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December 1, 1959CirculationOpen Access

Relationship Between Plasma and Extracellular Fluid Volume Depletion and the Antihypertensive Effect of Chlorothiazide

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Why the study?

Does chlorothiazide lower blood pressure through plasma and extracellular fluid volume depletion?

Design

Other

Follow-up

1 year

Authors

IWIlse M. WilsonPrincess Margaret HospitalEFEdward D. FreisGeneral / Preventive / LipidsMTMary J. TaylorUnited States Food and Drug Administration

Discussion

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Implication

Initial chlorothiazide BP reduction tracks volume loss; long-term efficacy implicates non-volume mechanisms, leaving precise pathways unresolved.

Structured PICO

Does chlorothiazide lower blood pressure through plasma and extracellular fluid volume depletion?

I
Intervention
chlorothiazide (continuous treatment for up to 1 year)
O
Outcome
blood pressure, plasma and extracellular fluid volumes, and body weightsurrogate

The early antihypertensive effect of chlorothiazide is driven by volume depletion, but its long-term efficacy at 1 year is mediated by other mechanisms as extracellular fluid reaccumulates.

Cite This Study

Wilson et al. (1959) studied this question.

synapsesocial.com/papers/6a20f55b34bef10fdaeb2d76https://doi.org/10.1161/01.cir.20.6.1028
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CHLOROTHIAZIDE IN HYPERTENSIVE AND NORMOTENSIVE PATIENTS1958 · 77 citations
  2. 2Clinical and Laboratory Observations on Chlorothiazide (Diuril)1957 · 74 citations
  3. 3BENZOTHIADIAZINE DIOXIDES AS NOVEL DIURETICS1957 · 274 citations