Kucherenko A G, Bankova V V, Nadezhdina E A, Markov Kh M
Kardiologiia. 1983 Apr;23(4):66-70.
A study of adrenal mineral corticoid function in adolescents with primary arterial hypertension, stage Ib, revealed hyperaldosteronism in more than half of the patients (57%). Treatment with beta-blocking agents (anaprilin and obsidan) was only effective (producing a drop in arterial pressure) in patients with initial high plasma aldosterone levels. beta-blocking agents administered to patients with normal blood aldosterone content did not result in arterial pressure change (failure of treatment). The results obtained suggest that the effect of beta-blocking agents on adrenal mineral corticoid activity in adolescent patients with primary arterial hypertension depends on its baseline level; they are also indicative of a dependence of the hypotensive effect of beta-adrenoreceptor blockers on the state of mineral corticoid function.
一项针对Ib期原发性动脉高血压青少年的肾上腺盐皮质激素功能研究显示,超过半数(57%)的患者存在醛固酮增多症。β受体阻滞剂(心得安和氧烯洛尔)治疗仅对初始血浆醛固酮水平较高的患者有效(可使动脉血压下降)。给予醛固酮含量正常的患者β受体阻滞剂并未导致动脉血压变化(治疗失败)。所获结果表明,β受体阻滞剂对原发性动脉高血压青少年患者肾上腺盐皮质激素活性的影响取决于其基线水平;这也表明β肾上腺素能受体阻滞剂的降压作用取决于盐皮质激素功能状态。