Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
February 12, 2013HypertensionOpen Access

Blacks Have a Greater Sensitivity to α 1 -Adrenoceptor–Mediated Venoconstriction Compared With Whites

View Full Paper
Ask AI
Bookmark
Share

Key result

Black subjects demonstrated greater sensitivity to phenylephrine-induced venoconstriction compared with white subjects (geometric mean ED50 172 vs 310 ng/min; adjusted P=0.003).

Why the study?

Does sensitivity to α1-adrenoceptor-mediated venoconstriction differ between black and white subjects?

Population

106 subjects (64 whites and 42 blacks)

Comparison

Increasing doses of the selective… vs Comparison between black and white subjects

Design

Cross-sectional

Authors

AAAbiodun AdefurinMeharry Medical CollegeLGLaxmi V. GhimireCalifornia State University, FresnoUKUtkarsh KohliFlorida International University

Discussion

Loading...

Member takes

Implication

May contribute to ethnic hypertension disparities; hypothesis-generating and requires prospective validation before clinical consideration.

Study Design

Type

Cross-Sectional (n=106)

Structured PICO

Does sensitivity to α1-adrenoceptor-mediated venoconstriction differ between black and white subjects?

P
Population
106 subjects (64 whites and 42 blacks) evaluated for ethnic differences in venous α1-adrenoreceptor responsiveness.
E
Exposure
Increasing doses of the selective α1-adrenoreceptor agonist, phenylephrine
C
Comparator
Comparison between black and white subjects
O
Outcome
Local dorsal hand vein responses (dose producing 50% of maximal constriction [ED50] and maximal venoconstriction [Emax])surrogate

Main Result

Absolute Event Rate: 172% vs 310%

p-value: p=0.003

Black subjects demonstrate a generalized increased sensitivity to α1-adrenoreceptor-mediated venoconstriction compared to white subjects, which may contribute to ethnic differences in hypertension prevalence.

Cite This Study

Adefurin et al. (2013) reported a cross-sectional. Black ethnicity vs. White ethnicity was evaluated on Dose that produced 50% of maximal constriction (ED50) to phenylephrine (p=0.003). Black subjects demonstrated greater sensitivity to phenylephrine-induced venoconstriction compared with white subjects (geometric mean ED50 172 vs 310 ng/min; adjusted P=0.003).

synapsesocial.com/papers/6a6f2830f44fa9f079dc903bhttps://doi.org/10.1161/hypertensionaha.111.00854

Topics

Hypertension management
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Decreased Responsiveness of Superficial Hand Veins to Phenylephrine in Black Normotensive Males1990 · 18 citations
  2. 2Responsiveness to - and -Adrenergic Receptor Agonists Effects of Race in Borderline Hypertensive Compared to Normotensive Men1993 · 62 citations
  3. 3Effects of race and marginally elevated blood pressure on responses to stress.1987 · 130 citations
  4. 4Attenuation of Isoproterenol-Mediated Vasodilatation in Blacks1995 · 162 citations
  5. 5Independent regulation of α1 and α2 adrenergic receptor-mediated vasoconstriction in vivo2010 · 21 citations