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The Effect of Losartan on Red Blood Cell Deformability and Tissue Oxygenation in Patients with Arterial Hypertension

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Oxygen Transport to Tissue XX

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 454))

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Abstract

Norepinephrine (NE) plays an important vasoconstrictive role (via postsynaptic alpha-receptors). Parasympathetic cholinergic stimulation induces the release of acetylcholine (Ach) which stimulates the muscarine receptors to inhibit the release of NE modulating vasodilatation in the microvasculature. It is known that Angiotensin II formed following renin stimulation from the kidneys or locally formed is an extremely important vasoconstrictive agent. In fact Angiotensin II induces the release of norepinephrine (NE) from the terminal neurones, it acts directly on Angiotensin II receptors (AT,), and enhances calcium current influx and releases endothelin (ET) from the endothelium (1). These systems influence the peripheral vascular system, inducing a predominantly vasoconstrictive action that can increase blood pressure. Therefore increased peripheral vascular resistance is almost always observed in hypertensive patients.

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References

  1. Opie H. Lionel. Angiotensin converting enzyme inhibitors. Wiley-Liss Eds. New York, USA 1994; 1; 1–22.

    Google Scholar 

  2. Cesarone M.R., Laurora G., Belcaro G. Microcirculation in Systemic Hypertension. Angiology Nov. 1992; 899–903.

    Google Scholar 

  3. Cicco G., Pirelli A. Emoreologia clinica ed iperternsione arteriosa. Min. Cardioangiologica1993; 6; 213–223.

    Google Scholar 

  4. Kleij van der A.J., Bakker D.J. Oxymetry in Handbook of Hyperbaric Medicine. Oriani G., Marroni A., Wattel F (Eds). Springer Verlag Italia, Milano 1996; 670–685.

    Google Scholar 

  5. Hauser C.J., Shoemaker W.C. Use of a transcutaneous PO2 Regional Perfusion Index to quantify tissue perfusion in peripheral vascular disease. Am.J.Surg, 1983; 197; 337–343.

    CAS  Google Scholar 

  6. Zipursky A., Brown E., Polko J., Brown E. The erythrocyte differential count in newborn infants. The Am. J. Of Ped. Hemat. Oncol. 1983; 45–51.

    Google Scholar 

  7. Forconi S., Turchetti V., De Matteis C., Leoncini F., Picciolini F., Tribalzini L., Pastorino G., Altavilla R. Behaviour of blood viscosity, intraerythrocytic calcium, total erythrocytic calcium and erythrocytic morphology in ischaemic diseases. XVII Eur. Conf. on Microcirc. Roma, 4/9/94–8/9/94. Atti 1994;68.

    Google Scholar 

  8. Forconi S. Relationship between erythrocyte morphology and deformability. Boletim da Sociedade Portuguese de Emorreologia e Microcirculaçao. Eur. Conf. on Clin. Hemorheology, Lisboa 1997 L2.

    Google Scholar 

  9. Shand B.I., Gilchist N.L., Nicholls M.G., Bailey R.R. Effect of Losartan on haematology and haemorheology in elderly patients with essential hypertension: a pilot study. J. Of Hum. Hypert. 1995 Apr. 9; 233–235.

    CAS  Google Scholar 

  10. Moan A., Hoieggen A., Nordhy G., Esde I.K., Kjedsen S.E. Effect of Losartan on insulin sensitivity in severe hypertension; connections through sympathetic nervous system activity? J. of Hum. Hypert. 1995Nov.9 Suppl. 5: S45–50.

    Google Scholar 

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Cicco, G., van der Kleij, A.J., Manicone, A., Vicenti, P., Dolce, E., Pirelli, A. (1998). The Effect of Losartan on Red Blood Cell Deformability and Tissue Oxygenation in Patients with Arterial Hypertension. In: Hudetz, A.G., Bruley, D.F. (eds) Oxygen Transport to Tissue XX. Advances in Experimental Medicine and Biology, vol 454. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4863-8_78

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  • DOI: https://doi.org/10.1007/978-1-4615-4863-8_78

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7206-6

  • Online ISBN: 978-1-4615-4863-8

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