Why the study?
Does intravenous insulin affect the rise in blood pressure and plasma aldosterone after intravenous angiotensin II in healthy men?
Does intravenous insulin affect the rise in blood pressure and plasma aldosterone after intravenous angiotensin II in healthy men?
Intravenous insulin increases aldosterone secretion in response to high-dose angiotensin II but does not alter the blood pressure response in healthy men.
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Should not yet change practice; leaves open insulin-aldosterone interactions in insulin-resistant hypertension.
The effect of an intravenous infusion of insulin [2.5 units h-1 (m2 of body surface area)-1] on the rise in blood pressure and plasma aldosterone after intravenous angiotensin II (5, 10, and 20 ng min-1 kg-1) was investigated in six healthy, sodium-loaded men. 2. Serum insulin reached 96.8 +/- 18.1 mu-units/ml (control: 7.0 +/- 1.5 mu-units/ml) and serum potassium fell from 4.2 +/- 0.2 mmol/l to 3.6 +/- 0.2 mmol/l (P less than 0.005). 3. Hyperinsulinaemia increased (P less than 0.05) the secretion of aldosterone during the largest dose of angiotensin II (20 ng min-1 kg-1), but had no effect on the rise in blood pressure after angiotensin II.
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Vierhapper et al. (1983) studied this question.
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