Hemodynamic and renal effects of indomethacin in losartan-treated hypertensive individuals.

Abstract:

:This study was undertaken to examine whether prostaglandin (PG) inhibition with indomethacin interferes with angiotensin II receptor blockade (losartan) during treatment for arterial hypertension. In a double-blind crossover design 10 patients with essential arterial hypertension and treated with losartan were randomized to supplementary treatment with indomethacin or placebo for 1 week, with a 2-week washout period interposed. At the end of each treatment period the following examinations were performed, preceded by 4 days on sodium-fixed diet: 24-h blood pressure (BP), 24-h sodium excretion (UNaV), supine BP, glomerular filtration rate (GFR), renal resistive index (RRI), extracellular fluid volume (ECV), sodium clearance (Cl(Na)), body weight, peripheral blood flow (PBF), and plasma concentrations of aldosterone, renin (PRC), and atrial natriuretic peptide (ANP). Indomethacin did not change BP. Indomethacin increased weight (P < .05) and ECV (P < .05). A nonsignificant decrease in UNaV was seen after indomethacin, as in 24-h Cl(Na). Conversely, in the laboratory in the supine position Cl(Na) increased after indomethacin (P = .05). Indomethacin increased plasma ANP (P < .01). No changes were observed in GFR, RRI, PBF, PRC, or plasma aldosterone. Thus indomethacin did not attenuate the antihypertensive effect of losartan, neither was peripheral blood flow affected. Indomethacin caused sodium retention in the nonresting situation, which was not counterbalanced by the increased Cl(Na) in the resting supine position. The observed changes during prostaglandin (PG) inhibition seem most likely due to lack of PG "protection" of renal function, when the sympathetic nervous system is activated throughout the day.

journal_name

Am J Hypertens

authors

Olsen ME,Thomsen T,Hassager C,Ibsen H,Dige-Petersen H

doi

10.1016/s0895-7061(98)00228-3

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

209-16

issue

2 Pt 1

eissn

0895-7061

issn

1941-7225

pii

S0895-7061(98)00228-3

journal_volume

12

pub_type

临床试验,杂志文章,随机对照试验
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    abstract::The role of renal sympathetic nerve activity (RSNA) in the maintenance phase of essential hypertension has not yet been clearly defined. Renal function and mean arterial pressure (MAP) were studied in four Yucatan miniature swine (YMS) with established DOCA hypertension prior to and for 3 weeks after surgical renal de...

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    pub_type: 杂志文章

    doi:10.1093/ajh/3.1.62

    authors: O'Hagan KP,Thomas GD,Zambraski EJ

    更新日期:1990-01-01 00:00:00

  • Renal protective effects of aliskiren beyond its antihypertensive property in a mouse model of progressive fibrosis.

    abstract:BACKGROUND:The direct renin inhibitor aliskiren is known to exhibit a strong antihypertensive effect. However, the organoprotective potential of aliskiren beyond its antihypertensive properties is less clear. This study investigates the antifibrotic nephroprotective effects of aliskiren in a nonhypertensive mouse model...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2010.231

    authors: Gross O,Girgert R,Rubel D,Temme J,Theissen S,Müller GA

    更新日期:2011-03-01 00:00:00

  • Atrial natriuretic factor modulates the plasma levels of a Na+/K+ATPase inhibitor in volume expanded borderline hypertensives.

    abstract::To evaluate the existence of a relationship between atrial natriuretic factor (ANF) and plasma Na+/K+ATPase inhibitory activity in humans, we examined the hemodynamic and humoral response to volume expansion in 41 borderline hypertensive patients (BHT) with either normal (n = 33) or low plasma renin activity (n = 8). ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/4.7.618

    authors: Borghi C,Boschi S,Costa FV,Ambrosioni E

    更新日期:1991-07-01 00:00:00

  • Arterial stiffness is associated with carotid atherosclerosis in hypertensive patients (the Campania Salute Network).

    abstract:BACKGROUND:Pulse pressure/stroke volume indexed to height(2.04) (PP/SVi) is a validated measure of arterial stiffness, but its relation to carotid atherosclerosis is unknown. METHODS:Clinical, echocardiographic, and carotid ultrasound data from 6,209 hypertensive patients without prevalent cardiovascular (CV) disease ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2012.38

    authors: Casalnuovo G,Gerdts E,de Simone G,Izzo R,De Marco M,Giudice R,Trimarco B,De Luca N

    更新日期:2012-07-01 00:00:00

  • Unsweetening the Heart: Possible Pleiotropic Effects of SGLT2 Inhibitors on Cardio and Cerebrovascular Alterations in Resistant Hypertensive Subjects.

    abstract::Resistant hypertension (RH) is a multifactorial disease associated with several target organ damage, such as microalbuminuria, left ventricular hypertrophy, and arterial stiffness. These subjects have high cardiovascular complications, especially when associated with diabetes condition. Sodium glucose cotransporter 2 ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1093/ajh/hpx204

    authors: Pioli MR,Ritter AMV,Modolo R

    更新日期:2018-02-09 00:00:00

  • Aortic Hemodynamics and Arterial Stiffness Responses to Muscle Metaboreflex Activation With Concurrent Cold Pressor Test.

    abstract:BACKGROUND:Overweight/obese young men have increased sympatho-excitation to cold and pain stress-induced by the cold pressor test (CPT) that may lead to abnormal hemodynamic responses. Concurrent CPT and exercise may augment the sympathetic-induced increases in aortic blood pressure (BP), pressure wave reflection (augm...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ajh/hpv043

    authors: Kalfon R,Campbell J,Alvarez-Alvarado S,Figueroa A

    更新日期:2015-11-01 00:00:00

  • Aging and hypertension are independent risk factors for reduced number of circulating endothelial progenitor cells.

    abstract:BACKGROUND:Recent studies have revealed the existence of bone marrow-derived endothelial progenitor cells (EPCs). The number of circulating EPCs might reflect the pathogenesis of atherosclerosis and progression of cardiovascular diseases (CVDs). The purpose of this study was to evaluate the relationship between the num...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2008.278

    authors: Umemura T,Soga J,Hidaka T,Takemoto H,Nakamura S,Jitsuiki D,Nishioka K,Goto C,Teragawa H,Yoshizumi M,Chayama K,Higashi Y

    更新日期:2008-11-01 00:00:00

  • L-dopa and streptozotocin-induced diabetic nephropathy in rats.

    abstract::The purpose of the present study was to determine whether the physiological dopamine prodrug, L-dopa, could suppress streptozotocin-induced diabetic glomerular hyperfiltration, and thus prevent further evolution of the diabetic nephropathy. Male Wistar rats treated with streptozotocin (60 mg/kg, intravenously) rapidly...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/3.6.72s

    authors: Barthelmebs M,Vailly B,Velly J,Grima M,Imbs JL

    更新日期:1990-06-01 00:00:00

  • Ionic basis of hypertension, insulin resistance, vascular disease, and related disorders. The mechanism of "syndrome X".

    abstract::Great pathophysiological significance has recently been placed on the association of metabolic abnormalities, such as hyperinsulinemia, insulin resistance, obesity, and frank diabetes mellitus, with essential hypertension and coronary artery disease, and the clinical coincidence of these features has been termed "synd...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1093/ajh/6.4s.123s

    authors: Resnick LM

    更新日期:1993-04-01 00:00:00

  • Differential regulation of osteopontin expression in the clipped and nonclipped kidney of two-kidney, one-clip hypertensive rats.

    abstract:BACKGROUND:Osteopontin (Opn) is highly upregulated in many different animal models of renal disease, where it is suspected to participate in progression of the disease. In some models, angiotensin II (Ang II) seems to induce the elevated Opn production. Therefore, we examined the regulation of Opn in two-kidney, one-cl...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(02)03266-1

    authors: Gauer S,Hartner A,Hauser IA,Fierlbeck W,Eberhardt W,Geiger H

    更新日期:2003-03-01 00:00:00

  • Are there meaningful differences in blood pressure control with current antihypertensive agents?

    abstract::Hypertension is a major risk factor for cardiovascular disease, and small reductions in blood pressure can have a substantial impact on outcome. Effective control of hypertension per se is important in reducing morbidity and mortality, but there is growing evidence that the class of drug used in treatment may affect p...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/s0895-7061(01)02272-5

    authors: Oparil S

    更新日期:2002-01-01 00:00:00

  • Insulin resistance and the metabolic syndrome are associated with arterial stiffness in patients with chronic kidney disease.

    abstract:BACKGROUND:Insulin resistance (IR) and the metabolic syndrome (MetS) may contribute to cardiovascular risk in chronic kidney disease (CKD). We examine the association between IR and vascular function in CKD. Furthermore, we define the prevalence of MetS and examine the association between defining MetS and vascular fun...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpt077

    authors: Chan DT,Watts GF,Irish AB,Ooi EM,Dogra GK

    更新日期:2013-09-01 00:00:00

  • Pharmacodynamics of clonidine therapy in pregnancy: a heterogeneous maternal response impacts fetal growth.

    abstract:BACKGROUND:Clonidine, a centrally acting antihypertensive agent, has been used successfully in pregnancy. We sought to describe the pharmacodynamic effects of clonidine in pregnancy and the associated impact on fetal growth. METHODS:A retrospective cohort study was performed. Maternal hemodynamics were measured before...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2010.159

    authors: Rothberger S,Carr D,Brateng D,Hebert M,Easterling TR

    更新日期:2010-11-01 00:00:00

  • Caffeine attenuates early post-exercise hypotension in middle-aged subjects.

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    journal_title:American journal of hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.amjhyper.2005.07.022

    authors: Notarius CF,Morris BL,Floras JS

    更新日期:2006-02-01 00:00:00

  • The C825T GNB3 polymorphism, independent of blood pressure, predicts cerebrovascular risk at a population level.

    abstract:BACKGROUND:The role of C825T polymorphism of the candidate GNB3 gene in predicting cerebrovascular outcome has been poorly explored in longitudinal setting at a population level. METHODS:In an epidemiological setting, 1,678 men and women from general population were genotyped for C825T polymorphism of GNB3 gene and fo...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2011.257

    authors: Casiglia E,Tikhonoff V,Boschetti G,Bascelli A,Saugo M,Guglielmi G,Caffi S,Rigoni G,Giordano N,Grasselli C,Martini B,Mazza A,De Lazzari F,Palatini P

    更新日期:2012-04-01 00:00:00

  • Aortic PWV in chronic kidney disease: a CRIC ancillary study.

    abstract:BACKGROUND:Aortic pulse wave velocity (PWV) is a measure of arterial stiffness and has proved useful in predicting cardiovascular morbidity and mortality in several populations of patients, including the healthy elderly, hypertensives and those with end-stage renal disease receiving hemodialysis. Little data exist char...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2009.240

    authors: Townsend RR,Wimmer NJ,Chirinos JA,Parsa A,Weir M,Perumal K,Lash JP,Chen J,Steigerwalt SP,Flack J,Go AS,Rafey M,Rahman M,Sheridan A,Gadegbeku CA,Robinson NA,Joffe M

    更新日期:2010-03-01 00:00:00

  • A selective estrogen receptor modulator, tamoxifen, and membrane fluidity of erythrocytes in normotensive and hypertensive postmenopausal women: an electron paramagnetic resonance investigation.

    abstract:BACKGROUND:Recent studies have shown that tamoxifen, which belongs to a group called selective estrogen receptor modulators (SERM), may exert protective effects against cardiovascular diseases and stroke in postmenopausal women. On the other hand, abnormalities in physical properties of the cell membranes may underlie ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/j.amjhyper.2005.02.009

    authors: Tsuda K,Nishio I

    更新日期:2005-08-01 00:00:00

  • Environmental determinants of urinary kallikrein excretion.

    abstract::Decreased urinary kallikrein excretion has been shown to be related to hypertension. Kallikrein levels also have been shown to be determined primarily by genes, with 51% of the total variance being due to a single gene. However, there exists strong spouse-spouse correlation, indicating that common environment plays a ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Hunt SC,Wu LL,Slattery ML,Meikle AW,Williams RR

    更新日期:1993-03-01 00:00:00

  • Role of nitric oxide in cocaine-induced acute hypertension.

    abstract::Cocaine causes acute hypertension by blocking catecholamine reuptake. There is evidence that it also impairs the peripheral endothelial nitric oxide system, which is normally vasodilatory. We further explored the role of nitric oxide in cocaine-induced vasoconstriction in anesthetized rats, and in vitro by using isola...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(98)00041-7

    authors: Mo W,Singh AK,Arruda JA,Dunea G

    更新日期:1998-06-01 00:00:00

  • Effects of low-sodium diet vs. high-sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride (Cochrane Review).

    abstract:BACKGROUND:The question of whether reduced sodium intake is effective as a health prophylaxis initiative is unsolved. The purpose was to estimate the effects of low-sodium vs. high-sodium intake on blood pressure (BP), renin, aldosterone, catecholamines, and lipids. METHODS:Studies randomizing persons to low-sodium an...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,meta分析,评审

    doi:10.1038/ajh.2011.210

    authors: Graudal NA,Hubeck-Graudal T,Jürgens G

    更新日期:2012-01-01 00:00:00

  • Interactions between dietary calcium and caffeine consumption on calcium metabolism in hypertensive humans.

    abstract::Abnormal calcium metabolism has been implicated in human hypertension. Caffeine consumption may contribute to hypertension since it increases urinary calcium excretion. Nineteen hypertensive subjects (HTN) and nineteen age and gender matched normotensive controls (NTC) who habitually consumed at least 175 mg caffeine ...

    journal_title:American journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1016/0895-7061(95)00337-1

    authors: Wise KJ,Bergman EA,Sherrard DJ,Massey LK

    更新日期:1996-03-01 00:00:00

  • Identification of a functional Na+/Mg2+ exchanger in human trophoblast cells.

    abstract:BACKGROUND:Ionized magnesium levels are elevated in fetal blood compared with maternal blood, suggesting that the placenta may possess an active transport mechanism for magnesium. In the present study, we sought to determine the existence of an active transport mechanism for magnesium in the placenta using cultured tro...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(02)02272-0

    authors: Standley PR,Standley CA

    更新日期:2002-06-01 00:00:00

  • Hepatic effects of a fructose diet in the stroke-prone spontaneously hypertensive rat.

    abstract:BACKGROUND:Feeding stroke-prone spontaneously hypertensive rats (SHRSP) a diet rich in fructose results in a profound glucose intolerance not observed in the normotensive Wistar Kyoto (WKY) strain. The aim of this study was to investigate the role of the liver in the underlying mechanisms in the SHRSP. METHODS:SHRSP a...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2008.41

    authors: Brosnan MJ,Carkner RD

    更新日期:2008-06-01 00:00:00

  • Research opportunities and directions on the blood pressure problem. Combining predictors.

    abstract::While only a small percentage of the population has high blood pressure, a much larger segment of the US population has a high-normal (above optimal) blood pressure, and is at increased risk for hypertension and its cardiovascular sequelae. Hypertension is thus a population-wide problem and must be approached in much ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1093/ajh/4.11s.646s

    authors: Stamler J

    更新日期:1991-11-01 00:00:00

  • Hemodynamics and Vascular Hypertrophy in African Americans and Caucasians With High Blood Pressure.

    abstract:BACKGROUND:Hypertension in African Americans is characterized by greater systemic vascular resistance (SVR) compared with Caucasian Americans, but the responsible mechanisms are not known. The present study sought to determine if peripheral vascular hypertrophy is a potential mechanism contributing to elevated SVR in A...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpw080

    authors: Hill LK,Sherwood A,Blumenthal JA,Hinderliter AL

    更新日期:2016-12-01 00:00:00

  • Rapid adjustment of antihypertensive drugs produces a durable improvement in blood pressure.

    abstract::Antihypertensive drugs are often initiated and adjusted over a period of weeks to months. It is not clear whether the time and inconvenience of this approach is necessary. We studied whether or not drug adjustment over several days in the context of a physician-nurse team could produce a durable blood pressure benefit...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(00)01273-5

    authors: Canzanello VJ,Jensen PL,Hunder I

    更新日期:2001-04-01 00:00:00

  • Estimated healthcare savings associated with adequate dairy food intake.

    abstract::Medical literature that has coalesced during the past two to three decades has identified adequate intake of nutrients from dairy foods as a common factor in the reduction of the disease burden of several common medical conditions. These include obesity, hypertension, type 2 diabetes, osteoporosis, kidney stones, cert...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjhyper.2003.08.008

    authors: McCarron DA,Heaney RP

    更新日期:2004-01-01 00:00:00

  • Masked hypertension in the elderly: cross-sectional analysis of a population-based sample.

    abstract:BACKGROUND:Masked hypertension (MHT), defined as normal blood pressure (BP) at office associated with high BP at home, has been shown to be associated with an increased risk of vascular events. However, MHT is poorly known in the elderly, although this age segment is at high risk of hypertension-related vascular events...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2011.23

    authors: Cacciolati C,Hanon O,Alpérovitch A,Dufouil C,Tzourio C

    更新日期:2011-06-01 00:00:00

  • Erythrocyte cation metabolism in salt-sensitive hypertensive blacks as affected by dietary sodium and calcium.

    abstract::The role of dietary salt and calcium on changes in cellular cation metabolism has been evaluated in 11 salt-sensitive hypertensive black adults maintained on the following four metabolic diets for 56 days, 14 days on each diet in a repeated measures format: 356 mg Ca-1000 mg sodium (NA); 356 mg Ca-4000 mg Na; 934 Ca-1...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/1.4.386

    authors: Zemel MB,Kraniak J,Standley PR,Sowers JR

    更新日期:1988-10-01 00:00:00

  • Endogenous marinobufagenin-like immunoreactive substance. A possible endogenous Na, K-ATPase inhibitor with vasoconstrictor activity.

    abstract::Vasoconstrictor and Na/K pump inhibitory properties of a bufodienolide Na/K-ATPase inhibitor, marinobufagenin, were studied in isolated rings of 2 to 3 order branches of human pulmonary arteries respectively. Marinobufagenin displayed concentration-dependent vasoconstrictor activity (0.01 to 10 mmol/L). In sarcolemma ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/0895-7061(96)00148-3

    authors: Bagrov AY,Dmitrieva RI,Fedorova OV,Kazakov GP,Roukoyatkina NI,Shpen VM

    更新日期:1996-10-01 00:00:00