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The effect of calcium channel blocker (CCB) treatment on retinal and choroidal vessels in a group of hypertensive patients. 钙通道阻滞剂(CCB)治疗高血压患者视网膜和脉络膜血管的影响。
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-10-03 Epub Date: 2022-08-02 DOI: 10.1080/10641963.2022.2107215
Muammer Ozcimen, Zafer Buyukterzi, Huseyin Tezcan

Purpose: The present study was designed to observe the vasoreactivity in retina and choroid after calcium channel blocker (CCB) treatment in a group of hypertensive patients.

Method: The study was based on 56 hypertensive patients (56 eyes) and 56 control subjects (56 eyes). Choroidal scans and the measurement of peripapillary retinal vessel diameters was performed at baseline and optical coherence tomography (OCT) scans were also performed at first month . Subfoveal choroidal thickness (SFCT) and the diameters of superior temporal artery (STA), inferior temporal artery (ITA), superior temporal vein (STV), inferior temporal vein (ITV) were compared between the groups.

Results: The baseline diameters of the STA, ITA were significantly decreased in the patient group compared with the control group (all p < .05). There was a significant increase at first month after the CCB treatment in comparison to baseline measurements (all p < .05). When compared with the controls, the diameter of venules showed a decrease at baseline but was not significant. After the treatment, the diameters of venules were insignificantly increased compared with baseline measurements (p = .178 and p = .275) and there were also no significant differences between the control group and the patient group in first month (all p > .05). The average choroidal thickness measurements of the hypertensive group was lower than the control group (p = .404) and there was a tendency to increase after the treatment (p = .055).

Conclusion: This study demonstrates that, treatment with CCB seems to improve retinal arteries and has almost no affect on the choroidal thickness in newly diagnosed hypertensive patients.

目的:观察钙通道阻滞剂(CCB)治疗后高血压患者视网膜和脉络膜血管反应性的变化。方法:以56例高血压患者(56眼)和56例对照组(56眼)为研究对象。基线时进行脉络膜扫描和乳头周围视网膜血管直径测量,并在第一个月进行光学相干断层扫描(OCT)扫描。比较各组中央凹下脉络膜厚度(SFCT)及颞上动脉(STA)、颞下动脉(ITA)、颞上静脉(STV)、颞下静脉(ITV)直径。结果:与对照组相比,患者组STA、ITA的基线直径明显减小(均p . 0.05)。高血压组平均脉络膜厚度测量值低于对照组(p = 0.404),治疗后有升高趋势(p = 0.055)。结论:本研究表明,CCB治疗似乎改善了新诊断高血压患者的视网膜动脉,对脉络膜厚度几乎没有影响。
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引用次数: 0
DNA damage and repair on hematopoietic stem cells: impact of oxidative stress in renovascular hypertension. 造血干细胞的DNA损伤和修复:氧化应激对肾血管性高血压的影响。
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-10-03 Epub Date: 2022-07-18 DOI: 10.1080/10641963.2022.2101658
Giselle S Meireles, Rafaela Aires, Larissa Z Côco, Edgar H Kampke, Maria Es Barroso, Elisardo C Vasquez, Thiago Mc Pereira, Silvana S Meyrelles, Bianca P Campagnaro

Background: This study investigated oxidative damage to bone marrow cells in the pathogenesis of renovascular hypertension (RH).

Methods: Male C57BL/6 J mice (10-week-old and ~23 g) were divided into two groups: Sham-operated and 2K1C, which has a stainless-steel clip placed around the left renal artery. After twenty-eight days, the animals were anesthetized for hemodynamic measurements and bone marrow cells isolation. The intracellular production of ROS, DNA damage, and DNA repair kinetics were evaluated.

Results: Our results show that RH increases HSCs ROS production and that the 2K1C group showed a significant reduction of HSCs in the G0/G1 phase, increased p53 expression, DNA fragmentation, low DNA repair capacity, and a higher percentage of apoptotic cells when compared with the Sham group.

Conclusions: Our data imply that RH can compromise the hematopoiesis by increased oxidative stress leading to impaired DNA repair activity. Furthermore, this study provides new insights into the influence of hypertension on bone marrow homeostasis. This study showed for the first time that RH leads to oxidative damage, including genotoxic, to bone marrow cells. Thus, these findings provide new insights into the consequences of RH on bone marrow cells.

背景:本研究探讨肾血管性高血压(RH)发生过程中骨髓细胞的氧化损伤。方法:雄性C57BL/ 6j小鼠(10周龄,~23 g)分为假手术组和2K1C组,2K1C组在左肾动脉周围放置不锈钢夹。28天后,麻醉动物进行血流动力学测量和骨髓细胞分离。评估细胞内ROS的产生、DNA损伤和DNA修复动力学。结果:我们的研究结果表明,RH增加了hsc ROS的产生,与Sham组相比,2K1C组在G0/G1期明显减少hsc, p53表达增加,DNA片段化,DNA修复能力降低,凋亡细胞百分比更高。结论:我们的数据表明RH可以通过增加氧化应激导致DNA修复活性受损来损害造血功能。此外,本研究为高血压对骨髓稳态的影响提供了新的见解。这项研究首次表明RH导致骨髓细胞氧化损伤,包括基因毒性。因此,这些发现为RH对骨髓细胞的影响提供了新的见解。
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引用次数: 1
Circulating circular RNAs as biomarkers for the diagnosis of essential hypertension with carotid plaque. 循环环状rna作为诊断原发性高血压伴颈动脉斑块的生物标志物
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-10-03 Epub Date: 2022-07-05 DOI: 10.1080/10641963.2022.2093894
Zebo Zhang, Haiyan Qian, Zhenbo Tao, Yanqing Xie, Shuai Zhi, Liufang Sheng, Wenming He, Lina Zhang

Background: At present, no early diagnostic markers for essential hypertension (EH)-induced subclinical target organs damage (such as carotid plaque) are available. This study aimed to identify the circular RNAs (circRNAs) in EH with carotid plaques, and assess their utility as biomarkers.

Methods: First, circRNAs were identified through microarry analysis and database prediction. Second, a case-control study of EH patients with carotid plaque (n = 100) and healthy controls (n = 100) was performed to evaluate circRNAs expression in peripheral blood. Finally, receiver operating characteristic (ROC) curve was established to evaluate the diagnostic value.

Results: Five circRNAs (hsa_circ_0105130, hsa_circ_0109569, hsa_circ_0072659, hsa_circ_0079586 and hsa_circ_0064684) were identified as the candidate circRNAs. We found that circRNAs were increased in case group compared with controls (P < .05). The results of ROC shown that these five circRNAs, especially hsa_circ_0109569 (AUC = 0.741), all had the moderate predictive value.

Conclusions: Our study revealed circulating circRNAs may act as promising noninvasive biomarkers for early detection and population screening of EH-induced subclinical target organ injury.

背景:目前,尚无原发性高血压(EH)引起的亚临床靶器官损害(如颈动脉斑块)的早期诊断指标。本研究旨在鉴定颈动脉斑块EH中的环状rna (circRNAs),并评估其作为生物标志物的效用。方法:首先,通过微基因分析和数据库预测鉴定环状rna。其次,对伴有颈动脉斑块的EH患者(n = 100)和健康对照组(n = 100)进行病例对照研究,以评估外周血中circRNAs的表达。最后,建立受试者工作特征(ROC)曲线,评价其诊断价值。结果:5个circrna (hsa_circ_0105130、hsa_circ_0109569、hsa_circ_0072659、hsa_circ_0079586和hsa_circ_0064684)被鉴定为候选circrna。我们发现病例组的circrna与对照组相比有所增加(P < 0.05)。ROC结果显示,这5种circrna,尤其是hsa_circ_0109569 (AUC = 0.741)均具有中等的预测价值。结论:我们的研究表明,循环环状rna可能作为早期检测和人群筛查eh诱导的亚临床靶器官损伤的有前途的无创生物标志物。
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引用次数: 0
Protective effects of Portulaca oleracea and vitamin E on cardiovascular parameters in rats with subclinical hyperthyroidism. 马齿苋和维生素E对亚临床甲亢大鼠心血管参数的保护作用。
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-10-03 Epub Date: 2022-08-16 DOI: 10.1080/10641963.2022.2112209
Mousa-Al-Reza Hadjzadeh, Hadi Khodadadi, Farzaneh Sohrabi, Mahdiyeh Hedayati-Moghadam, Atieh Ghorbani, Sara Hosseinian

Introduction: Subclinical hyperthyroidism (SHT) is an endocrine disorder that is associated with abnormalities in heart structure and function. Oxidative stress plays an important role in the pathophysiology of cardiac disorders caused by SHT. Portulaca oleracea (P. Oleracea) is a herbaceous plant with many pharmacologic effects including antioxidant, and anti-inflammatory properties. In the present study, the effects of Portulaca oleracea and vitamin E on the biochemical, hemodynamic, and functional parameters of the cardiac tissue was studied in rats with subclinical hyperthyroidism.

Methods: Fifty-six male rats were divided into seven groups: 1-Control group: daily injection of saline, 2-SHT group: daily injection of levothyroxine sodium (LS) (20 µg/kg), 3- T4+Po groups were given LS and P. oleracea (100, 200, and 400 mg/kg in drinking water), 4- the T4+vit E groups received LS and a daily injection of vitamin E (100 and 200 mg/kg). Cardiac index, systolic blood pressure (SBP), also malondialdehyde and total thiol levels were measured in cardiac tissue.

Results: SBP and maximum dP/dt were significantly increased and minimum dP/dt was significantly decreased in SHT group. In P. oleracea groups, maximum dP/dt were significantly reduced and minimum dP/dt was increased. Malondialdehyde levels and cardiac index in groups receiving vitamin E and P. oleracea were significantly decreased. Maximum dP/dt was decreased in the group receiving LS+vitamin E. Minimum dP/dt was significantly higher in group received LS+ vitamin E.

Conclusion: This study showed that Portulaca oleracea has a positive effect on cardiac dysfunction caused by subclinical hyperthyroidism.

简介:亚临床甲状腺功能亢进(SHT)是一种与心脏结构和功能异常相关的内分泌疾病。氧化应激在SHT所致心脏疾病的病理生理中起重要作用。马齿苋(P. oleracea)是一种具有多种药理作用的草本植物,包括抗氧化和抗炎特性。本研究研究马齿苋和维生素E对亚临床甲亢大鼠心脏组织生化、血流动力学和功能参数的影响。方法:将56只雄性大鼠分为7组:1-对照组:每日注射生理盐水,2-SHT组:每日注射左旋甲状腺素钠(LS)(20µg/kg), 3- T4+Po组给予LS和马根苋(100、200、400 mg/kg饮水),4- T4+维生素E组给予LS和维生素E(100、200 mg/kg)。测量心脏指数、收缩压(SBP)、丙二醛和总硫醇水平。结果:SHT组患者收缩压、最大dP/dt显著升高,最小dP/dt显著降低。马齿苋组最大dP/dt显著降低,最小dP/dt显著升高。维生素E和马齿苋组丙二醛水平和心脏指数显著降低。LS+维生素e组最大dP/dt值降低,LS+维生素e组最小dP/dt值显著高于LS+维生素e组。结论:马齿苋对亚临床甲亢性心功能障碍有积极作用。
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引用次数: 0
Relation between endothelial nitric oxide synthase genetic polymorphisms and pulmonary arterial hypertension in newborns with congenital heart disease 先天性心脏病新生儿内皮型一氧化氮合酶基因多态性与肺动脉高压的关系
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-06-14 DOI: 10.1080/10641963.2022.2085736
Qing-Fan Lin, Jing-Hong Rao, Shimu Luo, Qing-Mu Wang, Li-Feng Deng, Xuan Chen, Chang-Di Chen, You-fang Chen
ABSTRACT Objective To investigate whether endothelial nitric oxide synthase (eNOS) rs1799983, rs2070744, and rs61722009 gene polymorphisms are associated with pulmonary arterial hypertension (PAH) in South Fujian newborns with congenital heart disease (CHD). Methods Genotyping for the eNOS rs1799983, rs2070744, and rs61722009 polymorphisms was performed using Sanger sequencing in 50 newborns with PAH secondary to CHD [CHD PAH (+)], 52 newborns with CHD without PAH [CHD PAH (-)], and 60 healthy controls. Results The genotype and allele frequency distributions of eNOS rs1799983, rs2070744, and rs61722009 were similar between CHD and healthy controls (P > .05). The frequencies of the eNOS rs1799983 G/T allele were 85% and 15% in the CHD PAH (+) group and 96.15% and 3.85% in the CHD PAH (-) group, the frequency of the T allele was higher in the CHD PAH (+) group than in the CHD PAH (-) group(P< .05), and patients with the GT/TT genotypes of eNOS rs1799983 may present higher PAH (OR = 4.412, 95%CI:1.411–13.797, P= .011). Newborns with the GT/TT genotypes had decreased plasma NO production compared to newborns with the GG genotype (P< .01), and NO levels in the CHD PAH (+) group were significantly lower than those in the CHD PAH (-) group (P < .05). Conclusion The T allele could be a risk factor for PAH in newborns with CHD in South Fujian through decreased levels of nitric oxide production by the endothelium.
摘要目的探讨内皮型一氧化氮合酶(eNOS) rs1799983、rs2070744和rs61722009基因多态性与闽南先天性心脏病(CHD)新生儿肺动脉高压(PAH)的相关性。方法采用Sanger测序方法对50例继发性冠心病PAH[冠心病PAH(+)]新生儿、52例非PAH[冠心病PAH(-)]新生儿和60例健康对照进行eNOS rs1799983、rs2070744和rs61722009多态性进行基因分型。结果eNOS rs1799983、rs2070744和rs61722009基因型和等位基因频率分布在冠心病患者和健康对照组中相似(P > 0.05)。eNOS rs1799983 G/T等位基因在CHD PAH(+)组的频率分别为85%和15%,在CHD PAH(-)组的频率分别为96.15%和3.85%,其中T等位基因在CHD PAH(+)组的频率高于CHD PAH(-)组(P< 0.05),具有eNOS rs1799983 GT/TT基因型的患者可能出现更高的PAH (OR = 4.412, 95%CI:1.411 ~ 13.797, P= 0.011)。GT/TT基因型新生儿血浆NO生成量低于GG基因型新生儿(P< 0.01),且CHD PAH(+)组NO水平显著低于CHD PAH(-)组(P< 0.05)。结论T等位基因可能是闽南地区CHD新生儿PAH发病的危险因素,其途径是内皮细胞一氧化氮生成水平降低。
{"title":"Relation between endothelial nitric oxide synthase genetic polymorphisms and pulmonary arterial hypertension in newborns with congenital heart disease","authors":"Qing-Fan Lin, Jing-Hong Rao, Shimu Luo, Qing-Mu Wang, Li-Feng Deng, Xuan Chen, Chang-Di Chen, You-fang Chen","doi":"10.1080/10641963.2022.2085736","DOIUrl":"https://doi.org/10.1080/10641963.2022.2085736","url":null,"abstract":"ABSTRACT Objective To investigate whether endothelial nitric oxide synthase (eNOS) rs1799983, rs2070744, and rs61722009 gene polymorphisms are associated with pulmonary arterial hypertension (PAH) in South Fujian newborns with congenital heart disease (CHD). Methods Genotyping for the eNOS rs1799983, rs2070744, and rs61722009 polymorphisms was performed using Sanger sequencing in 50 newborns with PAH secondary to CHD [CHD PAH (+)], 52 newborns with CHD without PAH [CHD PAH (-)], and 60 healthy controls. Results The genotype and allele frequency distributions of eNOS rs1799983, rs2070744, and rs61722009 were similar between CHD and healthy controls (P > .05). The frequencies of the eNOS rs1799983 G/T allele were 85% and 15% in the CHD PAH (+) group and 96.15% and 3.85% in the CHD PAH (-) group, the frequency of the T allele was higher in the CHD PAH (+) group than in the CHD PAH (-) group(P< .05), and patients with the GT/TT genotypes of eNOS rs1799983 may present higher PAH (OR = 4.412, 95%CI:1.411–13.797, P= .011). Newborns with the GT/TT genotypes had decreased plasma NO production compared to newborns with the GG genotype (P< .01), and NO levels in the CHD PAH (+) group were significantly lower than those in the CHD PAH (-) group (P < .05). Conclusion The T allele could be a risk factor for PAH in newborns with CHD in South Fujian through decreased levels of nitric oxide production by the endothelium.","PeriodicalId":10333,"journal":{"name":"Clinical and Experimental Hypertension","volume":"12 1","pages":"567 - 572"},"PeriodicalIF":12.3,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87485237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Red wine but not alcohol consumption improves cardiovascular function and oxidative stress of the hypertensive-SHR and diabetic-STZ rats 红酒而非酒精可改善高血压- shr和糖尿病- stz大鼠的心血管功能和氧化应激
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-06-14 DOI: 10.1080/10641963.2022.2085737
Guilherme Henrique Souza Bomfim, D. C. Musial, K. Rocha, A. Jurkiewicz, N. Jurkiewicz
ABSTRACT Hypertension and diabetes development had been characterized as idiopathic disorders tightly interconnected, and therefore it is essential to understand how the functionality of neurohormonal pathways are involved in both diseases. Hypertensive and diabetic patients have shown increased systolic blood pressure (SBP), oxidative stress, vascular hypertrophy, and remodeling. It is well established that the long-term consumption of red wine and/or polyphenol-stilbene causes cardioprotective and antihypertensive effects; however, some functions remain unrevealed. Downstream pathways such as reactive oxygen species (ROS), sympathoadrenal axis represented by β1-adrenoceptors, and renin–angiotensin system via angiotensin-II receptors critically contribute to hypertension development. Aims This raised the issue of whether in vivo long-term red wine treatment can act as a modulator of these targets. Main methods We monitored SBP, glucose tolerance, oxidative stress, and cardiovascular function. Aortic and atrial tissues from normotensive-WKY, hypertensive-SHR, and diabetic-STZ animals, chronically exposed to red wine (3.715 ml/kg/v.o/day) or alcohol (12%) for 21-days, were used to measure contractile/relaxation responses by force transducers. Key findings: red wine, but not alcohol, prevented the increase of SBP and hyperglycemic peak. Additionally, was observed prevention of oxidative stress metabolites formation and an improvement in ROS scavenging antioxidant capacity of SHR. We also revealed that red wine intake enhances the endothelium-dependent relaxation, decreases the hypercontractile mediated by angiotensin-II in the aorta, and via β1-adrenoceptors in the atrium. Significance The long-term consumption of red wine can improve oxidative stress and the functionality of angiotensin-II and β1-adrenoceptors, inspiring new pharmacologic and dietetic therapeutic approaches for the treatment of hypertension and diabetes. Abbreviation Acronyms and/or abbreviations: [Ca2+]cyt = Cytosolic Ca2+ Concentration; ACh = Acetylcholine; ANG II = Angiotensin II; AT1 = ANG II type 1 receptor; AUC = Area Under the Curve; Ca2+ = Calcium; Endo + = Endothelium Intact; Fen = Phenylephrine (1 μM); GTT = Glucose Tolerance Test; ISO = Isoprenaline (isoproterenol); KHN = Krebs-Henseleit Nutrient; LA = Left Atria; LH = Lipid Hydroperoxide; NO = Nitric Oxide; RA = Right Atria; RAS = Renin-Angiotensin System; ROS = Reactive Oxygen Species; SBP = Systolic Blood Pressure; SHR = Spontaneously Hypertensive Rats; STZ = Streptozotocin; WKY = Normotensive Wistar Kyoto Rats.
高血压和糖尿病的发展被认为是紧密相连的特发性疾病,因此了解神经激素通路的功能如何参与这两种疾病是至关重要的。高血压和糖尿病患者表现为收缩压(SBP)升高、氧化应激、血管肥大和重塑。长期饮用红酒和/或多酚二苯乙烯具有保护心脏和抗高血压的作用。然而,一些功能仍未被揭示。下游通路如活性氧(ROS)、以β1-肾上腺素受体为代表的交感肾上腺轴和通过血管紧张素- ii受体的肾素-血管紧张素系统对高血压的发展起着至关重要的作用。这就提出了一个问题,即体内长期红酒治疗是否可以作为这些靶标的调节剂。主要方法监测收缩压、葡萄糖耐量、氧化应激和心血管功能。正常血压- wky、高血压- shr和糖尿病- stz动物的主动脉和心房组织长期暴露于红葡萄酒(3.715 ml/kg/v / o/天)或酒精(12%)21天,通过力传感器测量收缩/松弛反应。主要发现:红酒,而不是酒精,可以防止收缩压和高血糖峰值的增加。此外,还可以防止氧化应激代谢物的形成,提高SHR清除ROS的抗氧化能力。我们还发现,红酒摄入增强了内皮依赖性松弛,降低了主动脉血管紧张素- ii和心房β1-肾上腺素受体介导的过度收缩。意义长期饮用红酒可以改善氧化应激,改善血管紧张素- ii和β1肾上腺素受体的功能,为高血压和糖尿病的治疗提供新的药理和饮食治疗方法。缩略语和/或缩写词:[Ca2+]cyt =胞质Ca2+浓度;乙酰胆碱;ANG II =血管紧张素II;AT1 = ANG II型1受体;AUC =曲线下面积;Ca2+ =钙;Endo + =内皮完整;Fen =苯肾上腺素(1 μM);葡萄糖耐量试验;异丙肾上腺素;KHN = Krebs-Henseleit营养素;LA =左心房;LH =过氧化脂质;NO =一氧化氮;RA =右心房;肾素-血管紧张素系统;活性氧;收缩压;自发性高血压大鼠;STZ =链脲佐菌素;WKY =正常血压Wistar京都大鼠。
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引用次数: 2
Mat Pilates training reduces blood pressure in both well-controlled hypertensive and normotensive postmenopausal women: a controlled clinical trial study 马特普拉提训练降低血压控制良好的高血压和正常绝经后妇女:一项对照临床试验研究
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-06-01 DOI: 10.1080/10641963.2022.2079670
J. Batista, J. B. Tavares, L. F. Gonçalves, T. D. de Souza, I. Mariano, A. Amaral, Mateus de Lima Rodrigues, L. Matias, Ana Paula Magalhães Resende, G. Puga
ABSTRACT Aim The aim of this study was to compare the Mat Pilates training-induced responses in resting and ambulatory blood pressure monitoring (ABPM), blood pressure variability (BPV), and heart rate variability (HRV) in well-controlled hypertensive and normotensive postmenopausal women. Methods Forty-seven postmenopausal women were allocated in well-controlled hypertensive (HT) and normotensive (NT) groups. The exercise program was performed three times a week for 12 weeks. Before and after the intervention resting, blood pressure (BP), ABPM, HRV, and BPV were analyzed. Results Student’s t-test showed no difference in baseline anthropometric and resting BP values between groups. The generalized estimation equation (GEE) showed no interactions (group*time), but time (p < .05) reductions in resting systolic, diastolic and mean BP after training in both groups. Sleep ambulatory systolic, diastolic and mean BP were higher overall in the HT group (p < .05 in group effect). We also found a time effect (p < .05) with significant increases in BPV in the mean diurnal and nocturnal deviations weighted for the duration of the daytime and nighttime interval (SDdn) in systolic, diastolic and mean BP, and in the average real variability (ARV) in diastolic and mean in both groups. In addition, HRV increases (p < .05 in time effect) through the percentage of pairs of adjacent RR intervals with a difference of at least 50 ms (pNN50) after training in both groups. Conclusion Both normotensive and well-controlled hypertensive postmenopausal women may have similar Mat Pilates exercise training-induced responses in ambulatory BP, BPV and HRV.
摘要目的本研究的目的是比较Mat Pilates训练诱导的静息和动态血压监测(ABPM)、血压变异性(BPV)和心率变异性(HRV)在控制良好的高血压和正常绝经后妇女中的反应。方法将47名绝经后妇女分为控制良好的高血压组(HT)和正常高血压组(NT)。这项锻炼计划每周进行三次,持续12周。分析干预前后静息血压(BP)、ABPM、HRV、BPV。结果学生t检验显示两组间基线人体测量值和静息血压值无差异。广义估计方程(GEE)无相互作用(组*时间),但两组训练后静息收缩压、舒张压和平均血压(p < 0.05)降低。HT组睡眠动态收缩压、舒张压和平均血压均高于对照组(组效应p < 0.05)。我们还发现了时间效应(p < 0.05),两组患者收缩压、舒张压和平均血压的昼夜平均偏差(SDdn)以及舒张压和平均平均实际变异性(ARV)均显著增加。此外,两组训练后HRV通过相邻RR区间相差至少50 ms的成对百分比(pNN50)增加(时间效应p < 0.05)。结论正常和控制良好的绝经后高血压妇女在动态血压、BPV和HRV方面可能有相似的普拉提运动训练引起的反应。
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引用次数: 2
Association of red blood cell distribution width, systemic-immune-inflammation index and poor cardiovascular outcomes in patients with newly diagnosed hypertension 新诊断高血压患者红细胞分布宽度、全身免疫炎症指数与不良心血管预后的关系
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-06-01 DOI: 10.1080/10641963.2022.2079668
F. Uzun, A. Güner, H. Pusuroğlu, A. Demir, S. Gündüz, İsmail Gürbak, S. Aslan, Gokhan Demirci, Ezgi Gültekin Güner, Enes Arslan, M. Erturk
ABSTRACT Background Red cell distribution width (RDW) and the systemic immune-inflammation index (SII) have been extensively studied as predictors of morbidity and mortality in several cardiovascular diseases. This prospective study aimed to investigate the relationship between long term major adverse cardiac events (MACEs) and simple hematological parameters in hypertensive patients. Methods The study included a total of 1202 patients with newly diagnosed HT. Of the patients, 662 (55.1%) were female and 540 (44.9%) were male, with a mean age of 53.0 ± 11.4 years. The primary endpoint of the study was long term MACE, including cardiac death, stroke, and myocardial infarction. This is the first study focusing on the association of SII with major adverse cardiovascular outcomes in patients with HT. Results Eighty-nine patients (8.7%) developed at least one MACE during a mean follow-up period of 82.2 ± 1.3 months. RDW (13.0 ± 0.9 vs. 13.5 ± 1.2%, p < .001) and SII [465.0 (353.4–609.4) vs. 584.4 (468.9–794.0) x103/µL, p < .001] were significantly higher in patients with MACEs. The prevalence of MACEs was significantly higher in patients with RDW>13.1% (10.4 vs. 5%; p < .001) and in patients with SII>465 x103/µL (11.8 vs. 3.1%; p < .001). The multivariate logistic regression analysis showed SII and RDW were independent predictors of MACEs. Conclusion The results of the study demonstrated that the RDW and SII were independent predictors of long-term cardiovascular events in hypertensive patients. These simple hematological parameters may be used as prognosticators of MACE in patients with newly diagnosed HT.
背景红细胞分布宽度(RDW)和全身免疫炎症指数(SII)作为几种心血管疾病发病率和死亡率的预测因子已被广泛研究。本前瞻性研究旨在探讨高血压患者长期主要心脏不良事件(mace)与单纯血液学参数的关系。方法纳入1202例新诊断的HT患者。其中女性662例(55.1%),男性540例(44.9%),平均年龄53.0±11.4岁。研究的主要终点是长期MACE,包括心源性死亡、中风和心肌梗死。这是第一个关注SII与HT患者主要不良心血管结局相关性的研究。结果89例(8.7%)患者在平均82.2±1.3个月的随访期间发生了至少一次MACE。MACEs患者的RDW(13.0±0.9比13.5±1.2%,p < 0.001)和SII[465.0(353.4-609.4)比584.4 (468.9-794.0)x103/µL, p < 0.001]显著升高。在RDW>13.1%的患者中,mace的患病率明显更高(10.4% vs. 5%;p < 0.001), SII>465 x103/µL的患者(11.8 vs. 3.1%;P < 0.001)。多因素logistic回归分析显示SII和RDW是mace的独立预测因子。结论研究结果表明,RDW和SII是高血压患者长期心血管事件的独立预测因子。这些简单的血液学参数可作为新诊断HT患者MACE的预后指标。
{"title":"Association of red blood cell distribution width, systemic-immune-inflammation index and poor cardiovascular outcomes in patients with newly diagnosed hypertension","authors":"F. Uzun, A. Güner, H. Pusuroğlu, A. Demir, S. Gündüz, İsmail Gürbak, S. Aslan, Gokhan Demirci, Ezgi Gültekin Güner, Enes Arslan, M. Erturk","doi":"10.1080/10641963.2022.2079668","DOIUrl":"https://doi.org/10.1080/10641963.2022.2079668","url":null,"abstract":"ABSTRACT Background Red cell distribution width (RDW) and the systemic immune-inflammation index (SII) have been extensively studied as predictors of morbidity and mortality in several cardiovascular diseases. This prospective study aimed to investigate the relationship between long term major adverse cardiac events (MACEs) and simple hematological parameters in hypertensive patients. Methods The study included a total of 1202 patients with newly diagnosed HT. Of the patients, 662 (55.1%) were female and 540 (44.9%) were male, with a mean age of 53.0 ± 11.4 years. The primary endpoint of the study was long term MACE, including cardiac death, stroke, and myocardial infarction. This is the first study focusing on the association of SII with major adverse cardiovascular outcomes in patients with HT. Results Eighty-nine patients (8.7%) developed at least one MACE during a mean follow-up period of 82.2 ± 1.3 months. RDW (13.0 ± 0.9 vs. 13.5 ± 1.2%, p < .001) and SII [465.0 (353.4–609.4) vs. 584.4 (468.9–794.0) x103/µL, p < .001] were significantly higher in patients with MACEs. The prevalence of MACEs was significantly higher in patients with RDW>13.1% (10.4 vs. 5%; p < .001) and in patients with SII>465 x103/µL (11.8 vs. 3.1%; p < .001). The multivariate logistic regression analysis showed SII and RDW were independent predictors of MACEs. Conclusion The results of the study demonstrated that the RDW and SII were independent predictors of long-term cardiovascular events in hypertensive patients. These simple hematological parameters may be used as prognosticators of MACE in patients with newly diagnosed HT.","PeriodicalId":10333,"journal":{"name":"Clinical and Experimental Hypertension","volume":"36 1","pages":"530 - 538"},"PeriodicalIF":12.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84877598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Antihypertensive effect and the underlying mechanisms of action of phytolaccagenin in rat models 植物色素素在大鼠模型中的降压作用及其作用机制
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-05-29 DOI: 10.1080/10641963.2022.2079671
Imran Ul haq, T. Ahmad, T. Khan, A. Shah
ABSTRACT Background Phytolaccagenin, a natural triterpenoid, is reported for various biological activities that indicate its potential role in the management of hypertension. Methods Phytolaccagenin was evaluated for its antihypertensive activity in rat models via in vivo and in vitro experiments using polyethylene tubings for cannulation, organ bath bubbled with carbogen gas, and a pressure transducer connected to a PowerLab data acquisition system. Results Intravenous administration of phytolaccagenin decreased mean arterial pressure (MAP), significantly, in normotensive and hypertensive anesthetized rats. Pretreatment of rats with atropine (2 mg/kg) partially reversed the decrease in blood pressure due to phytolaccagenin at first tested doses. However, Nω-nitro-L-arginine methyl ester (L-NAME) (100 mg/kg) pretreatment modified the effect of phytolaccagenin on blood pressure with greater response. In isolated rat aortic rings precontracted with phenylephrine, cumulative addition of phytolaccagenin induced relaxation that is ablated (50%) with denudation and pre-incubation with atropine (1 μM) and L-NAME (10 μM). Phytolaccagenin also partially inhibited high K+ precontraction at initial doses, while an inhibitory effect was observed at higher concentrations, confirming its effect on voltage-dependent calcium channels. In isolated spontaneously beating rat atrial strips, phytolaccagenin suppressed the atrial tone that was reduced with isoprenaline and atropine pre-incubation, suggesting the role of cardiac adrenergic and muscarinic receptors. Interestingly, atenolol (1 μM) pretreatment also ablated the cardiac effects of phytolaccagenin. Conclusion The antihypertensive effect of phytolaccagenin is due to a decrease in vascular resistance and cardiac depressant effects. These effects are mediated via muscarinic receptors-linked NO pathway, inhibitory effect on Ca2+ movements (vascular), and activation of cardiac muscarinic and blockade of β-adrenergic receptors.
摘要背景:植物绿原素是一种天然的三萜,据报道具有多种生物活性,表明其在高血压治疗中的潜在作用。方法采用聚乙烯管插管、含二氧化碳的器官浴、压力传感器连接PowerLab数据采集系统,通过体内和体外实验对植草青素在大鼠模型中的降压活性进行评价。结果静脉注射植草青素可显著降低正常和高血压麻醉大鼠的平均动脉压(MAP)。用阿托品(2mg /kg)预处理大鼠,在第一次试验剂量时,部分逆转了由植藻绿原素引起的血压下降。而ω-硝基- l -精氨酸甲酯(L-NAME) (100 mg/kg)预处理可以改善植藻青素对血压的影响,且效果更明显。在用苯肾上腺素预收缩的离体大鼠主动脉环中,累积添加植草青素诱导松弛,剥皮消融(50%),并用阿托品(1 μM)和L-NAME (10 μM)预孵育。植藻绿原素在初始剂量下也部分抑制高K+预收缩,而在较高浓度下观察到抑制作用,证实了其对电压依赖性钙通道的作用。在离体自发跳动的大鼠心房条带中,植草球蛋白抑制了异丙肾上腺素和阿托品在孵育前降低的心房张力,提示心脏肾上腺素和毒蕈碱受体的作用。有趣的是,阿替洛尔(1 μM)预处理也能消除植藻绿原素对心脏的影响。结论植物色素原素的降压作用是由于其降低血管阻力和抑制心脏的作用。这些作用是通过毒蕈碱受体连接的NO途径、对Ca2+运动(血管)的抑制作用、心脏毒蕈碱的激活和β-肾上腺素能受体的阻断介导的。
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引用次数: 1
A potential model of systemic sclerosis with pulmonary hypertension induced by monocrotaline plus bleomycin 单芥碱加博来霉素致系统性硬化症合并肺动脉高压的潜在模型
IF 12.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-05-27 DOI: 10.1080/10641963.2022.2079665
Xia Fang, Chao He, Xudong Ni, Tianli Zhang, Qianyu Li, Yi Luo, Wei-guo Long, R. Wu
ABSTRACT Objective The lack of a well-established animal model limits the clarification of the detailed mechanisms of the pathogenesis of systemic sclerosis with pulmonary hypertension (SSc-PH) and the development of effective treatments for it. Methods In this study, New Zealand rabbits were injected with monocrotaline (MCT), bleomycin (BLM), and MCT plus BLM, respectively. Three and six weeks after the first injection, the mean pulmonary artery pressure (mPAP) was measured. Skin and lung samples were isolated and the histological changes were analyzed by hematoxylin and eosin staining or Masson’s trichrome staining. Results All groups of rabbits showed an increased mean mPAP compared with the saline-injected rabbits. The high mPAP persisted until week six only in the MCT and MCT + BLM groups. Furthermore, persistent high Fulton’s indices were found in the MCT and MCT + BLM groups, indicating that these treatments successfully induced right ventricular hypertrophy. The rabbits in the MCT + BLM group developed severe lung inflammation, as evidenced by a high level of neutrophil infiltration in the pulmonary interstitium. Importantly, pathological changes of the skin in the MCT + BLM group were observed, and further damage to the skin was caused by additional exposure to MCT plus BLM. Meanwhile, an excessive production of cytokines, including tumor necrosis factor alpha (TNF-α), and transforming growth factor beta 1 (TGF-β1), were detected in the MCT + BLM group. Conclusion These data indicate that SSc-PH induced by co-injection with MCT plus BLM shows persistent fibrosis and progressive PH, constituting a potential study model for SSc-PH.
【摘要】目的由于缺乏完善的动物模型,限制了对系统性硬化症合并肺动脉高压(SSc-PH)发病机制的详细阐明和有效治疗方法的开发。方法以新西兰兔为实验对象,分别注射单藜碱(MCT)、博来霉素(BLM)和MCT + BLM。第一次注射后3周和6周,测量平均肺动脉压(mPAP)。分离皮肤和肺标本,采用苏木精和伊红染色或马松三色染色分析组织学变化。结果各组家兔的平均mPAP均高于盐水注射家兔。高mPAP仅在MCT和MCT + BLM组持续到第6周。此外,在MCT和MCT + BLM组中发现持续高富尔顿指数,表明这些治疗成功诱导了右心室肥厚。MCT + BLM组的家兔出现了严重的肺部炎症,肺间质有高水平的中性粒细胞浸润。重要的是,观察到MCT + BLM组皮肤的病理变化,并且额外暴露于MCT + BLM会对皮肤造成进一步的损伤。同时,MCT + BLM组检测到肿瘤坏死因子α (TNF-α)、转化生长因子β1 (TGF-β1)等细胞因子的过量产生。结论MCT + BLM共注射诱导的SSc-PH呈现持续纤维化和进行性PH,构成了潜在的SSc-PH研究模型。
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引用次数: 0
期刊
Clinical and Experimental Hypertension
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