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December 1, 1979Clinical Science

Acute and Chronic Effects of Nifedipine on Plasma Renin Activity and Plasma Adrenaline and Noradrenaline in Controls and Hypertensive Patients

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Why the study?

Does nifedipine reduce blood pressure and alter plasma renin activity and catecholamines in normotensive and hypertensive subjects?

Population

7 normal subjects and 19 patients with essential hypertension (total n=26)

Comparison

Nifedipine 10 mg sublingually, followed by… vs Normotensive controls and baseline measurements

Design

Cohort

Follow-up

3 weeks

Authors

LCL CoreaUniversity of PerugiaNMNicholas J. MieleBrown UniversityMBMarina BentivoglioUniversity of Verona

Discussion

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Implication

Nifedipine may lower BP without reflex tachycardia yet associate with sympathetic activation; leaves open net long-term effects on outcomes.

Structured PICO

Does nifedipine reduce blood pressure and alter plasma renin activity and catecholamines in normotensive and hypertensive subjects?

P
Population
7 normal subjects and 19 patients with essential hypertension (total n=26)
I
Intervention
Nifedipine 10 mg sublingually (acute administration), followed by nifedipine 10 mg thrice daily for 3 weeks (chronic administration in 12 hypertensive subjects)
C
Comparator
Normotensive controls and baseline measurements (before-after comparison)
O
Outcome
Changes in blood pressure, heart rate, plasma renin activity, and plasma adrenaline and noradrenalinesurrogate

Nifedipine is an effective antihypertensive agent that lowers blood pressure but induces some degree of sympathetic activation, as evidenced by increased plasma noradrenaline.

Cite This Study

Corea et al. (1979) studied this question.

synapsesocial.com/papers/6a79660377336a1bae0248b5https://doi.org/10.1042/cs057115s

Topics

Hypertension management
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