| Water loading and restriction in essential hypertension. | |
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MedLine Citation:
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PMID: 3549558 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Blood pressure, plasma arginine vasopressin (AVP), and renal excretory responses to short-term water loading (oral load of 20 ml/kg body weight over 30-45 minutes) were compared in 10 normotensive and 13 mild to moderately essential hypertensive subjects. In addition, we examined the renal concentrating ability of an additional group of 10 normotensive subjects and 12 hypertensive subjects in response to a 24-hour water restriction and intranasal administration of 10 micrograms of [1-deamino,8-D-arginine]vasopression. The hypertensive subjects exhibited both an exaggerated diuresis and natriuresis to the water load. At 20- and 60-minutes after water loading, hypertensive subjects had excreted 34 and 55% of the load, respectively, compared with 15 and 35% in normotensive subjects. Mean blood pressure rose significantly in both groups and hypertensive subjects exhibited a greater rise of systolic blood pressure (16 mm Hg) than normotensive subjects (8 mm Hg) 20 minutes after water loading. The maximum diuresis and natriuresis corresponded to the period in which the rise of blood pressure was greatest. The hypertensive subjects diluted and concentrated their urine as well as normotensive subjects did, indicating normal renal responsiveness to AVP. Plasma Na, osmolality, and AVP decreased similarly in both groups after water loading and rose similarly in the two groups after water restriction. This finding suggests that osmotic responsiveness of AVP is not altered in hypertensive subjects. In conclusion, the data suggest that the exaggerated renal response to water loading could be explained by the greater rise of blood pressure in hypertensive subjects rather than by altered AVP responses. |
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Authors:
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M T Velasquez; M M Skelton; A W Cowley |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Hypertension Volume: 9 ISSN: 0194-911X ISO Abbreviation: Hypertension Publication Date: 1987 Apr |
Date Detail:
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Created Date: 1987-05-11 Completed Date: 1987-05-11 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7906255 Medline TA: Hypertension Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 407-14 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arginine Vasopressin / blood Blood Pressure Diuresis Female Heart Rate Humans Hypertension / physiopathology* Kidney Concentrating Ability Male Middle Aged Renin / blood Water / diagnostic use* Water Deprivation / physiology Water-Electrolyte Balance* |
| Grant Support | |
ID/Acronym/Agency:
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HL 29587/HL/NHLBI NIH HHS; RR00058/RR/NCRR NIH HHS |
| Chemical | |
Reg. No./Substance:
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113-79-1/Arginine Vasopressin; 7732-18-5/Water; EC 3.4.23.15/Renin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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