口服依那普利治疗神经心原性晕厥(国外英文资料).doc

口服依那普利治疗神经心原性晕厥 Oral innalpul is treated for neurocardiogenic syncope The spring rain liu guangyao wang was a young man, Yang chengming Yang 【 abstract 】 objective to observe the curative effect and the mechanism of the neurogenic syncope. Methods 48 cases of tilt test repeatability good positive nerve cardiogenic syncope patients with oral placebo respectively and enalaprilat tilt test check after 1 week, and by using fluorescence method to measure the tilt test to check blood catecholamine concentration before and after. Results in the placebo group, 24 patients with neurocardiogenic syncope were treated with an oblique test of the perineum, and the perineum rate was 33.3%. In the 24 cases in the analpuri group, in addition to the three cases of the adverse effects of dry cough, there were 21 cases of neurogenic syncope (P 0.0001). The average follow-up was 13.4 + + 1 months, and in the placebo group, 13 of the 24 cases were neurogenic syncope, with an incidence rate of 54.2%, whereas in the anappuri group, there was no recurrence. Determination of catecholamine found before the onset of nerve cardiogenic syncope abnormal plasma catecholamine concentration increased, the placebo intervention had no obvious effect on plasma catecholamine concentration, enalaprilat intervention is effective to suppress the secretion of catecholamine. The conclusion is that the inhibitor of angiotensin conversion enzyme may be an effective drug to prevent the onset of syncope. [keywords] the catechins of the catechins Effects of oral enalapril on neurally The syncope Zeng Chunyu, Liu Guangyao, Wang Xukai, et al., Daping Hospital, The Third Millitary Medical University, Chongqing 400042 【Abstract】　Objective　To investigate the effects of oral enalapril on neurally mediated syncope (NMS) and to study its mechanism. Methods　48 patients with unexplained syncope and positive response to head-up tilt table test were examined again with the test after administering enalapril or placebo for