Molecular and clinical investigations in patients with low-renin hypertension

Clin Exp Nephrol. 2009 Feb;13(1):1-8. doi: 10.1007/s10157-008-0071-4. Epub 2008 Aug 15.

Abstract

Interactions between the renin-angiotensin-aldosterone system and other mechanisms determining sodium balance are important in the pathophysiology of hypertension. Low-renin hypertension is a common type of resistant hypertension and is often associated with increased sodium retention. The importance of investigation, factors determining renin and aldosterone levels, and drug therapies in low-renin hypertension are reviewed.

Publication types

  • Review

MeSH terms

  • Aldosterone / blood
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure* / drug effects
  • Diuretics / therapeutic use
  • Down-Regulation
  • Drug Resistance
  • Drug Therapy, Combination
  • Humans
  • Hypertension / drug therapy
  • Hypertension / metabolism*
  • Hypertension / physiopathology
  • Kidney / drug effects
  • Kidney / innervation
  • Kidney / metabolism*
  • Renin / blood*
  • Renin-Angiotensin System* / drug effects
  • Sodium / metabolism
  • Sympathetic Nervous System / physiopathology
  • Treatment Outcome
  • Water-Electrolyte Balance

Substances

  • Antihypertensive Agents
  • Diuretics
  • Aldosterone
  • Sodium
  • Renin