ACE-depended and sympathetic components of arterial blood pressure regulation inpatients with essential hypertension

Aparina T.V.1, Gomazkov O.A.2, Dilakyan E.A.1, Britov A.N.1

1. National Research Centre for Preventive Medicine
2. Orekhovich Institute of Biomedical Chemistry RAMS
PubMed Id: 11693029
Year: 2001  Volume: 47  Issue: 4  Pages: 411-418
The development of arterial hypertension is accompanied by impairment of the normal ratio of the "ACE-depending" and of the sympathetic nervous system, correlates with the action on the main pharmacological "targets": I-I-imidazoline receptors (moxonidine) or the ACE activity (enalapril). The aim of the present investigation was to determine the hypotensive and metabolic effects of moxonidine and enalapril depending on the basal ACE activity in patients with arterial hypertension, complicated with the metabolic syndrome. Effectiveness of moxonidine and enalapril administration (during 24 weeks) depended on the basal ACE activity in the hypertensive patients: (a) in the group of patients with low basal ACE activity moxonidine very effectively decreased systolic and diastolic blood pressure, compared with the group of patients with high basal ACE activity; (b) influence of enalapril on the level of arterial blood pressure was more pronounced with high basal ACE activity. IN CONCLUSION: choosing a hypotensive treatment for patients with the metabolic syndrome, it is advisable to take into account the basal ACE activity levels.
Download PDF:

Aparina T.V., Gomazkov O.A., Dilakyan E.A., Britov A.N. (2001) Voprosy meditsinskoi khimii, 47(4), 411-418.
 2002 (vol 48)
 2001 (vol 47)
 2000 (vol 46)
 1999 (vol 45)
 1998 (vol 44)
 1997 (vol 43)
 1996 (vol 42)
 1995 (vol 41)
 1994 (vol 40)
 1993 (vol 39)
 1992 (vol 38)
 1991 (vol 37)
 1990 (vol 36)
 1989 (vol 35)
 1988 (vol 34)
 1987 (vol 33)

© Institute of Biomedical Chemistry, Moscow, Russia