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February 8, 1996New England Journal of Medicine1,451 citations

Hypertension and Associated Metabolic Abnormalities — The Role of Insulin Resistance and the Sympathoadrenal System

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GRGerald M. ReavenHLHans LithellLLLewis Landsberg

Key Result

Metabolic abnormalities in hypertension are hypothesized to be linked to elevated blood pressure by a pathophysiologic process involving the sympathoadrenal system.

Structured PICO

P
Population
Patients with hypertension and their normotensive first-degree relatives

Highlights the hypothesis that insulin resistance and metabolic abnormalities in hypertension are pathophysiologically linked via the sympathoadrenal system.

Abstract

Abnormalities of glucose, insulin, and lipoprotein metabolism are common in patients with hypertension. These changes can also be discerned in normotensive first-degree relatives of hypertensive patients. They are not present in patients with secondary forms of hypertension, do not necessarily improve when blood pressure is lowered pharmacologically, and may even be made worse by some forms of antihypertensive treatment. These metabolic abnormalities may play a part in both the pathogenesis and the complications of hypertension in many patients. We hypothesize that the metabolic abnormalities are linked to the hypertension by a pathophysiologic process that involves the sympathoadrenal system and exerts . . .

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Cite This Study

Reaven et al. (1996) conducted a review in Hypertension and metabolic abnormalities. Metabolic abnormalities in hypertension are hypothesized to be linked to elevated blood pressure by a pathophysiologic process involving the sympathoadrenal system.

synapsesocial.com/papers/6a0e1fdefeb2455d62c82edfhttps://doi.org/10.1056/nejm199602083340607
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Insulin Resistance in Secondary Hypertension1992 · 74 citations
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