• 제목/요약/키워드: Blood Pressure, Normal

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소아 비만아에서 ambulatory blood pressure monitoring의 유용성 (The utility of ambulatory blood pressure monitoring in obese children)

  • 김명진;송진영
    • Clinical and Experimental Pediatrics
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    • 제51권6호
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    • pp.604-609
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    • 2008
  • 목 적 : 비만은 고혈압의 위험 인자로서 소아 청소년기의 비만이 성인기의 비만으로 발전하기 때문에 결국 소아 청소년기의 비만으로 심혈관계 등 여러 문제가 유발된다고 볼 수 있다. 따라서 소아 청소년기 비만증에서 정확한 혈압의 측정은 매우 중요하겠다. 본 연구에서는 소아 청소년 비만 환자들을 대상으로 수시 혈압 측정으로 선별 검사한 후 이들의 24시간 혈압을 측정함으로 ABPM의 유용성과 의미에 대해 고찰해보고자 하였다. 방 법 : 2006년 2월 1일부터 2007년 12월 1일까지 한동대학교 선린병원의 소아 청소년과를 방문하여 ABPM을 시행한 모든 환자들을 대상으로 하였다. 자료의 분석은 수축기, 이완기 혈압측정을 수면 혈압과 이를 제외한 각성 혈압으로 나누어 분석하였고 야간 혈압 강하(night dip)를 평가하였다. 환자는 정상군(1군)과 체질량계수만 95 백분위수가 넘는 비만군(2군) 그리고 비만이면서 외래혈압이 120/80 mmHg이상인 비만 위험혈압군(3군)으로 구분하였다. 결 과 : ABPM을 시행한 환자는 모두 49명이었고 비만군이 18명이었고 비만 위험혈압군이 12명이었다. 정상군은 19명이었다. 각 군의 수축기 평균혈압을 비교하였을 때 모든 군에서 통계학적으로 의미 있는 차이를 나타내었고(1군, $105.1{\pm}4.7$; 2군, $111.0{\pm}7.1$; 3군, $117.8{\pm}6.6mmHg$), 이완기 평균 혈압의 경우 1군과 3군에서만 통계학적으로 의미 있는 차이를 나타내었다($69.1{\pm}5.3$, $77.9{\pm}6.3mmHg$). 각성 혈압을 비교한 결과도 1군과 3군간에만 통계적으로 유의한 차이가 있었다. 수면혈압인 경우 수축기 혈압은 3군이 1, 2군에 비해 통계적으로 유의하게 높았으나, 이완기 혈압은 다른 경우와 마찬가지로 1군과 3군간에만 유의한 차이가 있었다. 본 연구에서 각 군간에 야간 혈압 강하를 조사해보니 통계적으로 의미 있는 차이를 보이지 않았다. 결 론 : 본 연구에서 ABPM을 시행한 결과 비만 위험혈압군에서 통계적으로 유의하게 혈압이 높았다. 소아 청소년에서, 특히 향후 심혈관 질환 및 여러 질환의 위험인자로 알려진 비만아에서 ABPM의 적극적인 활용이 필요로 하겠다.

오줌 유래 Trypsin 억제제가 출혈성쇼크에 미치는 영향 (The Effects of Urinary Trypsin Inhibitor on Hemorrhagic Shock)

  • 권오경;김종민;이희천;정언승;양한석;변종환;송동호;조명행
    • Biomolecules & Therapeutics
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    • 제5권3호
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    • pp.223-227
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    • 1997
  • The protective effect of human urinary trypsin inhibitor(UTI) on acute hemorrhagic shock in beagle dog was studied. Hemorrhagic shock was experimentally induced in thoracotomized beagle dogs by removing blood and maintaining low arterial blood pressure for 30 min, and then blood removed was entirely transfused back into the dogs within one hour. When the blood was transfused, UTI was administered together to check the potential protective effect of UTI on hemorrhagic shock. The arterial blood pressure recovery was accelerated slightly by UTI treatment. Blood pH and $P_{a co2}$ returned to normal level in shorter time in the UTI treatment group. These data suggest that UTI may have protective effects on experimentally induced hemorrhagic shock.

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노궁(勞宮)($PC_8$) 직자(直刺)가 백서(白鼠)의 뇌혈류력학(腦血流力學)에 미치는 영향 (The Effects of Perpendicular Needling Laogong ($PC_8$) on the Improvement of Cerebral Hemodynamics in Rats)

  • 허진;김정호;김영일
    • Journal of Acupuncture Research
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    • 제28권4호
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    • pp.19-35
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    • 2011
  • Objectives : This study was designed to investigate the effects of acupuncturing $PC_8$ used perpendicular needling method determine the mechanism of action of acupuncturing $PC_8$ by measuring the changes of regional cerebral blood flow (rCBF) and mean arterial blood pressure (MABP) in normal rats. Methods : This study also investigated the effects of acupuncturing $PC_8$ on the change of rCBF in cerebral ischemic rats, and revealed the mechanism of its action. In addition, the effects of acupuncturing $PC_8$ on focal ischemic brain injury was studied in cerebral ischemic rats. Results : 1. Acupuncturing $PC_8$ significantly increase rCBF but decreased MABP in normal rats. 2. Acupuncturing $PC_8$ increased of rCBF was significantly inhibited by pretreatment with indomethacin (1mg/kg, i.p.), an inhibitor of cyclooxygenase in normal rats. 3. Acupuncturing $PC_8$ increased of rCBF was significantly inhibited by pretreatment methylene blue (10 ${\mu}g$/kg, i.p.), an inhibitor of guanylate cyclase in normal rats. 4. Acupuncturing $PC_8$ was significantly improved the rCBF than control group increased unstable in cerebral ischemic rats. 5. Acupuncturing $PC_8$ was not significantly improved the rCBF than control group by pretreatment with indomethacin (1mg/kg, i.p.), an inhibitor of cyclooxygenase in cerebral ischemic rats. 6. Acupuncturing $PC_8$ was significantly increased the rCBF than control group by pretreatment methylene blue ($10{\mu}g$/kg, i.p.), an inhibitor of guanylate cyclase in cerebral ischemic rats. Conclusions : In conclusion, our study suggested that acupuncturing $PC_8$ can increase rCBF in normal state, and improve stability of rCBF in ischemic state. In addition, we suggested that mechanisms related with acupuncturing $PC_8$ was involved in the guanylate cyclase pathway.

채식주의 고 3 남학생들에 있어서 스트레스와 Na 및 K 섭취 수준이 혈압 , 뇨 중 Na 과 K 의 배설량에 미치는 영향 (Effects of stress , Na and K intake level on the blood pressure and urinary excretion of Na , K in the third grade lacto - ovo vegetarian male high school students)

  • 김진선;조혜경;승정자
    • 대한영양사협회학술지
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    • 제3권2호
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    • pp.159-168
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    • 1997
  • This study was conducted to examine the effects of Na, K intake and stress level on the blood pressure and urinary excretion of Na, K in the third grade lacto-ovo vegetable male high school students. Twenty-one lacto-ovo vegetarian male high school students were selected, and their physical state, stress level, dietary intake and urinary excretion of Na, K were measured followed by examining the relationship among these factors and blood pressure. The results of the study can be summarized as follows : 1. The average age of the subjects was 17.7 years, and the average score of BMI was 20.4. The average score of Rohrer and blood pressure were 119.1, 112.3/7.5mmHg, each. All of these were in a normal range. Daily calorie intake was 2676.8kcal and Na, K intakes were 152.76mEq, respectively. 2. 71.4% of subjects were susceptible to the disease associated with stress, although there was no significant difference among the salt level, stress and blood pressure. 3. There was significant difference between dietary Na intake ratio, urinary Na excretion and urinary K excretion rate (p<0.001). 4. There was significant difference between systolic blood pressure and BMI/Rohrer score(p<0.01).

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Effects of vasopressin administration in the oral cavity on cardiac function and hemodynamics in rats

  • Fukami, Hayato;Sunada, Katsuhisa
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권1호
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    • pp.11-18
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    • 2022
  • Background: The vasoconstrictive effect of epinephrine in local anesthetics affects the heart, which leads to hesitation among dentists in injecting local anesthetics into patients with cardiovascular disease. Due to its vasoconstrictive effects, the present study investigated the effects of vasopressin administration on cardiac function in rats. Methods: Experiment 1 aimed to determine the vasopressin concentration that could affect cardiac function. An arterial catheter was inserted into the male Wistar rats. Next, 0.03, 0.3, and 3.0 U/mL arginine vasopressin (AVP) (0.03V, 0.3V, and 3.0V) was injected into the tongue, and the blood pressure was measured. The control group received normal saline only. In Experiment 2, following anesthesia infiltration, a pressure-volume catheter was placed in the left ventricle. Baseline values of end-systolic elastance, end-diastolic volume, end-systolic pressure, stroke work, stroke volume, and end-systolic elastance were recorded. Next, normal saline and 3.0V AVP were injected into the tongue to measure their effect on hemodynamic and cardiac function. Results: After 3.0V administration, systolic blood pressures at 10 and 15 min were higher than those of the control group; they increased at 10 min compared with those at baseline. The diastolic blood pressures at 5-15 min were higher than those of the control group; they increased at 5 and 10 min compared with those at baseline. The preload decreased at 5 and 10 min compared to that at baseline. However, the afterload increased from 5 to 15 min compared with that of the control group; it increased at 10 min compared with that at baseline. Stroke volume decreased at 10 and 15 min compared with that of the control group; it decreased from 5 to 15 min compared with that at baseline. Stroke work decreased from 5 to 15 min compared with that of the control group; it decreased from 5 to 15 min compared with that at baseline. Conclusion: Our results showed that 3.0 U/mL concentration of vasopressin resulted in increased blood pressure, decreased stroke volume and stoke work, decreased preload and increased afterload, without any effect on myocardial contractility.

경기 일부 지역 중년기 농촌주민의 고혈압에 따른 건강상태와 식생활관련 건강행동의 비교 (The Comparison of Health Status and Dietary Health Practice with or without Hypertension of Middle-aged Rural Adults in Kyunggi Province)

  • 이승교;박양자
    • 한국농촌생활과학회지
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    • 제8권2호
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    • pp.131-143
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    • 1997
  • The purpose of this study was to compare health status and diery health practice of middle-aged rural adults with or without hypertension. Eighty three subjects (mean age : 55.6$\pm$11.9), were composed of 22 males and 61 females. Data collection includes serum and urine collections for health status and the questionnaire including dietary habit of salt, sugar, dietary fiber and fat intake for dietary health practice The results were as follows : The subjects were composed 23 persons of under 55 year-old group and 19 persons of over 65 year-old group. Of the 83 subjects, 28.9% were recognized hypertension and 33.7% were measured hypertension by systolic blood pressure. In the aspects of dietary health practice, hypertension group showed that smoking and weight control practice and were significantly low score, alcohol and dietary fiber intake were high score. Hypertension group showed higher frequency in diabetes mellitus and lower in gastrointestinal complain and liver disease. than normal blood pressure group. Serum, TG, bilirubin, BUN and cholesterol, were significantly higher in hypertension than normal blood pressure group. The mean values of serum albumin and urinary creatinine excretion in hypertension group werw significantly lower. The consciousness of health status was lower in hypertension group and also attributed to worse personal feeling health by modified CMI test.

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Dietary Risk Factors for Hypertension among Korean Adult Men

  • Park, Jin-Young;Shim, Jae-Eun;Paik, Hee-Young
    • Journal of Community Nutrition
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    • 제8권4호
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    • pp.193-199
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    • 2006
  • There have been many studies indicating increased salt intake is related to elevated blood pressure (BP). Hypertension and pre-hypertension are prevalent in Korea. A national survey showed that the Korean average daily salt consumption was 12.5g, which is more than twice the current recommendation in the UK or USA. This study was performed to understand which aspects of the Korean diet contributed to high salt intake and elevated BP in Korea. The subjects consisted of 1,110 Korean adult men aged 30 to 49 years who were selected from the data of 2001 Korean National Health and Nutrition Survey, a nationwide cross sectional survey. The relationship of BP with sodium and high sodium food intakes were analyzed. After categorizing subjects according to their BP, the socio-demographic information and food and nutrients intakes were analyzed. BP increased with a larger amounts of sodium intake and the trend was significant with diastolic BP. However, the trends of BP for sodium densities of the diet were not. People with hypertension significantly tended to be older, larger, and less educated than people with normal BP. And they consumed more foods from the fats, oils & sweets group and larger amounts of discretionary sodium than normal people. The current report advocates that public health intervention, which improves the awareness of the role of salt on elevated blood pressure for the public, should be implemented in Korea.

고혈압 환자의 탈수 여부에 따른 혈압과 혈청 무기질과의 관련성 (Correlation between Blood Pressure and Serum Mineral Concentrations in Hypertension Patients with Dehydration)

  • 윤미정;윤미은;김미리
    • 동아시아식생활학회지
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    • 제27권4호
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    • pp.477-490
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    • 2017
  • The objective of this study was to analyze the relationship between blood pressure and serum mineral concentration in hypertension patients subjected to dehydration. The data were collected and analyzed for 7,109 patients who visited a hospital for their health checkup from 2011 till 2015. Respondents were classified into four groups depending upon their state of hypertension and dehydration: control group (no hypertension and no dehydrated), dehydrated group, hypertension group, and dehydrated with hypertension group. Hypertension group was found to have higher levels of serum sodium, calcium, and uric acid than the normal group, whereas the dehydrated group was found to have higher levels of serum sodium and potassium than the normal group. In effect, no significant correlation was directly observed between the hypertension group and dehydration group. However, there were significant negative correlations between dehydration of the old-aged group and their serum mineral concentrations, which are reportedly related to hypertension. Thus, dehydration prevention measures in the elderly over 65 could mitigate hypertension problems.

쑥 수용성 추출물의 심혈관 및 혈압에 대한 활성연구 (Biological Activity of the Soluble Extracts from Artemisia princeps var orientalis Acted on Cardiovascula System)

  • 임상선
    • Journal of Nutrition and Health
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    • 제30권6호
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    • pp.634-648
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    • 1997
  • To examine the effect of Artemisia princeps var orientalis on cardiovascular system, cadiovascular response from its water extracts were studied in the atria and aortae of normal rats. The extracts diminished spontaneous beat and contractile force in the left and right atria, and caused the relaxation of thoraic aortae. As for the blood pressure, the mugwort extract had a descending effect.

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성인 남자의 혈청지질 유형 별 일반환경 및 식이요인 비교분석 (A Comparative Analysis on the Environmental and Dietary Factors in Korean Adult Males Classified by Serum Lipid Profiles)

  • 박미경;이현옥
    • Journal of Nutrition and Health
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    • 제36권1호
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    • pp.64-74
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    • 2003
  • The purpose of this study was to investigate the distribution patterns of serum triglyceride and cholesterol levels and the influence of environmental and dietary factors in 201 healthy male subjects. The subjects were found to be 53.7% for the normal, 15.4% for the TC, 17.4% for TG and 13.5% for TC.TG group, respectively. Among general characteristics, smoking significantly affected serum lipid levels of subjects (p < 0.05). Among anthropometric factors, body weight, BMI and PIBW significantly influenced the blood lipid patterns. Body weight of TG group was significantly higher than that of normal group (p < 0.05). BMI and PIBW of TG group and TC.TG group were significantly higher than those of normal group (p < 0.05) . In addition, diastolic blood pressure of TG group was significantly higher than that of normal group (p < 0.05). For the food intake, average intake of fruit was significantly higher in normal group than that of TG group (p < 0.05). For nutrient intake, calcium intake was significantly higher in TC group than those of normal and TC.TG group (p <0.05). Intakes of vitamin $B_2$ and C were significantly higher in TC group than those of in TG group (p < 0.05). Serum HDL-cholesterol level was negatively related to meat, poultry, and their products (p <0.05), but serum total cholesterol level positively related to animal lipids (p < 0.05). The results of this study suggest that it is crucial for maintaining adequate serum lipid levels to reduce smoking, blood pressure and to lose body weight. As far as food intake concerned, fruit intake was important in maintaining serum triglyceride level normal, while animal food intake affected serum total cholesterol level adversely. (Korean J Nutrition 36(1): 64-74, 2003)