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肾血管舒张系统是否介导原发性高血压的种族差异?

Does a renal vasodilator system mediate racial differences in essential hypertension?

作者信息

Warren S E, O'Connor D T

出版信息

Am J Med. 1980 Sep;69(3):425-9. doi: 10.1016/0002-9343(80)90015-7.

DOI:10.1016/0002-9343(80)90015-7
PMID:6903083
Abstract

Clinical and epidemiologic data support the contention that black people have a higher incidence and severity of essential hypertension than white people, a phenomenon which is likely due to genetic factors. Physiologic profiles in such patients reveal a striking prevalence of low renin, volume-expanded hypertension, with an exaggerated propensity to sodium retention. A deficiency in the natriuretic, vasodilatory renal kallikrein-kinin system may explain these phenomena and may be of practical importance in the selection of therapy.

摘要

临床和流行病学数据支持这样一种观点,即黑人原发性高血压的发病率和严重程度高于白人,这种现象可能是由遗传因素导致的。这类患者的生理特征显示,低肾素、容量扩张型高血压极为普遍,且钠潴留倾向明显增强。利钠、血管舒张性肾激肽 - 激肽系统的缺陷可能解释了这些现象,并且在治疗方案的选择上可能具有实际重要性。

相似文献

1
Does a renal vasodilator system mediate racial differences in essential hypertension?肾血管舒张系统是否介导原发性高血压的种族差异?
Am J Med. 1980 Sep;69(3):425-9. doi: 10.1016/0002-9343(80)90015-7.
2
Urinary kallikrein and plasma renin activity as determinants of renal blood flow. The influence of race and dietary sodium intake.尿激肽释放酶和血浆肾素活性作为肾血流量的决定因素。种族和饮食钠摄入量的影响。
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Urinary kallikrein excretion in essential and mineralocorticoid hypertension.原发性高血压和盐皮质激素性高血压患者的尿激肽释放酶排泄情况。
J Clin Invest. 1980 Feb;65(2):347-56. doi: 10.1172/JCI109678.
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The role of the renal kallikrein-kinin system in sodium metabolism in normal and low renin essential hypertension.肾激肽释放酶-激肽系统在正常及低肾素型原发性高血压钠代谢中的作用
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The pathophysiological role of renal dopamine, kallikrein kinin and prostaglandin systems in essential hypertension.肾多巴胺、激肽释放酶-激肽和前列腺素系统在原发性高血压中的病理生理作用。
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The relative importance of genetic and environmental factors in hypertension in black subjects.遗传和环境因素在黑人高血压患者中各自的相对重要性。
Clin Exp Hypertens (1978). 1981;3(4):597-621. doi: 10.3109/10641968109033687.
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Renal kallikrein-kinin system and prostaglandin in hypertension: their relation to renin-angiotensin-aldosterone system.高血压中的肾激肽释放酶-激肽系统和前列腺素:它们与肾素-血管紧张素-醛固酮系统的关系。
Adv Exp Med Biol. 1979;120B:487-501.
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The kallikrein-kinin system in essential hypertension.原发性高血压中的激肽释放酶-激肽系统。
Clin Exp Hypertens (1978). 1980;2(3-4):675-91. doi: 10.3109/10641968009037136.
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[Kallikrein-kinin system of the kidneys in hypertension under different conditions of examination].[不同检查条件下高血压患者肾脏的激肽释放酶-激肽系统]
Kardiologiia. 1977 Oct;17(10):46-50.

引用本文的文献

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J Natl Med Assoc. 2002 Aug;94(8 Suppl):16S-27S.
2
Propranolol versus labetalol: interesting differences in efficacy.普萘洛尔与拉贝洛尔:疗效上的有趣差异。
J Natl Med Assoc. 1985 May;77 Suppl(Suppl):14-23.
3
Variation in hypertension prevalence in elderly blacks in the United States: the effect of mortality trends.美国老年黑人高血压患病率的变化:死亡率趋势的影响。
J Natl Med Assoc. 1989 Feb;81(2):143-52.
4
Essential hypertension in blacks: epidemiology, characteristics, and possible roles of racial differences in sodium, potassium, and calcium regulation.黑人原发性高血压:钠、钾和钙调节中种族差异的流行病学、特征及可能作用
Cardiovasc Drugs Ther. 1990 Mar;4 Suppl 2:335-42. doi: 10.1007/BF02603173.
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The efficacy of beta-adrenoceptor and calcium-entry blockers in hypertensive blacks.β-肾上腺素能受体阻滞剂和钙通道阻滞剂在黑人高血压患者中的疗效。
Cardiovasc Drugs Ther. 1990 Mar;4 Suppl 2:389-94. doi: 10.1007/BF02603182.
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Lisinopril versus atenolol: decrease in systolic versus diastolic blood pressure with converting enzyme inhibition.赖诺普利与阿替洛尔对比:通过转换酶抑制降低收缩压与舒张压的效果
Cardiovasc Drugs Ther. 1991 Aug;5(4):775-81. doi: 10.1007/BF03029754.