Blood Pressure Variations to be considered in the Treatment of Hypertension : Pathophysiology of Hypertension and its Relation to the Choice of Antihypertensive Treatment
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概要
- 論文の詳細を見る
Diurnal variations of the basal blood pressure in patients with essential hypertension were investigated by the indirect recording method. To estimate the reduction in blood pressure at midnight, disturbance of sleep in the patients should be considered. Relationship between neurohumoral factors and the diurnal blood pressure variations were also evaluated. 1) Variations of the casual blood pressure at the clinic visits may be stabilized beyond 15 minutes of the sitting rest. 2) During the out-patient treatment of essential hypertension with placebo for 6 weeks, 16% of the patients showed reduction in mean arterial pressure of 13 mmHg or more. 3) Significant influence of seasons on blood pressure was not apparent for 6 weeks of the placebo treatment of hypertension. But in patients under the long-term antihypertensive treatment, blood pressure in summer was maintained significantly lower than in winter. 4) Self-monitoring of blood pressure by patients at home is valuable for estimating diurnal changes of blood pressure with the antihypertensive treatment.
- 社団法人日本循環器学会の論文
- 1981-07-20
著者
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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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Takeda Tadanao
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Hirata Yasunobu
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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NISHIYAMA KEISUKE
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Nishiyama Keisuke
Division Of Nephrology The Japanese Red Cross Medical Center
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Nishiyama Keisuke
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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