Pathophysiological differences between multifocal fibromuscular dysplasia and atherosclerotic renal artery stenosis.

Abstract:

BACKGROUND:Fibromuscular dysplasia (FMD) and atherosclerotic renal artery stenosis (ARAS) are the most common causes of renovascular hypertension. So far, FMD is believed to cause hypertension via similar mechanisms as in ARAS, that is, a decrease in renal blood flow, which subsequently leads to increased renin secretion. However, given the differences in the blood pressure (BP)-lowering effect of revascularization between patients with ARAS and FMD, we questioned whether this is true. METHODS:We measured renal blood flow (Xenon washout method) and renin secretion per kidney and their relationship to BP in a cohort of 64 patients with multifocal FMD and 110 patients with ARAS (off medication, prior to revascularization). RESULTS:We found that renal blood flow is significantly higher in FMD as compared with ARAS. In patients with unilateral ARAS, renin secretion was increased in the affected kidney as compared with the unaffected kidney. This lateralization in renin secretion, however, was not found in unilateral FMD. After correction for differences in baseline characteristics, we found that systemic renin levels and local renin secretion was lower in FMD as compared with ARAS. Moreover, the relationship between BP and renin secretion in FMD was inverse to that in ARAS. CONCLUSION:These findings argue against the hypothesis that FMD induces hypertension via similar pathophysiological mechanism as in ARAS.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

van Twist DJ,Houben AJ,de Haan MW,de Leeuw PW,Kroon AA

doi

10.1097/HJH.0000000000001243

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

845-852

issue

4

eissn

0263-6352

issn

1473-5598

journal_volume

35

pub_type

杂志文章
  • Regression of left ventricular hypertrophy and microalbuminuria changes during antihypertensive treatment.

    abstract:OBJECTIVE:The objective of the present study was to assess the regression of left ventricular hypertrophy (LVH) during antihypertensive treatment, and its relationship with the changes in microalbuminuria. INDIVIDUALS AND METHODS:One hundred and sixty-eight previously untreated patients with echocardiographic LVH, 46 ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328361461e

    authors: Rodilla E,Pascual JM,Costa JA,Martin J,Gonzalez C,Redon J

    更新日期:2013-08-01 00:00:00

  • Genome-wide scan of predisposing loci for increased diastolic blood pressure in Finnish siblings.

    abstract:OBJECTIVES:To review, on a genome-wide scale, a linkage result obtained in an earlier candidate gene analysis in this same study sample, and to look for other possible contributing genetic loci predisposing to hypertension in this population. DESIGN:An affected sibpair linkage study with highly polymorphic genetic mar...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200018110-00008

    authors: Perola M,Kainulainen K,Pajukanta P,Terwilliger JD,Hiekkalinna T,Ellonen P,Kaprio J,Koskenvuo M,Kontula K,Peltonen L

    更新日期:2000-11-01 00:00:00

  • Vascular smooth muscle growth in genetic hypertension: evidence for multiple abnormalities in growth regulatory pathways.

    abstract:OBJECTIVE:To gain insight into the mechanisms which contribute to the development of vascular hypertrophy in the spontaneously hypertensive rat (SHR). DESIGN:These experiments were performed under conditions which most closely mimic the growth of smooth muscle in blood vessels, i.e. once cell-cell contact has been ach...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Saltis J,Bobik A

    更新日期:1992-07-01 00:00:00

  • Prevalence, awareness, treatment and control of hypertension in Portugal: the PAP study.

    abstract:BACKGROUND:The objective of this study was to estimate the prevalence and distribution of hypertension and to determine the status of hypertension awareness, treatment and control in the Portuguese adult population. METHODS:This study was conducted in 2003, and a multistage cluster sampling method was used to select a...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/01.hjh.0000179908.51187.de

    authors: Macedo ME,Lima MJ,Silva AO,Alcantara P,Ramalhinho V,Carmona J

    更新日期:2005-09-01 00:00:00

  • Adjustment for current weight and the relationship between birth weight and blood pressure in childhood.

    abstract:OBJECTIVE:To determine the role of current weight in mediating the relationship between birth weight and blood pressure within the context of the 'fetal origins' hypothesis. DESIGN:Prospective cohort study of 2507 pregnant women and their singleton offspring, delivered live at term, in Perth, Western Australia between...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1097/00004872-200018080-00003

    authors: Blake KV,Gurrin LC,Evans SF,Beilin LJ,Stanley FJ,Landau LI,Newnham JP

    更新日期:2000-08-01 00:00:00

  • Blood pressure variability increases with advancing chronic kidney disease stage: a cross-sectional analysis of 16 546 hypertensive patients.

    abstract:OBJECTIVE:Increased BP-variability predicts cardiovascular morbidity and mortality in hypertensives. This study aimed to examine short-term BP-variability according to renal function stage. METHODS:We included 16 546 patients [10 270 (62.1%) without/6276 (38.9%) with CKD Stage 1-5] from the Spanish Ambulatory-Blood-Pr...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001670

    authors: Sarafidis PA,Ruilope LM,Loutradis C,Gorostidi M,de la Sierra A,de la Cruz JJ,Vinyoles E,Divisón-Garrote JA,Segura J,Banegas JR

    更新日期:2018-05-01 00:00:00

  • Isolation of T-cell clones with specificity for arterial antigen from spontaneously hypertensive rats.

    abstract:OBJECTIVE:It has been postulated that hypertension in the spontaneously hypertensive rat (SHR) results from autoimmune damage to the SHR vasculature. The objective of this study was to isolate autoreactive T-cells specific for arterial antigens, and to characterize these cells. DESIGN:The presence of autoreactive T-ce...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199312000-00002

    authors: Ofosu-Appiah W,Ruggiero C,Huang LY

    更新日期:1993-12-01 00:00:00

  • Epsilon 4 allele of apolipoprotein E gene associates with lower blood pressure in young Japanese subjects: the Suita Study.

    abstract:OBJECTIVES:The apolipoprotein epsilon 4 allele (APOE/epsilon 4) increases plasma cholesterol level and the risk for the late onset type of Alzheimer's disease. However, the correlation between hypertension and APOE/epsilon 4 has not yet been clarified. To examine the APOE/epsilon 4 effect in the general population of J...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200210000-00021

    authors: Katsuya T,Baba S,Ishikawa K,Mannami T,Fu Y,Inamoto N,Asai T,Fukuda M,Higaki J,Ogata J,Ogihara T

    更新日期:2002-10-01 00:00:00

  • Acetylcholine and norepinephrine concentrations in the heart of spontaneously hypertensive rats: a parasympathetic role in hypertension.

    abstract::To determine the role of the parasympathetic system in the development of essential hypertension, the concentrations of acetylcholine (ACh) as a parasympathetic marker and norepinephrine (NE) as a sympathetic marker were measured simultaneously in the heart of spontaneously hypertensive rats (SHR) at 4, 10 and 27 week...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198706000-00010

    authors: Tsuboi H,Ohno O,Ogawa K,Ito T,Hashimoto H,Okumura K,Satake T

    更新日期:1987-06-01 00:00:00

  • Chronic angiotensin II type 1 receptor antagonism in genetic hypertension: effects on vascular structure and reactivity.

    abstract:OBJECTIVE AND DESIGN:The aim of the study was to assess the role of angiotensin II (Ang II) in the maintenance of cardiovascular hypertrophy and the abnormal vascular amplifier properties in spontaneously hypertensive rats (SHR) with established hypertension. Losartan, a type 1 Ang II receptor antagonist, was administe...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199307000-00006

    authors: Oddie CJ,Dilley RJ,Kanellakis P,Bobik A

    更新日期:1993-07-01 00:00:00

  • Marinobufagenin, an endogenous ligand of alpha-1 sodium pump, is a marker of congestive heart failure severity.

    abstract:BACKGROUND:A reduced cardiac output in chronic heart failure (CHF) evokes renal NaCl and water retention, and, therefore, activates mechanisms promoting natriuresis. Atrial natriuretic peptide (ANP) is one such factor. We hypothesized that another NaCl sensitive endogenous natriuretic factor, i.e., marinobufagenin (MBG...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200206000-00032

    authors: Fridman AI,Matveev SA,Agalakova NI,Fedorova OV,Lakatta EG,Bagrov AY

    更新日期:2002-06-01 00:00:00

  • The effect of vitamin D on renin-angiotensin system activation and blood pressure: a randomized control trial.

    abstract:OBJECTIVE:Disruption of vitamin D signaling in rodents causes activation of the rennin-angiotensin system (RAS) and development of hypertension. Observational studies in humans found lower circulating 25-hydroxyvitamin D [25(OH)D] is associated with increased RAS activity and blood pressure (BP). We performed the first...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HJH.0000000000001220

    authors: McMullan CJ,Borgi L,Curhan GC,Fisher N,Forman JP

    更新日期:2017-04-01 00:00:00

  • Impaired expression of duodenal iron transporters in Dahl salt-sensitive heart failure rats.

    abstract:OBJECTIVE:Anemia is common in patients with heart failure and several factors have been thought to cause anemia in heart failure. Despite vigorous studies, the mechanism underlying the pathophysiology of anemia in heart failure is unknown. We investigated the iron regulating system in Dahl salt-sensitive heart failure ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e3283434784

    authors: Naito Y,Tsujino T,Fujimori Y,Sawada H,Akahori H,Hirotani S,Ohyanagi M,Masuyama T

    更新日期:2011-04-01 00:00:00

  • The sympathetic nervous system in hypertension: assessment by blood pressure variability and ganglionic blockade.

    abstract:OBJECTIVE:To determine if the contribution of the sympathetic nervous system to blood pressure could be evidenced by low-frequency oscillations of systolic blood pressure (LF(SBP)), reflecting vascular sympathetic modulation, or by the decrease in blood pressure after autonomic blockade. DESIGN:We studied multiple sys...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1097/00004872-200309000-00017

    authors: Diedrich A,Jordan J,Tank J,Shannon JR,Robertson R,Luft FC,Robertson D,Biaggioni I

    更新日期:2003-09-01 00:00:00

  • Silent cerebral white matter lesions in middle-aged essential hypertensive patients.

    abstract:OBJECTIVE:Age, hypertension, diabetes mellitus and a history of cardiovascular disease are the most important factors related to the presence of cerebral white matter lesions (WML), which are a common finding in elderly people. This study investigates which factors related to hypertension per se are associated with the...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200203000-00028

    authors: Sierra C,de La Sierra A,Mercader J,Gómez-Angelats E,Urbano-Márquez A,Coca A

    更新日期:2002-03-01 00:00:00

  • Renal protective effects of chronic exercise and antihypertensive therapy in hypertensive rats with chronic renal failure.

    abstract:OBJECTIVES:Patients with chronic renal failure are restricted to mild physical activity and tend to a lack of exercise. However, there have been few reports regarding the influence of chronic exercise on the progression of renal disease. Similarly, there are few animal models concerned with the effect of exercise train...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200110000-00024

    authors: Kohzuki M,Kamimoto M,Wu XM,Xu HL,Kawamura T,Mori N,Nagasaka M,Kurosawa H,Minami N,Kanazawa M,Saito T,Yoshida K

    更新日期:2001-10-01 00:00:00

  • Bench and ambulatory field evaluation of the A & D TM-2420 automated sphygmomanometer.

    abstract::Adequate evaluation of automated sphygmomanometers, in terms of safety, accuracy, mechanical reliability, patient acceptability and ability to record ambulatory blood pressure is essential before these devices are used in clinical practice and in clinical trials. We have evaluated the accuracy and performance of the A...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199007000-00003

    authors: Jamieson MJ,Fowler G,MacDonald TM,Webster J,Witte K,Lawson L,Crichton W,Jeffers TA,Petrie JC

    更新日期:1990-07-01 00:00:00

  • Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis.

    abstract:OBJECTIVE:The aim of this study was to determine the reproducibility of pulse wave velocity (PWV) and augmentation index (AIx) measured using pulse wave analysis (PWA), prior to its use in large-scale clinical trials. METHODS:Arterial pressure waveforms were recorded and analysed using an established technique (Sphygm...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00004872-199816121-00033

    authors: Wilkinson IB,Fuchs SA,Jansen IM,Spratt JC,Murray GD,Cockcroft JR,Webb DJ

    更新日期:1998-12-01 00:00:00

  • Associations of the nocturnal blood pressure fall and morning surge with cardiovascular events and mortality in individuals with resistant hypertension.

    abstract:OBJECTIVE:The prognostic importance of the nocturnal blood pressure (BP) fall and early-morning surge were scarcely investigated in patients with resistant hypertension (RHT). We investigated them in a prospective cohort of 1726 RHT individuals. METHODS:The nocturnal fall and morning surge were calculated from the bas...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002775

    authors: Cardoso CRL,Salles GF

    更新日期:2021-01-11 00:00:00

  • Impact of malignant arterial hypertension on the heart.

    abstract:OBJECTIVES:To assess the consequences of malignant hypertension and its evolution with antihypertensive treatment. BACKGROUND:Malignant hypertension can be considered as a model of the effects of very high blood pressure and renin-angiotensin levels on target organs. However, the consequences on the heart have been li...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e3283430b12

    authors: Gosse P,Coulon P,Papaioannou G,Litalien J,Lemetayer P

    更新日期:2011-04-01 00:00:00

  • Brachial-ankle pulse wave velocity predicts the development of cardiovascular disease in a general Japanese population: the Hisayama Study.

    abstract:OBJECTIVE:We examined the relationship between brachial-ankle pulse wave velocity and the development of cardiovascular disease in a general Japanese population. METHODS:A total of 2916 community-dwelling Japanese individuals without history of cardiovascular disease aged at least 40 years were followed up for an aver...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e32835c5c23

    authors: Ninomiya T,Kojima I,Doi Y,Fukuhara M,Hirakawa Y,Hata J,Kitazono T,Kiyohara Y

    更新日期:2013-03-01 00:00:00

  • Arterial hypertension in a murine model of sleep apnea: role of NADPH oxidase 2.

    abstract:OBJECTIVES:To investigate whether NADPH oxidase 2 (NOX2), a major source of reactive oxygen species (ROS), contributes to the emergence of arterial hypertension in a murine model of sleep apnea. BACKGROUND:Obstructive sleep apnea (OSA) is a risk factor for arterial hypertension and it is linked to oxidative stress. M...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000000016

    authors: Schulz R,Murzabekova G,Egemnazarov B,Kraut S,Eisele HJ,Dumitrascu R,Heitmann J,Seimetz M,Witzenrath M,Ghofrani HA,Schermuly RT,Grimminger F,Seeger W,Weissmann N

    更新日期:2014-02-01 00:00:00

  • Serum bisphenol A as a predictor of chronic kidney disease progression in primary hypertension: a 6-year prospective study.

    abstract:OBJECTIVE:Hypertensive nephropathy is one of the major causes of chronic kidney disease (CKD). Bisphenol A (BPA) is associated with elevated blood pressure and urinary albuminuria. The aim of this study is to evaluate the association between serum BPA with the progression of CKD in patients with primary hypertension. ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000000780

    authors: Hu J,Wang Y,Xiang X,Peng C,Gao R,Goswami R,Zhou H,Zhang Y,Zhen Q,Cheng Q,Yang S,Li Q

    更新日期:2016-02-01 00:00:00

  • The Bergen blood pressure study: offspring of two hypertensive parents have significantly higher blood pressures than offspring of one hypertensive and one normotensive parent.

    abstract:OBJECTIVE:To study blood pressure and antihypertensive drug treatment in subjects with contrasting family histories of hypertension. SUBJECTS AND METHODS:We grouped 520 offspring examined in 1990 (mean +/- SD age 36 +/- 7 years) according to their parents' blood pressure screened in 1963-1964 as offspring of two normo...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Mo R,Omvik P,Lund-Johansen P

    更新日期:1995-12-01 00:00:00

  • An association study of angiotensinogen polymorphisms with serum level and hypertension in an African-American population.

    abstract:OBJECTIVE:To evaluate the association of angiotensinogen (AGT) gene with AGT level and hypertension based on the overall genetic variation of the AGT gene in among African-Americans. METHODS:All non-rare single nucleotide polymorphisms (SNPs) in AGT were identified by resequencing 24 individuals. Five tagging SNPs wer...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200310000-00011

    authors: Wu X,Luke A,Rieder M,Lee K,Toth EJ,Nickerson D,Zhu X,Kan D,Cooper RS

    更新日期:2003-10-01 00:00:00

  • Modulation of vasoconstriction by insulin.

    abstract:OBJECTIVE:To test the hypothesis that insulin differently modifies vasoconstriction and recovery from vasoconstriction induced by endogenously released versus circulating norepinephrine, and to investigate the time-dependency of its effect METHODS:Healthy male subjects were studied. Norepinephrine was infused for 10 m...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: van Veen S,Chang PC

    更新日期:1998-08-01 00:00:00

  • What is the plasma cofactor required by diuretics for direct vascular relaxant effect in vitro?

    abstract:OBJECTIVE:To determine the plasma cofactor which is required by diuretics (hydrochlorothiazide, chlorthalidone, indapamide, and furosemide) for direct vasorelaxant effects in vitro. DESIGN:A randomized, double-blind, vehicle-control design was used to avoid experimenter bias. METHODS:We plotted concentration-response...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199816060-00011

    authors: Abrahams Z,Pang MY,Lam EK,Wright JM

    更新日期:1998-06-01 00:00:00

  • Effect of exposure to PM2.5 on blood pressure: a systematic review and meta-analysis.

    abstract:BACKGROUND:Comprehensive studies have confirmed that particulate matter air pollution could trigger myocardial infarction, heart failure and reduce heart rate variability; however, its effect on blood pressure (BP) remains controversial. Therefore, we did a systematic review and meta-analysis to investigate the associa...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/HJH.0000000000000342

    authors: Liang R,Zhang B,Zhao X,Ruan Y,Lian H,Fan Z

    更新日期:2014-11-01 00:00:00

  • Haemodynamic effects of intact digoxin antibody and its Fab fragments in experimental hypertension.

    abstract::The effects of i.v. injection of intact digoxin antibody (0.3 mg/rat) and of its Fab fragment (40 mg/rat) on blood pressure, cardiac output and total peripheral resistance were measured in conscious spontaneously hypertensive and deoxycorticosterone hypertensive rats. In vitro findings showed that Fab fragment bound r...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198710000-00006

    authors: Mann JF,Miemietz R,Ganten U,Ritz E

    更新日期:1987-10-01 00:00:00

  • The cardiovascular responses to sequential inhibition of alpha-adrenoceptors, the renin-angiotensin system and vasopressin in rats with adrenal regeneration hypertension.

    abstract::The cardiovascular responses to selective alpha 1- and alpha 2-adrenoceptor antagonism (with prazosin and idazoxan, respectively) were assessed in rats 4 weeks after unilateral nephro-adrenalectomy, contralateral adrenal enucleation and the provision of a 1% NaCl solution as drinking fluid (AEN rats) and in sham-opera...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Foulkes R,Gardiner SM,Bennett T

    更新日期:1988-04-01 00:00:00