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Inverse relationship between upright plasma renin activity and twenty-four hour blood pressure variability in borderline hypertension

 

作者: Nguyen Chau,   Xavier Chanudet,   Pierre Larroque,  

 

期刊: Journal of Hypertension  (OVID Available online 1990)
卷期: Volume 8, issue 10  

页码: 913-918

 

ISSN:0263-6352

 

年代: 1990

 

出版商: OVID

 

关键词: Ambulatory blood pressure;borderline essential hypertension;plasma renin activity

 

数据来源: OVID

 

摘要:

Office, i.e. measured by the physician at rest, and 24h ambulatory systolic (SBP) and diastolic (DBP) blood pressures, heart rate, supine and upright plasma renin activities, supine and upright aldosterone concentrations and plasma and urine sodium and potassium were measured in 61 young male subjects aged 19–25 years, including 40 normotensive subjects (office DBP ≤90mmHg and office SBP ≤140mmHg) and 21 borderline hypertensive subjects (non-normal blood pressures with office DBP ≤95mmHg and office SBP ≤160mmHg). No significant differences were found in the plasma or urine K+ or Na+, upright or supine plasma renin activity or aldosterone concentration between normotensives and borderline hypertensive subjects. No correlation was detected between plasma and urine K+ or Na+, upright and supine aldosterone concentration or supine plasma renin activity and blood pressure. In contrast, significant inverse correlations were observed between upright plasma renin activity and blood pressure. The correlations were approaching statistical significance when upright plasma renin activity was related to office SBP and office DBP (r=-0.22,P=0.097 andr=- 0.25,P=0.049, respectively), and were more significant when plasma renin activity was related to 24h mean DBP (r=-0.32,P=0.013) and to SBP and DBP standard deviations (r=-0.37,P=0.004 andr=-0.26,P=0.04, respectively). The correlations were highly significant when upright plasma renin activity was related to the SBP and DBP day–night fluctuation, the latter being calculated by the cosinor model (r=-0.37,P=0.003 andr=-0.43,P=0.001, respectively). The results suggest that plasma renin activity may already be involved in borderline essential hypertension.

 

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