Plasma Renin Activity and Blood Pressure in 89 Patients Receiving Maintenance Haemodialysis Therapy
| Autor: | P. W. Craswell, Z. Varghese, R A Baillod, V. M. Hird, Patricia A. Judd, J. F. Moorhead |
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| Rok vydání: | 1972 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Sodium chemistry.chemical_element Blood Pressure Nephrectomy Plasma renin activity Electrocardiography Renal Dialysis Internal medicine Renin Renin–angiotensin system medicine Humans Child Dialysis General Environmental Science business.industry Angiotensin II Maintenance haemodialysis Body Weight General Engineering Papers and Originals General Medicine Middle Aged Diet Blood pressure Endocrinology chemistry Child Preschool Hypertension General Earth and Planetary Sciences Female business |
| Zdroj: | BMJ. 4:749-753 |
| ISSN: | 1468-5833 0959-8138 |
| Popis: | Blood pressure, plasma renin activity, plasma sodium concentration, plasma potassium concentration, dietary sodium intake, and duration of dialysis have been measured under standard conditions in 89 patients on maintenance haemodialysis. No significant relation was found between plasma renin activity and blood pressure. Statistically significant correlations were found between plasma renin activity and plasma sodium concentration and between plasma renin activity and dietary sodium intake. Only one patient was found to have uncontrollable hypertension associated with a markedly raised plasma renin activity. Reasons are given for not performing bilateral nephrectomy in this patient. We believe the low incidence of uncontrollable hypertension and hyperreninaemia in our patients to be due to their slow introduction to haemodialysis, thus preventing violent swings in body weight, blood pressure, and renin secretion. Although plasma renin activity did fall with duration of dialysis, all 15 patients who have been on maintenance dialysis for longer than five years have normal levels. |
| Databáze: | OpenAIRE |
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