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Hypertension. 1993;21:929-933

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Hypertension, Vol 21, 929-933, Copyright © 1993 by American Heart Association


ARTICLES

Vasodilation to acetylcholine in primary and secondary forms of human hypertension

S Taddei, A Virdis, P Mattei and A Salvetti
I Clinica Medica, University of Pisa, Italy.

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.


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J. Frielingsdorf, P. Kaufmann, T. Suter, R. Hug, and O. M. Hess
Percutaneous Transluminal Coronary Angioplasty Reverses Vasoconstriction of Stenotic Coronary Arteries in Hypertensive Patients
Circulation, September 22, 1998; 98(12): 1192 - 1197.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
L. Ghiadoni, S. Taddei, A. Virdis, I. Sudano, V. Di Legge, M. Meola, L. Di Venanzio, and A. Salvetti
Endothelial Function and Common Carotid Artery Wall Thickening in Patients With Essential Hypertension
Hypertension, July 1, 1998; 32(1): 25 - 32.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Taddei, A. Virdis, L. Ghiadoni, A. Magagna, and A. Salvetti
Vitamin C Improves Endothelium-Dependent Vasodilation by Restoring Nitric Oxide Activity in Essential Hypertension
Circulation, June 9, 1998; 97(22): 2222 - 2229.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
C. Cardillo, C. M. Kilcoyne, R. O. Cannon III, and J. A. Panza
Racial Differences in Nitric Oxide–Mediated Vasodilator Response to Mental Stress in the Forearm Circulation
Hypertension, June 1, 1998; 31(6): 1235 - 1239.
[Abstract] [Full Text] [PDF]


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Reproductive SciencesHome page
E. Wight, C. F. Kung, P. Moreau, H. Takase, and T. F. Luscher
Chronic Blockade of Nitric Oxide-Synthase and Endothelin Receptors During Pregnancy in the Rat: Effect on Pregnancy Outcome
Reproductive Sciences, May 1, 1998; 5(3): 132 - 139.
[Abstract] [PDF]


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Vasc MedHome page
C. Cardillo and J. A Panza
Impaired endothelial regulation of vascular tone in patients with systemic arterial hypertension
Vascular Medicine, May 1, 1998; 3(2): 138 - 144.
[Abstract] [PDF]


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Cardiovasc ResHome page
J. P Noon, B. R Walker, M. F Hand, and D. J Webb
Impairment of forearm vasodilatation to acetylcholine in hypercholesterolemia is reversed by aspirin
Cardiovasc Res, May 1, 1998; 38(2): 480 - 484.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
F. Perticone, R. Ceravolo, R. Maio, G. Ventura, A. Zingone, N. Perrotti, and P. L. Mattioli
Angiotensin-Converting Enzyme Gene Polymorphism Is Associated With Endothelium-Dependent Vasodilation in Never Treated Hypertensive Patients
Hypertension, April 1, 1998; 31(4): 900 - 905.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. Cardillo, C. M. Kilcoyne, A. A. Quyyumi, R. O. Cannon III, and J. A. Panza
Selective Defect in Nitric Oxide Synthesis May Explain the Impaired Endothelium-Dependent Vasodilation in Patients With Essential Hypertension
Circulation, March 10, 1998; 97(9): 851 - 856.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Husain, N. P. Andrews, D. Mulcahy, J. A. Panza, and A. A. Quyyumi
Aspirin Improves Endothelial Dysfunction in Atherosclerosis
Circulation, March 3, 1998; 97(8): 716 - 720.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
H. Hayakawa and L. Raij
Nitric Oxide Synthase Activity and Renal Injury in Genetic Hypertension
Hypertension, January 1, 1998; 31(1): 266 - 270.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
K. M. Gauthier-Rein and N. J. Rusch
Distinct Endothelial Impairment in Coronary Microvessels from Hypertensive Dahl Rats
Hypertension, January 1, 1998; 31(1): 328 - 334.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
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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J. Appl. Physiol.Home page
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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HypertensionHome page
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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CirculationHome page
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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HypertensionHome page
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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HypertensionHome page
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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HypertensionHome page
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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HypertensionHome page
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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HypertensionHome page
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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HypertensionHome page
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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CirculationHome page
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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HypertensionHome page
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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HypertensionHome page
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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CirculationHome page
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]