RESUMO
Hypotensive effect of renitek (enalapril maleate) was assessed by activity of some neuroregulation systems and electrolyte balance in 16 patients with essential hypertension (EH). Maximal time of treatment for the assessment was 14 days. Renitek in a single dose 20-40 mg/day produced a response in 80% of EH stage II patients with low activity of plasma renin (PR). A hypotensive effect of the drug proved more essential in patients with higher baseline urinary excretion of aldosterone, adrenaline, noradrenaline and sodium. This effect is associated with stimulation of PR activity, urinary excretion of sodium, reduction in plasma and 24-h urine of aldosterone, adrenaline and noradrenaline concentrations. Renitek nonresponders exhibited high aldosterone concentration in plasma and its normal excretion with urine, diminished sodium excretion with urine. After 2 weeks of treatment blood and urine hormones were close to the initial levels while sodium excretion with urine went down.
Assuntos
Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Anti-Hipertensivos/uso terapêutico , Enalapril/uso terapêutico , Hipertensão/tratamento farmacológico , Neurotransmissores/metabolismo , Equilíbrio Hidroeletrolítico/efeitos dos fármacos , Adulto , Pressão Sanguínea/efeitos dos fármacos , Preparações de Ação Retardada , Avaliação de Medicamentos , Feminino , Humanos , Hipertensão/metabolismo , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Neurotransmissores/análise , Fatores de TempoAssuntos
Catecolaminas/urina , Trabalho de Parto Prematuro/urina , Adulto , Ritmo Circadiano , Feminino , Humanos , GravidezAssuntos
Anestesia/efeitos adversos , Regulação da Temperatura Corporal/efeitos dos fármacos , Procedimentos Cirúrgicos Operatórios , Equilíbrio Ácido-Base/efeitos dos fármacos , Animais , Hemodinâmica/efeitos dos fármacos , Humanos , Hipotermia Induzida/efeitos adversos , Ratos , Síndrome , Fatores de Tempo , Tremor/induzido quimicamente , Tremor/prevenção & controleRESUMO
The paper is related to studies of the sympathico-adrenal activity, hypophysisadrenal and entero-chromaphine systems in patients with hysterical and phobic neuroses. They detected certain regularities in the initial activities of these systems as well as of their reactivity depending upon the character of the functional symptom, psychological personality traits and cerebral dysfunctions.