Studies on the Role of Sympathetic Nervous System in the Mechanism of Essential Hypertension: SYMPOSIUM ON PATHOGENESIS OF ESSENTIAL HYPERTENSION
スポンサーリンク
概要
- 論文の詳細を見る
In order to investigate a role of sympathetic nervous system in the mechanism of blood-pressure elevation in essential hypertension, urinary catecholamines, serum dopamine-beta-hydroxylase (DBH) activity and a pressor response to infused noradrenaline (noradrenaline response) were measured, in the patients with essential hypertension, before and 2 weeks-rest after hospitalization or following salt restriction. In addition, plasma renin activity (PRA) and water-sodium contents were determined and a correlation between these variables and noradrenaline excretion, serum DBH or noradrenaline response was observed. A blood pressure fall after hospitalization was associated with a decrease of urinary noradrenaline and serum DBH, and there was a significantly positive correlation between the changes in blood pressure and those in urinary noradrenaline or in serum DBH. A significantly adverse correlation was found between plasma volume and the amounts of urinary noradrenaline excretion. The changes in noradrenaline response was negatively correlated with those in urinary noradrenaline excretion. In addition, noradrenaline response was correlated positively with plasma volume, extracellular fluid volume and total exchangeable sodium and negatively with PRA. Following salt restriction, a fall of the blood pressure was associated with an elevation of urinary noradrenaline excretion. The patients with more marked blood pressure fall showed a higher increase of urinary noradrenaline, and a significant correlation was found between the changes in these two variables. Noradrenaline response was significantly reduced, although it was not correlated significantly with noradrenaline excretion. In these experiments, adrenaline, unlike noradrenaline, did not show any obvious changes. These findings suggested that an excessive sympathetic nerve activity caused an elevation of blood pressure in the labile type of essential hypertension. It was demonstrated that a sympathetic nervous function was dependent on sodium intake and that there existed a close relationship between noradrenaline response and water-sodium contents or PRA.
- 社団法人日本循環器学会の論文
- 1977-04-20
著者
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical University School Of Medicine
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Shoji Tetsuro
The Second Department of Internal Medicine Sapporo Medical College
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SHOJI TETSURO
The 2nd Department of Internal Medicine, Sapporo Medical College
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MIYAHARA MITSUO
The 2nd Department of Internal Medicine, Sapporo Medical College
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OKADA TAKAO
The 2nd Department of Internal Medicine,Sapporo Medicine College
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Miyahara Mitsuo
The Second Department Of Internal Medicine Sapporo Medical College
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Iimura O
Sapporo Medical Univ.
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Okada Takeo
The 2nd Department Of Internal Medicne Sapporo Medical College
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical College. Sapporo. Japan
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Iimura Osamu
The 2nd Dep.ofint. Med. Saporo Medical College
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Shoji Tetsuro
The 2nd Department Of Internal Medicine Sapporo Medical College
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Miyahara Mitsuo
The 2nd Department Of Internal Medicine Sapporo Medical College
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Mori Masaki
Division Of Gene Therapy Science Osaka University
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Iimura Osamu
The Secone Department Of Internal Medicine Sapporo Medical College
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Miyahara Mitsuo
Second Department Of Internal Medicine Sapporo Medical College
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Okada Takao
The 2nd Department Of Internal Medicine Sapporo Medical College
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SHOJI TETSURO
The Second Department of Internal Medicine, Sapporo Medical College
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