起立性調節障害(OD)症状を有する本態性低血圧症の循環調節

概要

論文の詳細を見る
In 18 patients of essential hypotension with orthostatic dysregulation and 6 normal subjects, cardiovascular dynamical analysis was performed non-invasively with Wezler method in supine and active standing position. According to vascular dynamic classification of hypotension, 39% of hypotensive patients had normal type, 33% "Anspannung" type, 6% "Entspannung" type and other 22% socalled "relative Paralytisch" type, by which the authors imply that total peripheral resistance does not increase but remains in the normal range in spite of the decrease of cardiac output. Additionally in almost all cases hypotension, even in normal type and "Anspannung" type, total peripheral resistance was lower than the normal value corresponding to each cardiac output. The authors concluded that decrease of total peripheral resistance caused by inadequate vasoconstriction is of important pathophysiological factor in essential hypotension.
北里大学の論文
1975-06-30