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Tilt Test in Essential Hypertension Differential Responses in Heart Rate and Vascular Resistance

 

作者: GÉRARD,   LONDON YVES,   WEISS BRUNO,   PANNIER STÉPHANE,   LAURENT MICHEL,  

 

期刊: Hypertension  (OVID Available online 1987)
卷期: Volume 10, issue 1  

页码: 29-34

 

ISSN:0194-911X

 

年代: 1987

 

出版商: OVID

 

关键词: essential hypertension;baroreceptor reflex mechanisms;orthostasis

 

数据来源: OVID

 

摘要:

Changes in hemodynamic parameters following 50-degree head-up tilt were studied in a population of 56 men, including 35 subjects with sustained essential hypertension and 21 age-matched normotensive controls. The increase in heart rate following tilt was similar in both groups and exhibited the same reduction in response with age. The increase in vascular resistance following tilt was strongly and positively correlated with both age and baseline vascular resistance. The latter finding was observed mainly in hypertensive subjects. The study provided evidence that differentiated responses of heart rate and vascular resistance may be observed following orthostasis. In both normal and hypertensive subjects, the age dependence of heart rate response possibly reflected differences in baroreceptor reflex control of parasympathetic and sympathetic activity. In hypertensive subjects, the vascular response was amplified with age and baseline vascular resistance, suggesting a role for structural changes of the vessels in the increased vascular response.

 

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