Excessive plasma dopamine increase at rest and during exercise after long-term beta-adrenoreceptor blockade in hypertensive patients.
نویسندگان
چکیده
The effect of four weeks and 15 months of treatment with the cardioselective beta-receptor antagonist metoprolol on blood pressures, plasma noradrenaline, adrenaline, and dopamine at rest, during submaximal steady state and near maximal exercise, as well as five minutes after exercise, was studied in seven moderately hypertensive men aged 25 to 51 years. Four weeks of treatment resulted in significantly lower heart rates and blood pressures at rest, during, and after exercise; no further significant changes were observed after 15 months of continuous. treatment. The exercise-induced increase in plasma noradrenaline and adrenaline tended to be more pronounced after treatment with metoprolol with virtually identical values after both four weeks and 15 months. Plasma dopamine was much less affected by exercise and showed only a weak tendency towards higher values during work. While no significant changes were observed after four weeks of treatment, there was a significant 10 to 12 fold increase of dopamine over the control values after 15 months of treatment. At rest plasma dopamine was five and 10 times higher than corresponding noradrenaline and adrenaline levels. The excessive rise of dopamine might have clinical implications: because of the cardiovascular and renal actions of dopamine, high levels should tend towards dampening the negative inotropic effect of beta-receptor blockade and might thus contribute to the increase of cardiac output and decrease of peripheral vascular resistance usually seen with beta-receptor antagonists after longterm treatment compared with acute or short-term administration.
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ورودعنوان ژورنال:
- British heart journal
دوره 44 1 شماره
صفحات -
تاریخ انتشار 1980