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在高肾素性高血压中,杜普明(DuP 753)在压力感受器功能方面比卡托普利更有效。

DuP 753 is more effective than captopril on baroreceptor function in high-renin hypertension.

作者信息

Moreira E D, Ida F, Pires M D, Krieger E M

机构信息

Hypertension Unit, Faculty of Medicine, University of São Paulo, Brazil.

出版信息

Hypertension. 1994 Jan;23(1 Suppl):I64-7. doi: 10.1161/01.hyp.23.1_suppl.i64.

Abstract

High-renin hypertensive rats exhibit a general impairment of the baroreceptor reflexes. In the present study we compared the effect of the angiotensin converting enzyme inhibitor captopril (10 mg/kg per day) with the effect of the selective angiotensin subtype 1 receptor blocker DuP 753 (10 mg/kg per day) on the baroreceptor reflex bradycardia (progressive doses of phenylephrine) and baroreceptor reflex tachycardia (progressive doses of nitroprusside) in conscious rats 7 days after aortic ligation. Arterial pressure was markedly reduced after both acute (15-minute) treatment with captopril (123 +/- 6 versus 184 +/- 23 mm Hg) and DuP 753 (140 +/- 10.5 versus 181 +/- 5.4 mm Hg), but the depressed baroreceptor reflex bradycardia increased only after DuP 753 (1.13 +/- 0.22 versus 0.75 +/- 0.60 beats per minute [bpm]/mm Hg) and remained attenuated after captopril (0.54 +/- 0.086 versus 0.30 +/- 0.07 bpm/mm Hg). After a 2-day treatment, captopril reduced arterial pressure (95 +/- 5 versus 184 +/- 2.3 mm Hg) to lower levels than DuP 753 (119 +/- 6 versus 172 +/- 4.6 mm Hg), whereas the depressed baroreceptor reflex bradycardia remained unchanged with captopril (0.46 +/- 0.13 versus 0.31 +/- 0.076 bpm/mm Hg) and increased with DuP 753 (1.13 +/- 0.19 versus 0.38 +/- 0.12 bpm/mm Hg). Neither DuP 753 nor captopril administered acutely (15 minutes) or for 2 days significantly altered the depressed baroreceptor reflex tachycardia.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

高肾素性高血压大鼠表现出压力感受器反射的普遍受损。在本研究中,我们比较了血管紧张素转换酶抑制剂卡托普利(每天10毫克/千克)与选择性血管紧张素1亚型受体阻滞剂杜普753(每天10毫克/千克)对主动脉结扎7天后清醒大鼠压力感受器反射性心动过缓(去氧肾上腺素递增剂量)和压力感受器反射性心动过速(硝普钠递增剂量)的影响。急性(15分钟)给予卡托普利(123±6对比184±23毫米汞柱)和杜普753(140±10.5对比181±5.4毫米汞柱)后,动脉压均显著降低,但仅在给予杜普753后,受抑制的压力感受器反射性心动过缓有所增加(1.13±0.22对比0.75±0.60次/分钟[bpm]/毫米汞柱),而给予卡托普利后仍减弱(0.54±0.086对比0.30±0.07 bpm/毫米汞柱)。经过2天治疗,卡托普利将动脉压(95±5对比184±2.3毫米汞柱)降至比杜普753(119±6对比172±4.6毫米汞柱)更低的水平,而给予卡托普利后,受抑制的压力感受器反射性心动过缓保持不变(0.46±0.13对比0.31±0.076 bpm/毫米汞柱),给予杜普753后则增加(1.13±0.19对比0.38±0.12 bpm/毫米汞柱)。急性(15分钟)或连续2天给予杜普753或卡托普利均未显著改变受抑制的压力感受器反射性心动过速。(摘要截断于250字)

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