Skip to main content
Log in

Effect of nicardipine on haemodynamic response to stress in hypertension

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The effects of the calcium antagonist nicardipine on the pressor response to mental arithmetic, cold pressor and exercise tests have been studied in fifteen patients with established mild to moderate essential hypertension.

Nicardipine 20 mg p.o. showed a hypotensive effect within 60 min, associated with a fall in total peripheral resistance and an increase in heart rate. As the pressor response to each stress was not affected by nicardipine, the peak blood pressure reached during each stress was lower.

Nicardipine lowers blood pressure at rest as a result of arteriolar dilatation, associated with reflex tachycardia. The pressor responsiveness to various stresses was not affected by nicardipine.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Henry JP, Stephens PM, Santisteban GA (1975) A model of psychosocial hypertension showing reversibility and progression of cardiovascular complications. Circ Res 36: 156–164

    Google Scholar 

  2. Jonsson A, Hansson L (1977) Prolonged exposure to a stressful stimulus (noise) as a cause of raised blood pressure in man. Lancet I: 86–87

    Google Scholar 

  3. Andrén L, Hansson L, Björkman M, Jonsson A (1980) Noise as a contributory factor in the development of elevated arterial pressure. Acta Med Scand 207: 493–498

    Google Scholar 

  4. Lawler JE, Barker GF, Hubbard JW, Schaub RG (1981) Effects of stress on blood pressure and cardiac pathology in rats with borderline hypertension. Hypertension 3: 496–505

    Google Scholar 

  5. Brod J, Fencl V, Hejl Z, Jirka J (1959) Circulatory changes underlying blood pressure elevation during acute emotional stress (mental arithmetic) in normotensive and hypertensive subjects. Clin Sci Mol Med 18: 269–279

    Google Scholar 

  6. Sannerstedt R (1966) Hemodynamic response to exercise in patients with arterial hypertension. Acta Med Scand 180 [Suppl 458]: 1–83

    Google Scholar 

  7. Falkner B, Onesti G, Angelakos ET, Fernandes M, Langman C (1979) Cardiovascular response to mental stress in normal adolescents with hypertensive parents. Hemodynamic and mental stress in adolescents. Hypertension 1: 23–30

    Google Scholar 

  8. Falkner B, Kushner H, Onesti G, Angelakos ET (1981) Cardiovascular characteristics in adolescents who develop essential hypertension. Hypertension 3: 521–527

    Google Scholar 

  9. Hollenberg N (1981) Essential hypertension: abnormal renal vascular and endocrine response to a mild psychological stimulus. Hypertension 3: 11–17

    Google Scholar 

  10. Devereux RB, Pickering TG, Harshfield GA, Kleinert HD, Denby L, Clark L, Pregibon D, Jason M, Kleiner B, Borer JS, Laragh JH (1983) Left ventricular hypertrophy in patients with hypertension: importance of blood pressure response to regularly recurring stress. Circulation 68: 470–476

    Google Scholar 

  11. Parati G, Pomidossi G, Albini F, Malaspina D, Mancia G (1987) Relationship of 24-hour blood pressure mean and variability to severity of target-organ damage in hypertension. J Hypertension 5: 93–98

    Google Scholar 

  12. Baba S, Nakamoto Y, Ueshima H, Ozawa H, Omae T (1988) Variations of blood pressures under regularly recurring stress in daily life and its relation to left ventricular hypertrophy in urban hypertensive men. J Hypertension 6 [Suppl 4]: S695-S696

    Google Scholar 

  13. Takenaka T, Usuda S, Nomura T, Maeno H, Sado T (1976) Vasodilator profile of a new 1,4-dihydropyridine derivative, 2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylic acid 3-[2(N-benzyl-N-methylamino)]-ethyl ester 5-methyl ester hydrochloride (YC-93). Arzneim-Forsch 26: 2172–2178

    Google Scholar 

  14. Takabatake T, Ohta H, Yamamoto Y, Maekawa M, Arai S, Hattori N, Nomura G (1982) Antihypertensive effect of nicardipine hydrochloride in essential hypertension. Int J Clin Pharmacol Ther Toxicol 20: 346–352

    Google Scholar 

  15. Takabatake T, Yamamoto Y, Ohta H, Nakamura S, Hara H, Ishida Y, Hashimoto N, Hattori N (1985) Blood pressure variability and haemodynamic response to stress in patients with paroxysmal elevation of blood pressure. Clin Exp Hypertens A7: 235–242

    Google Scholar 

  16. Mcleay RAB, Stallard TJ, Watson RDS, Littler WA (1983) The effect of nifedipine on arterial pressure and reflex control. Circulation 67: 1084–1090

    Google Scholar 

  17. Safar ME, Simon ACh, Levenson JA, Cazor JL (1983) Hemodynamic effects of diltiazem in hypertension. Circ Res 52 [Suppl I]: 169–173

    Google Scholar 

  18. Pedersen LO, Christensen NJ, Rämsch KD (1980) Comparison of acute effects of nifedipine in normotensive and hypertensive man. J Cardiovasc Pharmacol 2: 357–366

    Google Scholar 

  19. Ventura HO, Messerli FH, Oigman W, Dunn FG, Reisin E, Fröhlich ED (1983) Immediate haemodynamic effects of a new calcium-channel blocking agent (nitrendipine) in essential hypertension. Am J Cardiol 51: 783–786

    Google Scholar 

  20. Mancia G, Parati G, Grassi G, Pomidossi G, Giannattasio C, Casadei R, Groppelli A, Saino A, Gregorini L, Perondi R, Zanchetti A (1987) Calcium antagonists and neural control of circulation in essential hypertension. J Hypertension 5 [Suppl 4]: S49-S55

    Google Scholar 

  21. Takabatake T, Yamamoto Y, Nakamura S, Hashimoto N, Satoh S, Yamada Y, Ohta H, Hattori N (1987) Effect of the calcium antagonist nilvadipine on haemodynamics at rest and during cold stimulation in essential hypertension. Eur J Clin Pharmacol 33: 215–219

    Google Scholar 

  22. Braunwald E (1982) Mechanism of action of calcium-channel blocking agents. N Engl J Med 307: 1618–1627

    Google Scholar 

  23. Takenaka T (1979) Pharmacological study of a calcium-antagonist: the effects of nicardipine hydrochloride (YC-93). J Toh-hoh 26: 48–81

    Google Scholar 

  24. Young MA (1984) Baroreflex setting and sensitivity after acute and chronic nicardipine therapy. Clin Sci 66: 233–235

    Google Scholar 

  25. Zanchetti A, Bacelli G, Mancia G (1976) Fighting, emotions and exercise: cardiovascular effects on the cat. In: Onesti G, Fernandes M, Kim K (ed) Regulation of blood pressure by the central nervous system. Grune-Stratton, New York

    Google Scholar 

  26. Eich RH, Peters RJ, Cuddy RP, Smulyan H, Lyons RH (1962) The hemodynamics in labile hypertension. Am Heart J 63: 188–195

    Google Scholar 

  27. Lund-Johansen P (1967) Hemodynamics in early essential hypertension. Acta Med Scand 181 [Suppl 482]: 1–105

    Google Scholar 

  28. Nestel PJ (1969) Blood pressure and catecholamine excretion after mental stress in labile hypertension. Lancet I: 692–694

    Google Scholar 

  29. Takeshita A, Tanaka S, Kuroiwa A, Nakamura M (1975) Reduced baroreceptor sensitivity in borderline hypertension. Circulation 51: 738–742

    Google Scholar 

  30. Julius S, Pascual AV, London R (1971) Role of parasympathetic inhibition in the hyperkinetic type of borderline hypertension. Circulation 44: 413–418

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Takabatake, T., Yamamoto, Y., Nakamura, S. et al. Effect of nicardipine on haemodynamic response to stress in hypertension. Eur J Clin Pharmacol 42, 265–269 (1992). https://doi.org/10.1007/BF00266346

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00266346

Key words

Navigation