Effects of Norepinephrine Infusion on Systemic Hemodynamics and Plasma 6-Keto-Prostaglandin F1α in Normotensive Subjects and Patients with Essential Hypertension : THE 11th CONFERENCE ON THE PATHOGENESIS OF HYPERTENSION
スポンサーリンク
概要
- 論文の詳細を見る
Altered prostacyclin metabolism may underlie essential hypertension. In this study, responses of plasma 6-keto-prostaglandin F_1α (6-keto-PGF_1α: a stable metabolite of prostacyclin) to infused norepinephrine (NE) were compared in 14 normotensive subjects (NT) and 20 untreated patients with essential hypertension (EH). In addition, changes in systemic hemodynamics following NE-infusion were compared with changes in plasma 6-keto-PGF_1α. The subjects were all hospitalized and placed on a diet containing 6-8 g of salt per day. Blood pressure was recorded directly through the brachial artery, cardiac output (CO) was determined with the dye-dilution technique using cuvette and total peripheral vascular resistance (TPR) was calculated before and 60 min after NE-infusion. Arterial plasma 6-keto-PGF_1α was also determined before and after NE-infusion. The rate of NE-infusion was adjusted to elevate mean arterial pressure (MAP) by I 0-15%. Plasma 6-keto-PGF_1α was radio-immunoassayed. Elevation of MAP was 13.0 1.2 (SE) in NTs and 11.7 1 .4% in EHs. After NE-infusion, CO and TPR both significantly increased in NTs, while only CO increased significantly in EHs. Changes in CO and TPR were both significantly different between the two groups (p < 0.01). Initial plasma 6-keto-PGF_1 was reduced in EHs as compared with NTs (1 74 15 vs 295 41 pg/ml, p < 0.02). However, during NE-infusion, the increase in plasma 6-keto-PGF_1 was greater in EHs than in NTs (p < 0.0 l). There was a significant negative correlation between changes in TPR and plasma PG (r = -0.36, p < 0.05). The results indicate that responses of systemic hemodynamics and plasma 6-keto-PGF_1 to infused NE are different in the NT and EH groups, and that the absence of changes in TPR in EHs may be related to a marked increase in circulating prostacyclin. These findings, together with the reduced initial levels of plasma 6-keto-PGF_1 in EHs, probably represent altered prostacyclin metabolism in essential hypertension.
- 社団法人日本循環器学会の論文
- 1982-05-20
著者
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UEHARA Yoshio
University of Tokyo
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Uehara Yoshio
Second Department Of Medicine University Of Tokyo
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MURAO Satoru
The Second Department of Internal Medicine, University of Tokyo and National Cardiovascular Center
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Murao Satoru
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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ISHII MASAO
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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SUGIMOTO TOKUICHIRO
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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ATARASHI KEIICHIRO
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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UEHARA YOSHIO
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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IKEDA TOSHIO
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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HIRATA YASUNOBU
The Second Department of Internal Medicine, University of Tokyo
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TAKEDA TADANAO
The Second Department of Internal Medicine, University of Tokyo
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Sugimoto T
The Second Department Of Internal Medicine
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Sugimoto Tsuneaki
Second Department Of Internal Medicine University Of Tokyo
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Takeda Tadanao
The Second Department Of Internal Medicine University Of Tokyo
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Takeda Tadanao
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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IKEDA TOSHIO
Department of Nephrology, Kantou-Teishin Hospital
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Urabe Yoshitoshi
Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit
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Hirata Yasunobu
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Atarashi Keiichiro
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Atarashi Keiichiro
2nd Dept. Of Int. Med. University Of Tokyo
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Sugimoto Tokuichiro
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Ishii Masao
The Second Department Of Internal Medicine Yokohama City University School Of Medicine
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Ikeda Toshio
Depertment Of Nephrology Kantouteishin Hospital
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Tanaka Shugo
The Second. Departmerit Of Int.ernal Medicine Faclllty Of Medlclne University Of Tokyo
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Takeda Tadanao
2nd Dept. Of Intern. Med. Faculty Of Med. Univ. Of Tokyo
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Ikeda Toshio
University Of Tokyo Second Dept. Of Internal Medicine
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Atarashi K
2nd Dept. Of Int. Med. University Of Tokyo
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Murao Satoru
The Second Department Of Internal Medicine Faculty Of Eledicine University Of Tokyo
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Uehara Yoshio
The Second Department Of Medicine University Of Tokyo
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MURAO SATORU
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Murao Satoru
The Scond Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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