Neurohormonal response to head-up tilt and its role in vasovagal syncope

被引：58

作者：

Jardine, DL ^{[1
]}

Melton, IC ^{[1
]}

Crozier, IG ^{[1
]}

Bennett, SI ^{[1
]}

Donald, RA ^{[1
]}

Ikram, H ^{[1
]}

机构：

[1] CHRISTCHURCH HOSP,DEPT CARDIOL,CHRISTCHURCH,NEW ZEALAND

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 1997年 / 79卷 / 09期

关键词：

ATRIAL-NATRIURETIC-PEPTIDE; VASOPRESSIN; HUMANS; ANGIOTENSIN; BAROREFLEX; INCREASE; PRESSURE; RELEASE;

D O I：

10.1016/S0002-9149(9X)00084-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In a controlled study, 26 patients with a history of recurrent syncope were found to have increased arginine vasopressin, corticotrophin, and atrial natriuretic factor levels after 5 minutes of 60 degrees head-up tilt, long before they became hypotensive. The exaggerated neurohormonal response in these patients may indicate a greater sensitivity to central hypovolemia which may predispose to vasovagal syncope, mediated by the vasodilatory effects of atrial natriuretic factor or the sensitization of mechanoreceptors by arginine vasopressin.

引用

页码：1302 / &

页数：6

共 20 条

[1] EFFECTS OF VASOPRESSIN ON THE CIRCULATION AND ITS BAROREFLEX CONTROL IN HEALTHY-MEN
AYLWARD, PE
FLORAS, JS
LEIMBACH, WN
ABBOUD, FM
[J]. CIRCULATION, 1986, 73 (06) : 1145 - 1154
[2] TILT TABLE TESTING FOR EVALUATION OF NEURALLY-MEDIATED (CARDIONEUROGENIC) SYNCOPE - RATIONALE AND PROPOSED PROTOCOLS
BENDITT, DG
REMOLE, S
BAILIN, S
DUNNIGAN, A
ASSO, A
MILSTEIN, S
[J]. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1991, 14 (10): : 1528 - 1537
[3] COWLEY AW, 1982, INT REV PHYSIOL, V26, P189
[4] OSMOTICALLY RELEASED VASOPRESSIN AUGMENTS CARDIOPULMONARY REFLEX INHIBITION OF THE CIRCULATION
HASSER, EM
DICARLO, SE
APPLEGATE, RJ
BISHOP, VS
[J]. AMERICAN JOURNAL OF PHYSIOLOGY, 1988, 254 (05): : R815 - R820
[5] CAROTID BAROREFLEXES AND PLASMA VASOPRESSIN IN HUMANS DURING HEAD-UP TILT
KAMEGAI, M
KRISTENSEN, MS
WARBERG, J
NORSK, P
[J]. AMERICAN JOURNAL OF PHYSIOLOGY, 1992, 263 (02): : R318 - R323
[6] EFFECTS OF GUANETHIDINE RESERPINE + METHYLDOPA ON REFLEX VENOUS + ARTERIAL CONSTRICTION IN MAN
MASON, DT
BRAUNWALD, E
KING, CV
KARSH, RB
KRUEGER, DD
[J]. JOURNAL OF CLINICAL INVESTIGATION, 1964, 43 (07) : 1449 - &
[7] AUGMENTATION OF THE RESPONSE TO CRF IN MAN - RELATIVE CONTRIBUTIONS OF ENDOGENOUS ANGIOTENSIN AND VASOPRESSIN
MILSOM, SR
CONAGLEN, JV
DONALD, RA
ESPINER, EA
NICHOLLS, MG
LIVESEY, JH
[J]. CLINICAL ENDOCRINOLOGY, 1985, 22 (05) : 623 - 628
[8] IMPAIRMENT OF CARDIOPULMONARY BAROREFLEX AFTER CARDIAC TRANSPLANTATION IN HUMANS
MOHANTY, PK
THAMES, MD
ARROWOOD, JA
SOWERS, JR
MCNAMARA, C
SZENTPETERY, S
[J]. CIRCULATION, 1987, 75 (05) : 914 - 921
[9] VENOUS PLETHYSMOGRAPHY - MEASURING TECHNIQUES AND NORMAL VALUES
POINTEL, JP
GIN, H
DROUIN, P
VERNHES, G
DEBRY, G
[J]. ANGIOLOGY, 1981, 32 (03) : 145 - 154
[10] ANGIOTENSIN-II INFUSION INCREASES VASOPRESSIN, ACTH, AND 11-HYDROXYCORTICOSTEROID SECRETION
RAMSAY, DJ
KEIL, LC
SHARPE, MC
SHINSAKO, J
[J]. AMERICAN JOURNAL OF PHYSIOLOGY, 1978, 234 (01): : R66 - R71

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