Cited by 17Blood Pressure and Hypertension StudiesSodium Intake and HealthRenin-Angiotensin System Studies

The effect of sodium depletion on plasma norepinephrine kinetics in patients with essential hypertension.

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KIMURA, SHINOBU, MIURA, YUKIO, ADACHI, MAKI, ADACHA, MICHIKO, NEZU, MITSUHIRO, TORIYABE, SHUNICHI, SUGAWARA, TAKASHI, ISHIZUKA, YUKI +4 more·1983·Japanese Circulation Journal

Abstract

The effects of sodium depletion on plasma norepinephrine (NE) kinetics were studied in 14 patients with essential hypertension using the steady state NE infusion technique on the theoretical basis of a two-compartmental open model. The calculated half time of rapid removal phase (t 1/2 alpha) of plasma NE was significantly delayed in the hypertensives (1.20 +/- 0.22 min, mean +/- SD) than in normal subjects (0.89 +/- 0.14) (p less than 0.01). The total clearance rates were comparable between the 2 groups (47 +/- 7 vs 48 +/- 11 ml/kg/min). The rates of the endogenous NE outflow into the circulation (RE-NE) were not significantly different between normal (5.29 +/- 1.68 ng/kg/min) and hypertensives (7.69 +/- 5.42), although 5 hypertensive patients (36%) showed an increased RE-NE above the normal range. The prolonged half time (t 1/2 alpha) in the hypertensives tended to be shortened after sodium depletion induced by either low sodium diet or diuretics (1.04 +/- 0.22, p less than 0.001). Both plasma NE and RE-NE were significantly increased after sodium depletion. A close correlation was observed between plasma NE and RE-NE (r = 0.907, p less than 0.001) in these subjects. These results suggest the slowed neuronal uptake of NE at the sympathetic nerve terminals in some patients with essential hypertension, occurring in part as a sodium-mediated consequence.

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Crossref · 10.1253/jcj.47.1232

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  • In earlier studies, the half-time of the rapid disappearance phase of tritiated NE removal from plasma after infusion was prolonged in some patients with essential hypertension.

    “In these earlier studies, the half-time of the rapid disappearance phase of tritiated NE removal from plasma on termination of an intravenous infusion of the tracer, which is primarily, but not exclusively, dependent on neuronal NE uptake was found to be prolonged in some patients with essential hypertension.[5][6][7]”

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Authors
KIMURA, S., MIURA, Y., ADACHI, M., ADACHA, M., NEZU, M., TORIYABE, S., SUGAWARA, T., ISHIZUKA, Y., NOSHIRO, T., TAKAHASHI, M., OHASHI, H., & YOSHINAGA, K.
Venue
Japanese Circulation Journal
Published
1983
Volume
47
Issue
10
Pages
1232-1241
ISSN
  • 0047-1828 (ISSN-L)
  • 1347-4839
OpenAlex
W2013524904
Cited by
17
References
42
Citations by year
2018: 1 · 2017: 1 · 2016: 1 · 2013: 1 · 2012: 1
FWCI
0.73
Type
journal article
Language
en
Open access
Locations
  • Japanese Circulation Journal-english Edition (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
Keywords
sodium depletion, plasma norepinephrine, norepinephrine kinetics, essential hypertension, norepinephrine clearance, sodium restriction, diuretics, sympathetic nerve terminals
MeSH terms
Adolescent, Adult, Blood Pressure, Female, Heart Rate, Humans, Hypertension, Kinetics, Male, Middle Aged, Norepinephrine, Sodium, Vascular Resistance

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