经反射及运动表现
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引用本文的文献

1
Cardiorespiratory effects of continuous i.v. administration of the ACE inhibitor enalaprilat in the critically ill.持续静脉输注血管紧张素转换酶抑制剂依那普利拉对危重症患者心肺功能的影响
Br J Clin Pharmacol. 1995 Nov;40(5):415-22. doi: 10.1111/j.1365-2125.1995.tb05790.x.
2
Plasma enalapril levels and hormonal effects after short- and long-term administration in essential hypertension.原发性高血压患者短期和长期服用依那普利后的血浆依那普利水平及激素效应
Br J Clin Pharmacol. 1984;18 Suppl 2(Suppl 2):233S-239S, 241S. doi: 10.1111/j.1365-2125.1984.tb02602.x.
3
An overview of the clinical pharmacology of enalapril.
依那普利临床药理学概述。
Br J Clin Pharmacol. 1984;18 Suppl 2(Suppl 2):215S-229S. doi: 10.1111/j.1365-2125.1984.tb02601.x.
4
Enalapril. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in hypertension and congestive heart failure.依那普利。对其药效学和药代动力学特性以及在高血压和充血性心力衰竭中的治疗用途的综述。
Drugs. 1986 Mar;31(3):198-248. doi: 10.2165/00003495-198631030-00002.
5
Comparison of enalapril and propranolol in essential hypertension.
Eur J Clin Pharmacol. 1986;29(5):511-6. doi: 10.1007/BF00635885.
6
Severe hypotension after first dose of enalapril in heart failure.心力衰竭患者首次服用依那普利后出现严重低血压。
Br Med J (Clin Res Ed). 1985 Nov 9;291(6505):1309-12. doi: 10.1136/bmj.291.6505.1309.
7
The effect of enalapril on baroreceptor mediated reflex function in normotensive subjects.依那普利对正常血压受试者压力感受器介导的反射功能的影响。
Br J Clin Pharmacol. 1985 Sep;20(3):211-8. doi: 10.1111/j.1365-2125.1985.tb05063.x.
8
Effective dose range of enalapril in mild to moderate essential hypertension.依那普利治疗轻至中度原发性高血压的有效剂量范围。
Br J Clin Pharmacol. 1985 May;19(5):605-11. doi: 10.1111/j.1365-2125.1985.tb02687.x.
9
Hemodynamic effects of celiprolol at rest and during exercise; a comparison with enalapril.塞利洛尔在静息和运动时的血流动力学效应;与依那普利的比较。
Cardiovasc Drugs Ther. 1988 Jul;2(2):211-8. doi: 10.1007/BF00051236.
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Positive chronotropic activity of angiotensin II in the pithed normotensive rat is primarily due to activation of cardiac beta 1-adrenoceptors.在去大脑的正常血压大鼠中,血管紧张素II的正性变时活性主要归因于心脏β1 -肾上腺素能受体的激活。
Naunyn Schmiedebergs Arch Pharmacol. 1988 Aug;338(2):185-90. doi: 10.1007/BF00174868.