Hypertension, Vol 21, 929-933, Copyright © 1993 by American Heart Association
S Taddei, A Virdis, P Mattei and A Salvetti
Endothelium-dependent vasodilatation to acetylcholine is reduced in the
forearm of essential hypertensive patients. To investigate whether
endothelium-dependent vasodilatation is reduced also in secondary
hypertension, we evaluated the effects of an intrabrachial infusion of
acetylcholine on forearm blood flow (strain-gauge venous plethysmography)
in essential hypertensive (n = 12), primary aldosteronism hypertensive (n =
8), and renovascular hypertensive (n = 8) patients and normotensive control
subjects (n = 12). To further evaluate the role of a
cyclooxygenase-dependent endothelium-derived vasoconstrictor substance, we
repeated the infusion of acetylcholine in the presence of indomethacin. The
effect of the direct vasodilator sodium nitroprusside was also examined.
The vasodilatation to acetylcholine was reduced in essential, primary
aldosteronism, and renovascular hypertensive patients compared with
normotensive subjects. In contrast, the vasodilatation induced by sodium
nitroprusside was similar in all groups of patients and control subjects.
In the presence of indomethacin, the vasodilator effect of acetylcholine
was increased in essential hypertensive patients but not in normotensive or
in secondary hypertensive individuals. These data demonstrate an impairment
of endothelium-dependent vasodilation in renovascular and primary
aldosteronism hypertensive patients and indicate that a
cyclooxygenase-dependent vasoconstrictor mechanism participates in the
blunting of endothelium-dependent vasodilation in essential hypertensive
patients.
ARTICLES
Vasodilation to acetylcholine in primary and secondary forms of human hypertension
I Clinica Medica, University of Pisa, Italy.
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D. Rizzoni, E. Porteri, M. Castellano, G. Bettoni, M. L. Muiesan, G. Tiberio, S. M. Giulini, G. Rossi, G. Bernini, and E. Agabiti-Rosei Endothelial Dysfunction in Hypertension Is Independent From the Etiology and From Vascular Structure Hypertension, January 1, 1998; 31(1): 335 - 341. [Abstract] [Full Text] [PDF] |
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M. J. Joyner and N. M. Dietz Nitric oxide and vasodilation in human limbs J Appl Physiol, December 1, 1997; 83(6): 1785 - 1796. [Abstract] [Full Text] [PDF] |
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S. Taddei, A. Virdis, L. Ghiadoni, S. Uleri, A. Magagna, and A. Salvetti Lacidipine Restores Endothelium-Dependent Vasodilation in Essential Hypertensive Patients Hypertension, December 1, 1997; 30(6): 1606 - 1612. [Abstract] [Full Text] |
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H. O. Steinberg, B. Bayazeed, G. Hook, A. Johnson, J. Cronin, and A. D. Baron Endothelial Dysfunction Is Associated With Cholesterol Levels in the High Normal Range in Humans Circulation, November 18, 1997; 96(10): 3287 - 3293. [Abstract] [Full Text] |
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C. Cardillo, C. M. Kilcoyne, R. O. Cannon III, A. A. Quyyumi, and J. A. Panza Xanthine Oxidase Inhibition With Oxypurinol Improves Endothelial Vasodilator Function in Hypercholesterolemic but Not in Hypertensive Patients Hypertension, July 1, 1997; 30(1): 57 - 63. [Abstract] [Full Text] |
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J. Hoyer, R. Kohler, and A. Distler Mechanosensitive Cation Channels in Aortic Endothelium of Normotensive and Hypertensive Rats Hypertension, July 1, 1997; 30(1): 112 - 119. [Abstract] [Full Text] |
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S. Taddei, A. Virdis, P. Mattei, L. Ghiadoni, C. B. Fasolo, I. Sudano, and A. Salvetti Hypertension Causes Premature Aging of Endothelial Function in Humans Hypertension, March 1, 1997; 29(3): 736 - 743. [Abstract] [Full Text] |
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H. Hayakawa and L. Raij The Link Among Nitric Oxide Synthase Activity, Endothelial Function, and Aortic and Ventricular Hypertrophy in Hypertension Hypertension, January 1, 1997; 29(1): 235 - 241. [Abstract] [Full Text] [PDF] |
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S. Pinto, A. Virdis, L. Ghiadoni, G. Bernini, M. Lombardo, F. Petraglia, A. R. Genazzani, S. Taddei, and A. Salvetti Endogenous Estrogen and Acetylcholine-Induced Vasodilation in Normotensive Women Hypertension, January 1, 1997; 29(1): 268 - 273. [Abstract] [Full Text] [PDF] |
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S. Taddei, A. Virdis, L. Ghiadoni, A. Magagna, and A. Salvetti Cyclooxygenase Inhibition Restores Nitric Oxide Activity in Essential Hypertension Hypertension, January 1, 1997; 29(1): 274 - 279. [Abstract] [Full Text] [PDF] |
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I. Antony, G. Lerebours, and A. Nitenberg Angiotensin-Converting Enzyme Inhibition Restores Flow-Dependent and Cold Pressor Test–Induced Dilations in Coronary Arteries of Hypertensive Patients Circulation, December 15, 1996; 94(12): 3115 - 3122. [Abstract] [Full Text] |
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D. Rizzoni, E. Porteri, M. Castellano, G. Bettoni, M. L. Muiesan, P. Muiesan, S. M. Giulini, and E. Agabiti-Rosei Vascular Hypertrophy and Remodeling in Secondary Hypertension Hypertension, November 1, 1996; 28(5): 785 - 790. [Abstract] [Full Text] |
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S. Taddei, A. Virdis, L. Ghiadoni, P. Mattei, I. Sudano, G. Bernini, S. Pinto, and A. Salvetti Menopause Is Associated With Endothelial Dysfunction in Women Hypertension, October 1, 1996; 28(4): 576 - 582. [Abstract] [Full Text] |
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S. Taddei, A. Virdis, P. Mattei, L. Ghiadoni, I. Sudano, and A. Salvetti Defective L-Arginine–Nitric Oxide Pathway in Offspring of Essential Hypertensive Patients Circulation, September 15, 1996; 94(6): 1298 - 1303. [Abstract] [Full Text] |
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