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January 12, 1974Acta Medica ScandinavicaOpen Access

The Effect of Propranolol on Plasma Renin Activity and Blood Pressure in Mild Essential Hypertension

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Key result

Four weeks of propranolol treatment significantly reduced plasma renin activity after tilt from 248.7 to 39.0 ng/100 ml/h (p<0.005) and diastolic blood pressure by 19 mmHg (p<0.001).

Why the study?

Does propranolol reduce plasma renin activity and blood pressure in male patients with mild to moderate essential hypertension?

Population

14 male patients with mild to moderate essential hypertension

Comparison

Propranolol vs Baseline measurements after four weeks of…

Design

Cohort

Follow-up

4 weeks

Authors

LHLennart HanssonGeneral CardiologyAZAndrew J. ZweiflerMichigan Medicine

Discussion

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Implication

Propranolol was associated with reduced renin activity and BP in mild hypertension; leaves open mechanisms and need for randomized trials.

Structured PICO

Does propranolol reduce plasma renin activity and blood pressure in male patients with mild to moderate essential hypertension?

P
Population
14 male patients with mild to moderate essential hypertension evaluated for plasma renin activity and blood pressure after acute and 4-week propranolol treatment.
I
Intervention
Propranolol (acute administration of 0.22 mg/kg b.wt. i.v., followed by four weeks of oral treatment at 160–320 mg daily)
C
Comparator
Baseline measurements after four weeks of placebo treatment
O
Outcome
Plasma renin activity (PRA) and blood pressure (BP)surrogate

Main Result

Absolute Event Rate: 39% vs 248.7%

p-value: p=< 0.005

Propranolol significantly reduces both plasma renin activity and blood pressure in patients with mild to moderate essential hypertension, although the reductions are not significantly correlated.

Cite This Study

Hansson et al. (1974) studied mild to moderate essential hypertension (n=14). Propranolol vs. Placebo/Baseline was evaluated on Plasma renin activity (PRA) after 10 min of 45° head-up tilt (p=< 0.005). Four weeks of propranolol treatment significantly reduced plasma renin activity after tilt from 248.7 to 39.0 ng/100 ml/h (p<0.005) and diastolic blood pressure by 19 mmHg (p<0.001).

synapsesocial.com/papers/6a231e13386be3bc61656c4ehttps://doi.org/10.1111/j.0954-6820.1974.tb08159.x

Topics

Hypertension management
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Also Consider

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

  1. 1Adrenergic Receptor Mediation of Renin Secretion1969 · 241 citations
  2. 2Patterns of Adrenal Secretion and Urinary Excretion of Aldosterone and Plasma Renin Activity in Normal and Hypertensive Subjects1966 · 154 citations
  3. 3Application of a Radioimmunoassay for Angiotensin I to the Physiologic Measurements of Plasma Renin Activity in Normal Human Subjects11969 · 2,239 citations
  4. 4EFFECT OF ALPRENOLOL ON BLOOD PRESSURE AND PLASMA RENIN ACTIVITY IN HYPERTENSIVE PATIENTS1973 · 96 citations
  5. 5Effect of Methyldopa on Plasma Renin Activity in Man1969 · 79 citations