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September 1, 2000AJP Regulatory Integrative and Comparative Physiology

Low LBNP tolerance in men is associated with attenuated activation of the renin-angiotensin system

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Why the study?

Is lower body negative pressure tolerance associated with the degree of renin-angiotensin system activation in healthy men?

Population

15 healthy men on a controlled diet, divided into high-tolerance and low-tolerance groups.

Comparison

Lower body negative pressure for 30 min from -15… vs Comparison between high-tolerance and…

Design

Other

Follow-up

30 minutes

Authors

JGJ. E. GreenleafQuinnipiac UniversityTPTrine Welløw PetersenRigshospitaletAGAnders GabrielsenChr. Hansen (Denmark)

Discussion

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Implication

Attenuated RAS activation was associated with lower LBNP tolerance; hypothesis-generating for orthostatic tolerance and should not yet change practice.

Structured PICO

Is lower body negative pressure tolerance associated with the degree of renin-angiotensin system activation in healthy men?

P
Population
15 healthy men on a controlled diet (2,822 cal/day, 2 mmol/kg/day Na+), divided into high-tolerance (n=7, age 25 +/- 2 years) and low-tolerance (n=8, age 26 +/- 3 years) groups.
I
Intervention
Lower body negative pressure (LBNP) for 30 min from -15 to -50 mmHg
C
Comparator
Comparison between high-tolerance (HiTol) and low-tolerance (LoTol) groups
O
Outcome
Plasma vasoactive hormone concentrations (epinephrine, norepinephrine, ANG II, vasopressin, endothelin-1) and plasma renin activity (p(RA)) during LBNPsurrogate

Attenuated activation of the renin-angiotensin system is associated with lower tolerance to hypotensive stress (LBNP) and presyncope in healthy men.

Cite This Study

Greenleaf et al. (2000) studied this question.

synapsesocial.com/papers/6a85a85bf047f857d83dbbc7https://doi.org/10.1152/ajpregu.2000.279.3.r822
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Also Consider

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

  1. 1Increase in vagal activity during hypotensive lower-body negative pressure in humans1988 · 67 citations
  2. 2Contribution of vasopressin to blood pressure regulation during hypovolemic hypotension in humans1993 · 29 citations
  3. 3Cerebral versus systemic hemodynamics during graded orthostatic stress in humans.1994 · 308 citations
  4. 4Role of Renin in Acute Postural Homeostasis1970 · 119 citations
  5. 5Natriuresis in conscious dogs caused by increased carotid [Na+] during angiotensin II and aldosterone blockade1994 · 56 citations