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正常血压和临界高血压受试者在标准冷加压试验期间的血浆内皮素-1水平

Plasma endothelin-1 levels in normotensive and borderline hypertensive subjects during a standard cold pressor test.

作者信息

Letizia C, Cerci S, De Ciocchis A, D'Ambrosio C, Scuro L, Scavo D

机构信息

Medical Pathology I, University of Rome La Sapiddenza, Italy.

出版信息

J Hum Hypertens. 1995 Nov;9(11):903-7.

PMID:8583470
Abstract

Endothelin-1 (ET-1) is a potent vasoconstrictor peptide derived from endothelium. The presence of ET-1 in human vascular endothelium and in the plasma suggests that it may play a role in the regulation of vascular tone and blood pressure (BP) in humans. The aim of this study was to evaluate the behaviour of plasma ET-1 in 10 normotensives (average 36.3 +/- 14.8 years) and 10 borderline hypertensives (average 42.0 +/- 11.7 years) before, during and after a standard cold pressor test. We also evaluated the behaviour of heart rate and BP at the same time. Our results demonstrated that the baseline (-10 and 0 min) plasma ET-1 values were identical for the two groups (8.6 +/- 5.8 and 8 +/- 4.7 pg/ml in normotensives; 7.8 +/- 2.7 and 7 +/- 2.4 pg/ml in borderline hypertensives). A statistically significant increment was verified 10 min after exposure to cold in the borderline hypertensive group (12.1 +/- 5.1 pg/ml) compared with the normotensives group (6.8 +/- 4.5 pg/ml; P < 0.05). In conclusion, our study demonstrated that after 10 min of cold pressor stimulus an increase of circulating ET-1 levels was seen in borderline hypertensives.

摘要

内皮素-1(ET-1)是一种源自内皮细胞的强效血管收缩肽。人类血管内皮和血浆中存在ET-1,这表明它可能在调节人类血管张力和血压(BP)中发挥作用。本研究的目的是评估10名血压正常者(平均年龄36.3±14.8岁)和10名临界高血压患者(平均年龄42.0±11.7岁)在标准冷加压试验前、试验期间和试验后的血浆ET-1变化情况。我们同时还评估了心率和血压的变化情况。我们的结果表明,两组的基线(-10分钟和0分钟)血浆ET-1值相同(血压正常者为8.6±5.8和8±4.7 pg/ml;临界高血压患者为7.8±2.7和7±2.4 pg/ml)。与血压正常者组(6.8±4.5 pg/ml)相比,临界高血压组在暴露于寒冷环境10分钟后,血浆ET-1出现统计学上的显著升高(12.1±5.1 pg/ml;P<0.05)。总之,我们的研究表明,在冷加压刺激10分钟后,临界高血压患者的循环ET-1水平升高。

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