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Cited by 173

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The syndrome of essential hypertension and suppressed plasma renin activity. Normalization of blood pressure with spironolactone

Robert M. Carey·1972·Archives of Internal Medicine

Abstract

Because amino-glutethimide, an inhibitor of steroid synthesis, lowers the blood pressure of patients with essential hypertension and suppressed renin activity, the present double-blind study was designed to assess the effect of the mineralocorticoid antagonist, spironolactone, on blood pressure in such patients. Twenty-three of 24 patients with suppressed renin activity responded to spironolactone, 400 mg/day for six weeks. Average decrease in mean blood pressure was 20 mm Hg. There was no response to placebo. A control group of 18 patients with essential hypertension and normal renin activity showed no significant change in blood pressure in response to spironolactone or placebo. Fourteen spironolactone-responsive patients were normotensive when maintained on doses of 100 to 200 mg/day. This study supports the concept that the syndrome of essential hypertension with suppressed renin activity is related to mineralocorticoid secretion.

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Metadata

Authors
Carey, R. M.
Venue
Archives of Internal Medicine
Publisher
American Medical Association
Published
1972-12-01
Volume
130
Issue
6
Pages
849-854
ISSN
0003-9926 (ISSN-L)
OpenAlex
W4252126843
Cited by
173
References
1
FWCI
13.63
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The syndrome of essential hypertension and suppressed plasma renin activity. Normalization of blood pressure with spironolactone. https://app.cochat.ai/papers/10.1001/archinte.130.6.849
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Carey, R. M. (1972). The syndrome of essential hypertension and suppressed plasma renin activity. Normalization of blood pressure with spironolactone. Archives of Internal Medicine. https://doi.org/10.1001/archinte.130.6.849

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.