氨氯地平对高血压患者淋巴细胞胞内游离钙、血浆血管紧张素Ⅱ和左室舒张功能的影响

Effects of Amlodipine on lymphocytic Intracellular Free Ca2+, Plasma Angiotensin Ⅱ and Left Ventricular Diastolic Function in Essential Hypertensive Patients

  • 摘要: 测定Ⅰ、Ⅱ期高血压病患者给予氨氯地平治疗四周前后平均动脉压(MAP)、淋巴细胞胞浆游离钙Ca2+i、血管紧张素Ⅱ(AugⅡ)及左室舒张功能指标(E,A,E/A)。结果显示:(1)治疗后MAP、Ca2+i、AugⅡ显著下降(P<0.05);(2)在室舒张功能指标(E,A,E/A)显著改善(P<0.05);(3)治疗后,Ca2+i下降幅度与MAP下降幅度呈正相关(r=0.597,P<0.05);AugⅡ下降幅度与MAP下降幅度亦呈正相关(r=0.454,P<0.05);Ca2+i下降水平与E/A比值升高幅度呈负相关(r=-0.483,P<0.05);AngⅡ下降水平与E/A比值升高幅度亦呈负相关(r=-0.449.P<0.05)。提示:氨氯地平的降压和对受损的左室舒张功能改善机理,除通过纠正细胞钙代谢异常外.还可能与其对AngⅡ活性的抑制有关。

     

    Abstract: Mean BP, lymphocytic intracellular free Ca2+,plasma Angiotensin Ⅱ. and left ventricular diastolic functionwere determined in patients with essential hypertension(stages Ⅰ, Ⅱ) before and after 4 weeks amlodipine treatment.The results showed: (1)MAP, Ca2+i and Ang Ⅱ were significantly reduced after treatment (P<0. 05 ); (2)Ieft ventricular diastolic function (E, A,and E/A ratio) were obviously improved (P< 0. 05 ) ; (3)the decrease in Ca2+i was positivelycorrelated with the decrease in MAP (r= 0. 597, P< 0. 05);the decrease in Ang Ⅱ was also positively correlated with thedecrease in MAP (r= 0. 454, P<0. 05 ); the descrease inCa2+i was negatively correlated with the increase in E/A ratio (r= - 0. 483,P<0. 05) ; the descrease level of Ang Ⅱ wasalso negatively correlated with the increase level of E/A ratio(r= - 0. 449, P<0. 05 ). It is suggested: the mechanisms ofantihypertensive effect and irnprovernent of left ventricular diastolic function by amlodipine,might be associated to inhibitionon Ang Ⅱ activity and normalization of intracellular calciummetabolism.

     

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