The Noxiousness of Aldosterone Analogue-induced Senile Disease-related Hypertension and Inhibition of the Aldosterone by Silver Spike Point Electrical Stimulation in Elderly People -The Approach of Basic Physical Therapy for the Study of Cardiovascular Disease-related Specialized Physical Therapy-

알도스테론 동족체-유도 노인성질환-연관 고혈압의 유해와 노인에 적용한 은침점전기자극의 알도스테론 억제 -심혈관질환전문물리치료 연구를 위한 기초물리치료학적 접근을 중심으로-

  • Lee, Sook-Hee (Dept. of Senior Rehabilitation Welfare, Yongin University) ;
  • Kang, Joon-Hwan (Dept of General Surgery, Hanmaun Hospital) ;
  • Lee, Sang-Bin (Dept. of Physical Therapy, Pohang 1 College) ;
  • An, Ho-Jung (Dept of Physical Therapy, Pyoungchon Sungshim Hospital) ;
  • Kim, Moo-Gi (Dept of Pain Specialized Physical Therapy, Hanmaun Hospital) ;
  • Kim, Soon-Hee (Dept. of Physical Therapy, Yongin University) ;
  • Kim, Jung-Hwan (Dept. of Physical Therapy, Yongin University)
  • 이숙희 (용인대학교 노인재활복지학과) ;
  • 강준환 (한마음병원) ;
  • 이상빈 (포항1대학 물리치료과) ;
  • 안호정 (평촌성심병원 물리치료실) ;
  • 김무기 (한마음병원 통증전문물리치료실) ;
  • 김순희 (용인대학교 물리치료학과) ;
  • 김중환 (용인대학교 물리치료학과)
  • Published : 2006.06.30

Abstract

The present study examined that in Vivo/Vitro test is investigated in normotensive sham-operated rats (NSR) and aldosterone-analogue deoxycorticosterone acetate (DOCA)-salt hypertensive rats (ADHR) and that the antihypertensive effect was induced by silver spike point (SSP) electrical stimulation at meridian points(CV-3, -4, Ki-12, SP-6, LR-3, BL-25, -28, -32, -52), specifically, such as aldosterone in 24 hour urine analysis from healthy volunteer. The gross examination and morphometric-histological changes, such as hypertrophy, production of necrotic tissues, and the changes of cell arrangement on the kidney, and adrenal gland were markedly observed in aldosterone-analogue DOCA-salt hypertensive rats compared with those from normotensive sham-operated rats. The systolic blood pressure, weight of kidney and adrenal gland were significantly increased in ADHR than that in NSR. The required time of PSS-induced resting tone was significantly increased in ADHR than that in NSR. However, the voltage-dependent K+ (Kv) currents were significantly decreased in ADHR than that in NSR. The urine analysis showed that the concentration of aldosterone was significantly decreased in resting state from the elderly people compared with those from the adolescent healthy volunteer. The current of 1 Hz continue type of SSP electrical stimulation significantly decreased in the concentration of aldosterone of 24 hour urine from the elderly people. These results suggest that the development of aldosterone analogue-induced hypertension is associated with changed the weight of kidney and adrenal gland, blood pressure, resting tone and Kv currents, which directly affects blood pressure. Therefore, the hypertension is a risk factor on cerebrovascular disease. Moreover, these results suggest that the diminished responsiveness to SSP electrical stimulation, especially current of 1Hz continue type, in elderly people may be, in part, related by the increased of antihypertensive effects.

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