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May 18, 1999Circulation

Increased Sympathetic Nerve Activity in Renovascular Hypertension

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Key result

Renovascular hypertension was associated with a 100% increase in total body norepinephrine spillover and a 60% increase in muscle sympathetic nerve activity compared with healthy subjects (P<0.01).

Why the study?

Does renovascular hypertension associate with increased total and regional sympathetic nerve activity compared to healthy subjects?

Population

65 patients with renovascular hypertension and 15 age-matched healthy subjects.

Design

Case-control

Authors

MJMats JohanssonMinistry of FinanceMEMikael ElamSahlgrenska University HospitalBRBengt RundqvistOslo University Hospital

Discussion

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Implication

Sympathetic overactivity may contribute to renovascular hypertension; extends SNS observations but leaves open therapeutic targeting.

Study Design

Type

Observational (n=80)

Structured PICO

Does renovascular hypertension associate with increased total and regional sympathetic nerve activity compared to healthy subjects?

P
Population
80 participants, including 65 patients with renovascular hypertension and 15 age-matched healthy subjects, evaluated for sympathetic nerve activity.
C
Comparator
Age-matched healthy subjects (n=15)
O
Outcome
Total body norepinephrine (NE) spillover and muscle sympathetic nerve activity (MSNA)surrogate

Main Result

p-value: p=<0.01

Renovascular hypertension is associated with significantly elevated sympathetic nerve activity, potentially contributing to disease progression and cardiovascular risk.

Cite This Study

Johansson et al. (1999) conducted an observational in Renovascular hypertension (n=80). Renovascular hypertension vs. Healthy subjects was evaluated on Total body norepinephrine (NE) spillover and muscle sympathetic nerve activity (MSNA) (p=<0.01). Renovascular hypertension was associated with a 100% increase in total body norepinephrine spillover and a 60% increase in muscle sympathetic nerve activity compared with healthy subjects (P<0.01).

synapsesocial.com/papers/6a2390639e1c90a91c08e6ebhttps://doi.org/10.1161/01.cir.99.19.2537
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Also Consider

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

  1. 1Elevated sympathetic nerve activity in patients with accelerated essential hypertension.1993 · 94 citations
  2. 2Evidence for increased renal norepinephrine overflow during sodium restriction in humans.1990 · 97 citations
  3. 3Baroreflex Control of Sympathetic Nerve Activity in Essential and Secondary Hypertension1998 · 528 citations
  4. 4Sympathetic Overactivity in Patients with Chronic Renal Failure1992 · 1,143 citations
  5. 5Modulation of Noradrenaline Release in the Pithed Rabbit1984 · 65 citations