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[高血压患者体力负荷期间血液中肾素 - 血管紧张素系统与激肽释放酶 - 激肽系统的关系]

[Relation between the renin-angiotensin and kallikrein-kinin systems of the blood during physical loading of hypertension patients].

作者信息

Svishchenko E P, Gomazkov O A, Zanozdra N S, Iakovlev A A, Chornoguz L S

出版信息

Kardiologiia. 1984 Mar;24(3):79-83.

PMID:6328097
Abstract

Blood angiotensin-converting enzyme, renin, kallikrein and prekallikrein ratios were investigated in 61 essentially hypertensive patients at rest and during rationed exercise. Biochemical findings were compared with major parameters of systemic hemodynamics measured under the same conditions. Grouping of patients on the basis of renin activity was mirrored in different levels of the angiotensin-converting enzyme and kallikrein: increased renin activity was accompanied by the activation of the said enzymes, and reduced activity, by their suppression. Rationed exercise did not produce noticeable kallikrein-kinin shifts in hypertensive patients, their renin-angiotensin response depending on the baseline. The markedness of hemodynamic change in response to exercise differed in patients with different humoral background.

摘要

对61例原发性高血压患者在静息状态和定量运动期间的血血管紧张素转换酶、肾素、激肽释放酶和前激肽释放酶比值进行了研究。将生化结果与在相同条件下测量的全身血流动力学主要参数进行了比较。根据肾素活性对患者进行分组,在血管紧张素转换酶和激肽释放酶的不同水平上得到了体现:肾素活性增加伴随着上述酶的激活,活性降低则伴随着酶的抑制。定量运动在高血压患者中未产生明显的激肽释放酶-激肽变化,他们的肾素-血管紧张素反应取决于基线水平。不同体液背景的患者对运动的血流动力学变化明显程度不同。

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