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July 1, 1977The Journal of Clinical Endocrinology & Metabolism

Effect of Simultaneous Potassium and Saline Loading on Plasma Aldosterone Levels

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Why the study?

Does simultaneous potassium and saline loading affect plasma aldosterone levels compared to saline or potassium alone in normal salt-depleted subjects?

Population

Normal subjects in a salt depleted state

Comparison

Infusion of an isotonic saline solution… vs Infusions of isotonic saline alone and KCl alone

Design

Other

Authors

RDRobert G. DluhyHarvard UniversityMGMartin GreenfieldBrigham and Women's HospitalGWGordon H. WilliamsPreventive Cardiology

Discussion

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Overview

No immediate clinical implications for aldosterone assessment; extends physiological models of additive renin-potassium effects in salt depletion.

Structured PICO

Does simultaneous potassium and saline loading affect plasma aldosterone levels compared to saline or potassium alone in normal salt-depleted subjects?

P
Population
Normal subjects in a salt depleted state (studied recumbent in balance on a 10 mEq sodium/100 mEq potassium diet)
I
Intervention
Infusion of an isotonic saline solution containing potassium chloride (KCl)
C
Comparator
Infusions of isotonic saline (500 ml/h) alone and KCl alone (20 mEq K+/h)
O
Outcome
Plasma aldosterone levelssurrogate

In the salt-depleted state, the renin-angiotensin system and potassium are equally important and have an additive effect in the acute regulation of plasma aldosterone levels.

Cite This Study

Dluhy et al. (1977) studied this question.

synapsesocial.com/papers/6a81713ce83875aedff091fchttps://doi.org/10.1210/jcem-45-1-141
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Also Consider

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

  1. 1Potassium-Aldosterone-Renin Interrelationships1975 · 188 citations
  2. 2Stimulation of Aldosterone Secretion by Hemorrhage in Dogs after Nephrectomy and Decapitation1973 · 14 citations
  3. 3Relation between potassium balance and aldosterone secretion in normal subjects and in patients with hypertensive or renal tubular disease.1966 · 183 citations
  4. 4A Specific Role for Saline or the Sodium Ion in the Regulation of Renin and Aldosterone Secretion1974 · 51 citations
  5. 5THE REGULATION OF ALDOSTERONE SECRETION BY THE RENIN-ANGIOTENSIN SYSTEM UNDER VARIOUS CONDITIONS1967 · 45 citations