Effects of Various Stimuli on Plasma Dopamine β-Hydroxylase Activity in Essential Hypertension with Respect to Aging and Hypertension Severity Index

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• Effects of various stimuli on plasma dopamine β-hydroxylase (DBH) activity were studied in the patients with essential hypertension in relation to the age and the hypertension severity. Twenty minutesstanding, treadmill exercise, low sodium diet for 3 days and 2 hoursstanding were used as the sympathetic stimuli.The increase in plasma DBH activity by 20 minutesstanding and by treadmill exercise was small, and no significant difference was found in relation to the age and the hypertension severity index.While, by low sodium diet for 3 days, the increase in plasma DBH activity was significantly higher in the hypertensives aged 20-39 than in those aged 40-59 (p<0.01) and above 60 (p<0.05).The increase in plasma DBH activity by the stimulus was also significantly higher in the mild hypertensives than in the moderate (p<0.05) and the severe hypertensives (p<0.01).By low sodium diet and 2 hoursstanding, the increase in plasma DBH activity was significantly higher in the hypertensives aged 20-39 than in those aged 40-59 (p<0.05). The increase in plasma DBH activity by the stimuli was also significantly higher in the mild hypertensives than in the moderate hypertensives (p<0.01). The increase in plasma DBH activity in the high renin group was significantly higher than that in the low renin hypertensives (p<0.05), though there was no significant difference in the basal plasma DBH activity. The increase in plasma DBH activity in the hypertensives with a fall of mean blood pressure of more than 10mm Hg by low sodium diet for 3 days was significantly higher than in those without significant blood pressure fall (p<0.05).Plasma DBH activity was more markedly increased by treadmill exercise in the hypertensives with positive ECG responses than in the normotensives with negative ECG responses to exercise (p<0.05).Significant correlation was found between plasma DBH activity and serum catecholamine in the mild and the moderate hypertensives (p<0.05).These results suggest that the sympathetic nerve activity might play a role in the pathogenesis of hypertension in the early stage of essential hypertension and measurement of the responses of plasma DBH activity to low sodium diet for 3 days is one of the valuable indicators of the sympathetic nerve activity in the hypertensive patients.

著者

• Nishio Ichiro

  Division Of Cardiology Department Of Internal Medicine Wakayama Medical College

• MIYAMOTO YASUMASA

  Division of Cardiology, Department of Medicine, Wakayama Medical College

• Tamaki Toshiaki

  Division Of Cardiology Department Of Medicine Wakayama Medical College

• Miyamoto Yasumasa

  Division Of Cardiology Department Of Medicine Wakayama Medical College

• Kuchii Masato

  Division Of Cardiology Department Of Medicine Wakayama Medical College

• ISEKI Fumiko

  Division of Cardiology,Department of Medicine,Wakayama Medical College

• Masuyama Yoshiaki

  Division Of Cardiology Department Of Medicine Wakayama Medical College

• Tamaki Toshiaki

  Division of Cardiology, Department of Medicine, Wakayama Medical College

• ISEKI Fumiko

  Division of Cardiology, Department of Medicine, Wakayama Medical College

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