Effect of Postural Change on Plasma Renin Activity in Peripheral and Renal Veins in Hypertensive Patients with or without Renal Artery Stenosis
スポンサーリンク
概要
- 論文の詳細を見る
Effect of postural change on plasma renin activity (PRA) in peripheral and renal veins was studied in hypertensive patients with or without renal artery stenosis (RAS). When a renal venous PRA ratio (higher value to lower value) of 1.5 or more, as an index for predicting surgical curability of hypertension due to RAS, was applied to these patients in the prolonged recumbent position, 3 of the 12 patients without RAS showed false-positive ratios of more than 1.5 with normal values in peripheral venous PRA. On the other hand, 3 of the 7 patients with RAS cured or improved by surgery had normal peripheral venous PRAs, showing a false-negative ratio of 1.1. Re-evaluation of the ratio after passive tilting gave no more the false-positive and false-negative results; the value was decreased in 3 patients without RAS and augmented in 3 patients with RAS. The mean ratio after passive tilting was unaltered in 12 patients without RAS and significantly elevated in 18 surgically and medically treated patients with RAS. After resumption of recumbent position, the disparty of renal venous PRA between the 2 sides disappeared in 4 of the 5 cured or improved patients. The ratio between peripheral and lower renal venous PRAs remained unchanged throughout the postural changes in patients both with and without RAS.These results suggest that the determination of PRA after passive tilting may propose a more accurate indicator for predicting surgical curability by making the renal venous PRA ratio clearer, especially when peripheral venous PRA shows a normal value.To obtain reliable results, caution should be taken to keep up continued recumbency before collection of blood for PRA measurement.
- International Heart Journal刊行会の論文
著者
-
Takeda Ryoyu
Second Department Of Internal Medicine Kanazava University
-
MORIMOTO Shinpei
Second Department of Internal Medicine, School of Medicine, University of Kanazawa
-
UCHIDA Kenzo
Second Department of Internal Medicine, School of Medicine, University of Kanazawa
-
UEYAMA Takeshi
First Department of Surgery
-
MORIMOTO Shinpei
Second Department of Internal Medicine, School of Medicine, Kanazawa University
関連論文
- CAUSES OF DEATH IN PATIENTS WITH FAMILIAL HYPERCHOLESTEROLEMIA : RATE OF DEATH FROM CORONARY HEART DISEASE : Atherosclerosis : PROCEEDINGS OF THE 50th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- HISTOPATHOLOGICAL FACTORS RELATED TO DIASTOLIC FUNCTION IN MYOCARDIAL HYPERTROPHY
- Septic Pulmonary Emboli Secondary to Pyogenic Liver Abscess in a Diabetic Patient
- Biological Activity of Partially Purified Digitalis-like Substance and Na-K-ATPase Inhibitor in Rats : THE 17th CONFERENCE ON THE PATHOGENESIS OF HYPERTENSION
- Lisinopril Decreases Plasma Free Testosterone in Male Hypertensive Patients and Increases Sex Hormone Binding Globulin in Female Hypertensive Patients
- DECREASED 11 β-HYDROXYSTEROID DEHYDROGENASE ACTIVITY IN THE MESENTERIC ARTERIES OF SPONTANEOUSLY HYPERTENSIVE RATS
- -0954-ABDOMINAL ARTIC ANEURYSM OF FAMILIAL HYPERCHOLESTEROLEMIA : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0945-LONG-TERM COURSE AND CARDIAC SYMPATHETIC NERVE ACTIVITY IN PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0745-FTHE ROLE OF ENDOTHELIUM ON THE VASO-CONSTRICTIVE EFFECT OF NEUROPEPTIDE Y ON THE ISOLATED CANINE CORONARY ARTERY
- -449-VASOCONSTRICTOR EFFECTS OF NEUROPEPTIDE Y ON ISOLATED CANINE CORONARY ARTERY : Coronary Circulation : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -141-VENTRICULAR DYSFUNCTION IN DIABETES MELLITUS : Cardiomyopathy : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- CHANGES OF SERUM TOTAL CHOLESTEROL AND TRIGLYCERIDE LEVELS IN NORMAL SUBJECTS IN JAPAN IN THE PAST TWENTY YEARS : Research Committee on Familial Hyperlipidemia in Japan
- REPRODUCIBILITY OF INTRACORONARY ERGONOVINE TEST IN PATIENTS WITH VAVOSPASTIC ANGINA : Ischemic Heart Disease : 53 Annual Scientific Meeting, Japanese Circulation Society
- Two Cases of Atrial Septal Defect in the Aged
- Lecithin: Cholesterol Acyl Transfer Rate in Hypothyroidism and Hyperthyroidism
- Effect of Postural Change on Plasma Renin Activity in Peripheral and Renal Veins in Hypertensive Patients with or without Renal Artery Stenosis
- Effect of a Spironolactone Derivative (SC 14266) on Plasma Renin Activity in Adrenal Regeneration Hypertension
- Urinary Aldosterone and Hypertension
- A case of eosinophilic heart disease diagnosed by endomyocardial biopsy findings.
- Urinary Excretion of 19-Noraldosterone in the Spontaneously Hypertensive Rats and Stroke-Prone Spontaneously Hypertensive Rats
- Plasma Corticoid (CS) Profile in Spontaneously Hypertensive Rat (SHR) Analyzed by High Performance Liquid Chromatography (HPLC)
- Type IV Collagen in Hypertrophic Cardiomyopathy.
- Detection of Anomalous Origin of the Left Coronary Artery by Transesophageal Echocardiography and Magnetic Resonance Imaging.
- 11 Beta-Hydroxysteroid Dehydrogenase Activity in the Mesenteric Arteries of Spontaneously Hypertensive Rats
- Noninvasive Measurement of Left Atrial Functions Using Transesophageal Echocardiography.