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March 1, 1995Current Opinion in Nephrology & Hypertension

Plasma renin activity and coronary heart disease: are they related?

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Key result

An elevated pretreatment renin-sodium profile in hypertensive patients was significantly associated with an increased risk of fatal or nonfatal myocardial infarction compared with normal or low profiles.

Why the study?

Does an elevated renin-sodium profile increase the risk of coronary artery disease events in hypertensive patients?

Population

Hypertensive patients and a separate population of almost entirely normotensive subjects

Comparison

Highest renin-sodium profile vs Normal or low renin-sodium profiles

Design

Review

Authors

MAMichael H. AldermanPreventive Cardiology

Discussion

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Implication

Should not yet guide hypertension management; hypothesis-generating for renin profiling in MI risk stratification.

Study Design

Type

Cohort

Structured PICO

Does an elevated renin-sodium profile increase the risk of coronary artery disease events in hypertensive patients?

P
Population
Hypertensive and normotensive patients evaluated for the relationship between pretreatment renin-sodium profiles and coronary artery disease events.
E
Exposure
Highest renin-sodium profile (elevated plasma renin activity)
C
Comparator
Normal or low renin-sodium profiles
O
Outcome
Coronary artery disease events (fatal or nonfatal myocardial infarction)hard clinical

Elevated plasma renin activity is associated with an increased risk of myocardial infarction in hypertensive patients, but not in normotensive individuals.

Cite This Study

Michael H. Alderman (1995) conducted a cohort in Hypertension. High renin-sodium profile vs. Normal or low renin-sodium profiles was evaluated on Fatal or nonfatal myocardial infarction. An elevated pretreatment renin-sodium profile in hypertensive patients was significantly associated with an increased risk of fatal or nonfatal myocardial infarction compared with normal or low profiles.

synapsesocial.com/papers/6a99cb176ca522270d558577https://doi.org/10.1097/00041552-199503000-00015
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Also Consider

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

  1. 1Plasma Renin Activity and Ischemic Heart Disease1993 · 107 citations
  2. 2Functional Correlates of Plasma Renin Activity in Hypertensive Patients1970 · 89 citations
  3. 3Essential Hypertension: Renin and Aldosterone, Heart Attack and Stroke1972 · 1,100 citations
  4. 4Is there a link between the circulating renin-angiotensin system and coronary disease? A buoyant view1996 · 13 citations
  5. 5Relationship of Plasma Renin Activity and Aldosterone Levels With Hemodynamic Functions in Essential Hypertension1977 · 16 citations