Acute and long-term salt depletion and beta-blockade: plasma renin activity response and its relation to blood pressure reduction in long-term treatment

Acta Med Scand. 1978;203(5):415-8. doi: 10.1111/j.0954-6820.1978.tb14898.x.

Abstract

The changes in plasma renin activity (PRA) during short-term salt depletion (and peroral furosemide on the first day) and after bolus injection of propranolol were compared to the change during long-term treatment with diuretic and with propranolol in 19 patients with benign primary hypertension. A highly significant correlation was found between PRA on short-term and long-term salt depletion (r=0.02). A highly significant correlation was likewise found between initial PRA and decrement of PRA after bolus injection of or long-term treatment with propranolol. Only a weak inverse correlation was found between PRA reached during short-term salt depletion or long-term diuretic treatment and the fall in diastolic BP during long-term treatment (r=0.60). No significant correlation was found between decrease in PRA on propranolol (bolus/long-term) and diastolic BP reduction. It is concluded that the short-term PRA response to salt depletion and propranolol in the individual patient gives a good prediction of the PRA level on long-term diuretic or propranolol treatment, but is of no value in predicting the BP reduction during treatment.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Blood Pressure / drug effects
  • Diet, Sodium-Restricted*
  • Diuretics / therapeutic use
  • Female
  • Furosemide / therapeutic use
  • Humans
  • Hypertension / drug therapy*
  • Male
  • Middle Aged
  • Propranolol / therapeutic use*
  • Renin / blood*
  • Time Factors

Substances

  • Adrenergic beta-Antagonists
  • Diuretics
  • Furosemide
  • Propranolol
  • Renin