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Factors Determining Direct Arterial Pressure and Its Variability in Hypertensive Man

 

作者: ROBERT WATSON,   TERENCE STALLARD,   ROGER FLINN,   WILLIAM LITTLER,  

 

期刊: Hypertension  (OVID Available online 1980)
卷期: Volume 2, issue 3  

页码: 333-341

 

ISSN:0194-911X

 

年代: 1980

 

出版商: OVID

 

关键词: angiotensin II;pressoreceptors;renin;blood pressure;eplnephrine;norepinephrine

 

数据来源: OVID

 

摘要:

SUMMARY Infra-arterial pressure was recorded continuously in 26 patients with uncomplicated essential hypertension under standardized conditions. Recordings were analyzed beat by beat to obtain mean pressures and variability, expressed as tbe standard deflation of the frequency histogram. The major factors influencing variability were tbe level of pressure and tbe Intensity of physical activity; systolic variability increased with progressive impairment of sino-aortic baroreflexes. Diastollc pressure increased with the level of sympathetic activity as reflected by plasma noreplnephrine levels. After allowance for the decrease of plasma renin activity (PRA) with age, direct relationships were observed between PRA (log values) and the level of pressure and systolic variability; plasma angiotensin II values did not correlate. Systolic variability increased with the systolic response to cold but was unrelated to the response to dynamic or isometric exercise. Variability also tended to increase with obesity and was unrelated to age, sex, or race.

 

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