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Cited by 261

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Converting enzyme inhibition and kidney function in normotensive diabetic patients with persistent microalbuminuria.

Open access
Marre, M, Leblanc, H, Suarez, L, Guyenne, T T, Menard, J, Passa, P·1987·BMJ

Abstract

The effects of a long term reduction in blood pressure on the kidney function of normotensive diabetic patients who had persistent microalbuminuria (30-300 mg albumin/24 hours) were studied in two groups of 10 such patients before and during six months of treatment with either 20 mg enalapril or placebo daily. Treatments were assigned randomly in a double blind fashion. Before treatment both groups had similar clinical characteristics, weight, diet, total glycosylated haemoglobin, median albumin excretion rate (enalapril group 124 mg/24 h, placebo group 81 mg/24 h), and mean arterial pressure (enalapril group 100 (SD 8) mm Hg, placebo group 99 (6) mm Hg). During treatment weight, urinary urea excretion, and total glycosylated haemoglobin remained unchanged. The mean arterial pressure decreased in the enalapril group but not in the placebo group (enalapril group 90 (10) mm Hg, placebo group 98 (8) mm Hg). The median albumin excretion rate also fell in the enalapril group but not in the placebo group (enalapril group 37 mg/24 h, placebo group 183 mg/24 h.) The glomerular filtration rate rose in the enalapril group from 130 (23) ml/min/1.73 m2 to 141 (24) ml/min/1.73 m2, and total renal resistances and fractional albumin clearance decreased while fractional albumin clearance increased in the placebo group. These results show that in patients who have diabetes but not hypertension a reduction in blood pressure by inhibition of converting enzyme for six months can reduce persistent microalbuminuria, perhaps by decreasing the intraglomerular pressure.

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Metadata

Authors
Marre, M., Leblanc, H., Suarez, L., Guyenne, T. T., Menard, J., & Passa, P.
Venue
BMJ
Publisher
BMJ
Published
1987-06-06
Volume
294
Issue
6585
Pages
1448-1452
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2069375794
Cited by
261
References
32
FWCI
32.17
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Converting enzyme inhibition and kidney function in normotensive diabetic patients with persistent microalbuminuria. https://app.cochat.ai/papers/10.1136/bmj.294.6585.1448
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Marre, M., Leblanc, H., Suarez, L., Guyenne, T. T., Menard, J., & Passa, P. (1987). Converting enzyme inhibition and kidney function in normotensive diabetic patients with persistent microalbuminuria. BMJ. https://doi.org/10.1136/bmj.294.6585.1448

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