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January 1, 1999Hypertension

Hyperglycemia and Angiotensin-Mediated Control of the Renal Circulation in Healthy Humans

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Why the study?

Does hyperglycemia alter the renal hemodynamic response to ACE inhibition in healthy subjects?

Population

9 healthy subjects in high-salt balance

Comparison

Intravenous glucose administration to achieve… vs Absence of hyperglycemia (normoglycemic state)

Design

Other

Follow-up

Acute (during 90-minute infusion)

Authors

SOSuzette Y. OseiTulane UniversityDPDeborah A. PriceBrigham and Women's HospitalNFNaomi D.L. FisherGeneral / Preventive / Lipids

Discussion

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Implication

May support cautious ACEI use in hyperglycemia; leaves open translation to diabetic or hypertensive kidney disease.

Structured PICO

Does hyperglycemia alter the renal hemodynamic response to ACE inhibition in healthy subjects?

P
Population
9 healthy subjects in high-salt balance
I
Intervention
Intravenous glucose administration to achieve steady-state hyperglycemia (8.4+/-1 mmol/L) followed by captopril 25 mg and Angiotensin II infusion
C
Comparator
Absence of hyperglycemia (normoglycemic state)
O
Outcome
Renal plasma flow (RPF) and glomerular filtration rate (GFR) responsessurrogate

Hyperglycemia enhances renal vasodilation in response to ACE inhibition in healthy subjects, suggesting activation of the intrarenal renin-angiotensin system.

Cite This Study

Osei et al. (1999) studied this question.

synapsesocial.com/papers/6a86d235740e6cf4b5cf8246https://doi.org/10.1161/01.hyp.33.1.559
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