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人类原发性高血压:动物研究的启示

Human essential hypertension: implications of animal studies.

作者信息

Tobian L

出版信息

Ann Intern Med. 1983 May;98(5 Pt 2):729-34. doi: 10.7326/0003-4819-98-5-729.

DOI:10.7326/0003-4819-98-5-729
PMID:6847012
Abstract

Hypertension has been linked to dietary sodium intake in humans. It is possible that 9% to 20% of the population may be genetically susceptible to developing essential hypertension by middle life. The remainder of the population may be genetically resistant to developing essential hypertension. A person genetically resistant to hypertension can ingest as much as 200 meq/d of salt without developing elevated blood pressure. However, in persons genetically susceptible to hypertension, a lifelong restriction of salt intake of less than 60 meq/d in adults may prevent hypertension indefinitely, and subsequent hypertensive complications. The same restriction of salt enhances the effect of most antihypertensive drugs and is the only treatment necessary in some persons with mild or moderate hypertension, especially the elderly.

摘要

高血压与人类的饮食钠摄入量有关。可能有9%至20%的人群在中年时可能因基因易感性而患原发性高血压。其余人群可能对原发性高血压具有基因抗性。对高血压具有基因抗性的人每天可摄入多达200毫当量的盐而不会出现血压升高。然而,对于基因易患高血压的人来说,成年人终身限制盐摄入量低于60毫当量/天可能会无限期预防高血压及随后的高血压并发症。同样的盐限制可增强大多数抗高血压药物的效果,并且是一些轻度或中度高血压患者(尤其是老年人)唯一必要的治疗方法。

相似文献

1
Human essential hypertension: implications of animal studies.人类原发性高血压:动物研究的启示
Ann Intern Med. 1983 May;98(5 Pt 2):729-34. doi: 10.7326/0003-4819-98-5-729.
2
Dietary sodium and essential hypertension: some myths, hopes, and truths.膳食钠与原发性高血压:一些误区、期望与真相。
Ann Intern Med. 1983 May;98(5 Pt 2):735-43. doi: 10.7326/0003-4819-98-5-735.
3
Sodium and hypertension. A review.钠与高血压。综述。
Arch Intern Med. 1986 Jan;146(1):179-85.
4
Chronology of the sodium hypothesis and hypertension.钠假说与高血压的时间线。
Ann Intern Med. 1983 May;98(5 Pt 2):720-3. doi: 10.7326/0003-4819-98-5-720.
5
Impact of Salt Intake on the Pathogenesis and Treatment of Hypertension.盐摄入对高血压发病机制及治疗的影响
Adv Exp Med Biol. 2017;956:61-84. doi: 10.1007/5584_2016_147.
6
Sodium is more important than calcium in essential hypertension.在原发性高血压中,钠比钙更重要。
Hypertension. 1985 Jul-Aug;7(4):628-40. doi: 10.1161/01.hyp.7.4.628.
7
[Sodium and hypertension].[钠与高血压]
Arch Mal Coeur Vaiss. 1996 Sep;89 Spec No 4:9-15.
8
High sodium-low potassium environment and hypertension.高钠低钾环境与高血压
Am J Cardiol. 1976 Nov 23;38(6):768-85. doi: 10.1016/0002-9149(76)90356-8.
9
Sodium intake and hypertension: a cause for concern.钠摄入与高血压:一个值得关注的问题。
Ann Intern Med. 1983 May;98(5 Pt 2):724-8. doi: 10.7326/0003-4819-98-5-724.
10
Dietary salt intake, blood pressure and the kidney in hypertensive patients with non-insulin dependent diabetes mellitus.非胰岛素依赖型糖尿病高血压患者的膳食盐摄入量、血压与肾脏
J Nephrol. 1998 Nov-Dec;11(6):289-95.

引用本文的文献

1
Wild garlic has a greater effect than regular garlic on blood pressure and blood chemistries of rats.
Int Urol Nephrol. 2001;32(4):525-30. doi: 10.1023/a:1014417526290.
2
Blood pressure development of the spontaneously hypertensive rat after concurrent manipulations of dietary Ca2+ and Na+. Relation to intestinal Ca2+ fluxes.同时改变饮食中钙和钠含量后自发性高血压大鼠的血压变化。与肠道钙通量的关系。
J Clin Invest. 1985 Sep;76(3):1147-54. doi: 10.1172/JCI112070.
3
Hyperinsulinemia. A link between hypertension obesity and glucose intolerance.高胰岛素血症。高血压、肥胖与葡萄糖耐量异常之间的联系。
J Clin Invest. 1985 Mar;75(3):809-17. doi: 10.1172/JCI111776.
4
Sodium and hypertension. Still a controversy in 1986.
Drugs. 1986;31 Suppl 4:29-39. doi: 10.2165/00003495-198600314-00005.