• Title/Summary/Keyword: Hypertensive

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Angiotensin Converting Enzyme Inhibitory Activity of BR-900317 in vivo, and Antihypertensive Effect of its Single Oral Administration on Blood Pressure and Effect on the Renin-angiotensin System in Hypertensive Model Rats (SHR, RHR) (BR-900317의 In vivo에 있어서 Angiotensin 변환효소 저해작용 밀 고혈압 model rat (SHR, RHR)에 있어 단회 경구투여에 의한 강압작용)

  • 장경진;김지한;백우현
    • Biomolecules & Therapeutics
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    • v.1 no.2
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    • pp.220-225
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    • 1993
  • Effect of BR-900317 on the angiotensin I-induced pressor response in pithed rats and the effects of its single oral administration on plasma angiotensin converting enzyme (ACE) activities in normotensive rats and on the cardiovascular system in hypertensive model rats (SHR, RHR), were compared with those of captopril. BR-900317 attenuated the angiotensin I-induced pressor effects in pithed rats. In a single oral dose administration study, BR-900317 inhibited the plasma ACE activities in a dose-dependent fashion. Duration of the action of BR-900317 was similar to that of captopril. BR-900317 produced antihypertensive effect in spontaneously hypertensive rats and dose-dependent antihypertensive effect in 2-kidney Goldblatt hypertensive rats without affecting heart rate. These results suggest that the main mechanism of the antihypertensive effect of BR-900317 is the suppression of angiotensin II production due to the inhibition of the ACE.

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Role of Tyrosine Kinases in Vascular Contraction in Deoxycorticosterone Acetate-Salt Hypertensive Rats

  • Yeum, Cheol-Ho;Jun, Jae-Yeoul;Choi, Hyo-Sub
    • The Korean Journal of Physiology and Pharmacology
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    • v.1 no.5
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    • pp.547-553
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    • 1997
  • It has been known that activation of tyrosine kinases is involved in signal transduction. Role of the tyrosine kinase in vascular smooth muscle contraction was examined in deoxycorticosterone acetate (DOCA)-salt hypertensive rats. Male Sprague-Dawley rats underwent uninephrectomy, one week after which they were subcutaneously implanted with DOCA (200 mg/kg) and supplied with 1% NaCl and 0.2% KCl drinking water for $4{\sim}6$ weeks. Control rats were treated the same except for that no DOCA was implanted. Helical strips of carotid arteries were mounted in organ baths for measurement of isometric force development. Genistein was used as a tyrosine kinase inhibitor. Concentration-response curves to 5-hydroxytryptamine (5-HT) shifted to the right by genistein in both DOCA-salt hypertensive and control rats. Although the sensitivity to genistein was similar between the two groups, the maximum force generation by 5-HT was less inhibited by genistein in arteries from DOCA-salt hypertensive rats than in those from controls. Genistein-induced relaxations were attenuated in arteries from DOCA-salt rats. Genistein affected the contraction to phorbol 12, 13-dibutyrate (PDBu) neither in DOCA-salt nor in control arteries. These observations suggest that tyrosine kinase is involved in 5-HT-induced vascular contraction, of which role is reduced in DOCA-salt hypertension.

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Creatinine and microalbuminuria levels are increased in type 2 diabetic patients with hypertension (고혈압을 동반한 제2형 당뇨병 환자에서의 creatinine과 미세 단백뇨 증가)

  • Kim, Hee-Seung;Song, Min-Sun;Yoo, Yang-Sook
    • Journal of Korean Biological Nursing Science
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    • v.4 no.2
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    • pp.51-58
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    • 2002
  • The purpose of this study was to identify clinical characteristics of type 2 diabetic patients with hypertension. The subjects were 209 type 2 diabetic patients who visited at the endocrine center at Kangnam St. Mary's Hospital of Catholic University in Seoul from beginning of March through the end of April in 2001. The patient's clinical laboratory data were assessed at medical record review. The data were analyzed using for t-test, $x^2$ test. The results were as follows: 1) There were no significant differences in age, body mass index, sex, family history of diabetes and oral hypoglycemic agents between hypertensive group and normotensive group, However, percentage of patients receiving insulin treatment was higher significantly in the hypertensive group. 2) Creatinine and microalbuminuria levels were higher significantly in the hypertensive group. However, fasting blood glucose levels were lower significantly in the hypertensive group. There were no significant differences in $HbA_1c$, 2-hour postprandial blood glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol, lipoprotein(a) and blood urea nitrogen between two groups. Our present study supports that Creatinine and microalbuminuria levels were higher significantly in the hypertensive group.

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A Comparative Study on the Dietary Na, Ca Intake and Urinary Excretion of Na, Ca in Normotensive and Hypertensive Free-living Adults (정상인과 고혈압 환자에 있어서 나트륨과 칼슘의 섭취와 배설에 관한 비교 연구)

  • 임정현;윤진숙
    • Journal of the East Asian Society of Dietary Life
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    • v.3 no.2
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    • pp.41-50
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    • 1993
  • This study was intended to investigate the relationship of dietary Na and Ca intake and excretion in blood pressure regulation of free-living adults. Two separate surveys were conducted for 294 subjects in Taegu area, The results of this study are as follows ; When subjects were divided into normotensive and hypertensive, there were significant differences in age, BMI between two groups, When dietary intake were compared between two groups, no significant differences in energy, carbohydrates, fat and protein intakes were shown. While Na intake of hypertensive groups was not signidicantly different from that of normotensive groups, While Na intake of hypertensive groups was not significantly different from that of normotensive groups, ca intake of hypertensive group was significantly lower than that of normotensive group(P<0.005), Urinary Na excretion was significantly higher(P<0.05) in hyperten sive group. However, urinary Ca and K excretion in both groups were not significantly different. Urinary sodium was significantly correlated with urinary Ca and Na intake. Multiple regression analysis of variables showed that urinary sodiumwas affected by Na index, age and Ca Index. While urinary Ca, was significantly correlated with urinary Na and K excretion, it did not show significant correlation with Ca intake

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The Effects of Tailored Life Style Improvement Program for the Hypertensive Workers Provided by Occupational Health Nurse (고혈압 근로자를 대상으로 산업간호사가 제공한 맞춤형 생활습관개선 프로그램의 효과)

  • Kim, Ji-Ae;Kim, Soon-Lae;Jung, Hye-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.18 no.2
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    • pp.242-251
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    • 2009
  • Purpose: To confirm the effect of tailored life style improvement program, provided by occupational health nurse for hypertensive workers on their blood pressure, self-efficacy, and life style changes in workplace. Method: The experimental and control group of thirty subjects each were randomly assigned for those who agreed to participate in the study among the pre-hypertensive workers. The tailored life style improvement program was provided to the experimental group and conducted once a week for 8 weeks. This program was composed of exercise and low salt diet to control high blood pressure and weight, and the measurement of carbon monoxide for non-smoking inducement. Result: In the experimental group, the systolic and diastolic blood pressure significantly decreased while self-efficacy increased after the program compared to the control group. Smoking and drinking habits of the experimental group were significantly decreased whereas exercise and nutritional habits were significantly improved compared to the control group. Conclusion: The tailored life style improvement program provided by occupational health nurses for the hypertensive workers was positively affected on their blood pressure, self-efficacy and life style changes in workplace.

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Management of Hypertensive Crisis Emergency -A Case Report- (치과치료시 고혈압적 응급상황 관리 -증례 보고-)

  • Hwang, Jae-Ho;Kim, Kee-Deog;Woo, Eun-Jung;Lee, Min-Hye;Tan, Chiu-Chin;Park, Won-Se
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.2
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    • pp.183-189
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    • 2010
  • Medical emergencies are not rare in dental practice but when an emergency does occur it can be life-threatening. Medical emergency such as hypertensive crisis can be encountered in dental practice and the dentist should be competent in emergency management by taking life support courses. This report shows 3 cases of hypertensive crisis during dental treatment and we discuss proper management of the patients. The medical and dental management for the hypertensive crisis included a correct diagnosis, pharmacological usages for pain control and stress relieving environment making.

The Effect of Public Health Center-Based Hypertension School on Hypertension-related Knowledge, Self-efficacy, Anthropometric Value and Blood Pressure

  • Chang, Koungoh;Kim, Sohee;Lee, Naeyoung
    • International journal of advanced smart convergence
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    • v.7 no.3
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    • pp.44-60
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    • 2018
  • This study is to identify the effects of hypertension management program at a community health center on the disease-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. This study is a quasi-experimental study using nonequivalence control group no-synchronized design in order to verify the effects of the hypertension management program at a community health center on the hypertension-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. The result indicated a significant difference between the experimental group and control group in the scores of hypertension-related knowledge (t=-4.25, p<.001), self-efficacy (t=-4.20, p<.001), systolic blood pressure (t=7.70, p<.001) and diastolic blood(t=5.91, p<.001), body weight(t=2.32, p=.026) and abdominal circumference(t=2.17, p=.036). The hypertensive patients' knowledge and self-efficacy were improved, and their weight and abdominal circumference as well as systolic blood pressure and diastolic blood pressure were reduced. Therefore, it was confirmed that multilateral approaches in terms of physical and psychosocial aspects only targeting hypertensive patients were required for managing hypertensive patients in local community.

Nutritional Status of Hypertensive Men in Gyeongnam Area (경남 일부지역 고혈압 남성의 영양 상태에 관한 연구)

  • Park, Hae-Jin;Choi, Ye-Ji;Kim, Sung-Hee
    • Journal of the East Asian Society of Dietary Life
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    • v.26 no.4
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    • pp.297-307
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    • 2016
  • This study was performed to investigate the nutritional status associated with hypertension. The subjects were composed of 52 middle aged men divided into normotensive and hypertensive groups according to the Joint National Committee(JNC)-7 criteria. The mean blood pressures of the normotensive and hypertensive groups were $109.8{\pm}1.8$ / $68.9{\pm}1.7mmHg$, and $146.8{\pm}4.6$ / $90.5{\pm}2.9mmHg$, respectively. The percent body fat (PBF), waist to hip ratio (WHR), and serum levels of total cholesterol, LDL-cholesterol, Na, Cl, alanine transferase (ALT), and atherogenic index (AI) were significantly higher in the hypertensive group than normotensive group. The intakes of energy, protein, lipid, vitamin B1, niacin, and intake ratio of Na/K were significantly higher in the hypertensive group than normotensive group. Our findings suggest that decreasing PBF, WHR, serum levels of total cholesterol, LDL-cholesterol and NaCl may play an important role in the prevention of hypertension. It also suggests that decreasing intakes of energy, protein, lipid, vitamin B1, niacin, and Na/K ratio are crucial in order to prevent hypertension.

THE EFFECT OF GINSENG ON BLOOD PRESSURE IN SPONTANEOUSLY HYPERTENSIVE RAT AND ESSENTIAL HYPERTENSION

  • Sohn E. Suk;Huh Bong Yul;Park Seong Chul;Park Chan Woong;Kim Hae Jung
    • Proceedings of the Ginseng society Conference
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    • 1980.09a
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    • pp.1-3
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    • 1980
  • To investigate the effect of ginseng on blood pressure (B.P.) in spontaneously hypertensive rat (SHR) and essential hypertension ginseng extract was given per se daily in 58 SHR and 35 essential hypertensive patients. SHR were divided into 5 groups according to the dosage of ginseng. In essential hypertension 1,000mg of ginseng extract was given. The B.P. in SHR was measured by tail cuff method. In essential hypertension side effect and changes in various laboratory examinations were evaluated. In SHR ginseng appeared to have hypertensive effect when it is given in small amount(10mg/kg). However, when it is given 60mg/kg/day or more difinite B.P. lowering effect was observed. The hypotensive effect was dosedependant and it lasted for 37days of observation. In essential hypertension in 12 $(80\%)$ among 15 patients hypotensive effect was seen with ginseng administration along and the effect lasted for 12 weeks. In the rest of hypertensive patients it is required addition of diuretics of other antihypertensive drugs to decrease B.P., no appreciable side effect was seen. In laboratory examinations no significant changes were seen except for serum cholesterol, ${\alpha}-and\;{\beta}-lipoprotein,$ and hematocrit. There was some evidence of relationship between plasma renin activity (PRA) and ginseng in hypotensive action.

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Effects of Atrial Natriuretic Peptide on Renal and Endocrine Functions in Spontaneously Hypertensive Rats (Spontaneously Hypertensive Rat에 있어서 Atrial Natriuretic Peptide의 신장기능과 몇가지 호르몬 분비에 미치는 영향)

  • Kim, San-Ho;Kim, Suhn-Hee;Seul, Kyung-Hwan;Cho, Kyung-Woo
    • The Korean Journal of Physiology
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    • v.22 no.1
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    • pp.41-53
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    • 1988
  • The present study was undertaken to clarify the involvement of atrial natriuretic peptide in the development of hypertension in spontaneously hypertensive rats. Plasma concentration of immunoreactive atrial natriuretic peptide was higher in spontaneously hypertensive rats than in normotensive Sprague-Dawley and Wistar rats. Plasma renin concentration was lower in SHR than in normotensive rats, as observed in earlier experiments. Hydration-induced increase in urine flow and urinary excretions of sodium and potassium were smaller in SHR than in normotensive control rats. Intraarterial infusion of atrial natriuretic peptide resulted in increases in urine flow, urinary excretions of sodium and potassium in both hypertensive and normotensive rats. Renal response to atrial natriuretic peptide was markedly suppressed in SHR. Plasma renin and aldosterone concentration were suppressed by atrial natriuretic peptide in both SHR and normotensive rats. The responses were not significantly different in both groups. These results suggest that the renal responsiveness to atrial natriuretic peptide may be suppressed in SHR by some mechanisms still remaining obscure.

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