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January 1, 1982Clinical and Experimental Hypertension

Role of the Renin-Angiotensin-Aldosterone and Kallikrein-Kinin Systems in the Control of Fluid and Electrolyte Metabolism, Renal Function, and Arterial Blood Pressure

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Why the study?

Does captopril alter fluid and electrolyte metabolism, renal function, and arterial pressure in conscious sodium-deficient dogs?

Population

Conscious sodium-deficient dogs

Comparison

Captopril 20 mg/kg/day, followed by aldosterone… vs Untreated sodium-deficient state (baseline)

Design

Preclinical

Authors

RMRobert E. McCaaNewYork–Presbyterian Hospital

Discussion

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Implication

Supports angiotensin II dominance in natriuresis in sodium-deficient canine models; leaves open translation to human ACE inhibitor use.

Structured PICO

Does captopril alter fluid and electrolyte metabolism, renal function, and arterial pressure in conscious sodium-deficient dogs?

P
Population
Conscious sodium-deficient dogs
I
Intervention
Captopril 20 mg/kg/day, followed by aldosterone infusion or angiotensin II infusion (3 ng/kg/min)
C
Comparator
Untreated sodium-deficient state (baseline)
O
Outcome
Fluid and electrolyte metabolism, aldosterone secretion, renal function, and arterial pressuresurrogate

The long-term hypotensive and natriuretic actions of ACE inhibitors are mediated by the inhibition of angiotensin II formation, which is more potent than aldosterone in controlling sodium excretion.

Cite This Study

Robert E. McCaa (1982) studied this question.

synapsesocial.com/papers/6a815ab76a18bae044690d10https://doi.org/10.3109/10641968209061627
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Influence of converting enzyme inhibition on renal hemodynamics and glomerular dynamics in sodium-restricted dogs.1982 · 45 citations
  2. 2Increased Plasma Aldosterone Concentration In Response to Hemodialysis In Nephrectomized Man1972 · 65 citations
  3. 3Urinary Kallikrein Excretion in Normal Man1974 · 211 citations
  4. 4Role of angiotensin II and potassium in the long-term regulation of aldosterone secretion in intact conscious dogs.1975 · 46 citations