氯沙坦对原发性高血压患者心率变异性的影响

Effects of Losartan on Heart Rate Variability of Hypertension Patients

  • 摘要: 目的 研究血管紧张素Ⅱ受体拮抗剂氯沙坦 (Losartan)对原发性高血压患者心率变异性 (HeartRateVariabilityHRV)的影响。方法  2 9例原发性轻中度高血压患者服安慰剂 2周后 ,服氯沙坦 (5 0~ 10 0 )mg/日 ,8周。服药前后行2 4小时动态心电图检查各一次 ,分析心率时域和频域指标。结果 氯沙坦使时域指标SDNN下降 ;rMSSD、PNN5 0和频域指标HF增加 ;LF、VLF、LF/HF下降。与治疗前比较HF有显著性差异。结论 氯沙坦对原发性高血压患者降压的同时 ,对心率变异性产生有益的作用。

     

    Abstract: Objective\ To study the effects of AngⅡ receptor antagonist losartan on HRV in essential hypertension patients. Methods\ After 2 w washout period,29 patients with essential mild to moderate hypertension received once daily losartan 50 mg~100 mg for 8 w. The 24 h ambulatory ECG were performed before and after 8 weeks treatment. Spectum of heart rate variability was analysed. Results\ After Losartan treatment ,SDNN were decreased,while rMSSD and PNN50 increased. In associaion with the increases in HF,the LF,VLF and LF/HF were decreased. There were significant differences before and after active treatment. Conclusion\ Losartan not only decreases blood pressure but also shows beneficial effect on HRV.

     

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