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.