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근거중심한의약 DB

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Title

Radix Puerariae rebalances vasomotor factors and improves left ventricular diastolic dysfunction in patients with essential hypertension.

Authors

Liu Y, Liang S, Bu P, Liang E, Yan F, Xing Y, Zhang P.

Journal

Exp Ther Med.

Year

2020

Vol (Issue)

20(2)

Page

705-13.

doi

10.3892/etm.2020.8746.

PMID

32742316

Url

http://www.ncbi.nlm.nih.gov/pubmed/32742316

MeSH

Keywords

Radix Puerariae; angiotensin II; calcitonin gene-related peptide; echocardiography; endothelin; essential hypertension; left ventricular diastolic dysfunction

한글 키워드

KMCRIC summary and commentary

없음

Korean Study

N

Abstract

The aim of the present study was to validate the beneficial role of Radix Puerariae in rebalancing the plasma levels of endothelin, angiotensin II (AngII) and calcitonin gene-related peptide (CGRP) in patients with essential hypertension (EHT). A total of 150 patients with EHT were enrolled consecutively and randomized to receive antihypertensive drugs according to guideline-directed medical therapy (GDMT group) and GDMT plus Radix Puerariae (GDMT + RP group). The blood pressure was recorded biweekly. At baseline and at the end of the follow-up (12 weeks), the plasma levels of endothelin, AngII and CGRP were detected, whilst the left ventricular (LV) diastolic function was evaluated by echocardiography. At baseline, the two groups did not differ in terms of demographic characteristics and LV diastolic dysfunction. At the end of the follow-up, lower blood pressure was observed in the GDMT + RP compared with that in the GDMT group. The plasma levels of AngII and endothelin were also significantly lower in the GDMT + RP group. The plasma levels of CGRP increased significantly in the GDMT + RP compared with those in the GDMT group. The addition of Radix Puerariae improved LV diastolic function, with the percentage of dysfunction decreasing to only 9%, while this percentage remained significantly elevated (21%) in the GDMT group. The results of the present study demonstrated that Radix Puerariae is able to regulate blood pressure and the plasma levels of endothelin, AngII and CGRP in patients with EHT. LV diastolic dysfunction was also improved, as detected by echocardiography.

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