Objective To observe the effects of volatile oil of Angelicae Sinensis Radix on blood pressure and related inflammatory cytokines of hypertensive rat models; To investigate the action mechanism of regulating the blood pressure.Methods Wistar male rats were fed withL-NNA to establish hypertensive rat models. Hypertensive rats were randomly divided into normal control group, model group, positive medicine group, volatile oil of Angelicae Sinensis Radix high- and low-dose groups, with 5 rats in each group. Each medication group was given relative medicine for gavage for 8 weeks. Non-invasive blood pressure measurement system was used to observe the systolic pressure of tail artery of rats before and after medication; the levels of ET-1, CRP, and VCAM-1 in serum were detected by the method of ELISA; RT-PCR was used to measure CRP mRNA of heart.Results The levels of systolic blood pressure, ET-1, VCAM-1, CRP and CRP mRNA in model group were significantly higher than those of normal group (P<0.05,P<0.01); Compared with model group, the levels of ET-1, VCAM-1, CRP and CRP mRNA in model group significantly decreased (P<0.05, P<0.01).Conclusion Volatile oil of Angelicae Sinensis Radix can inhibit vascular inflammatory response and then realize the effects of regulating blood pressure.

Objective To explore the cause of secondary QT interval shortening. Method The data of a child with vasovagal syncope and cardiac depression in whom shortened QT interval was induced in head-up tilt test (HUTT) was analyzed retrospectively, and the related literatures were reviewed. Result A 12-year-old boy visited for fainting when brushing his teeth in the morning. ECG showed sinus bradycardia, heart rate at 55 times /min and normal QT and QTc interval. Dynamic electrocardiogram showed sinus rhythm, mean heart rate at 70 times/min, atrial anterior contraction 3 times, normal mean QT and mean QTc. UCG showed approximately normal heart structure and the left ventricular systolic function. There was no abnormality in EEG and cranial CT. His fasting blood glucose was 5.2 mmol/L. The basal tilt test was positive with vasovagal syncope and cardiac depression. During the tilt table test, Holter monitoring showed that sinus arrest occurred in the child when upright tilt for16 min, and then fainted. Time of sinus arrest was 2.9 s and 11.4 s, respectively, and artificial chest compressions were performed. The QT interval was shortened (QT=330 ms), and so was QTc interval (QTc=320 ms). The ratio of QT/QTp was 78% (the lower limit of normal QT interval was 88% of QTp) before sinus arrest occurred. Conclusion Increased vagal tone may induce QT interval shortening.