Skip to main content

Renin Responsiveness to Neural and Nonneural-Mediated Stimuli in the Renin Subgroups of Essential Hypertension

  • Conference paper
Frontiers in Hypertension Research

Abstract

The mechanisms responsible for the differences in renin secretion among the renin subgroups of essential hypertension are controversial (1). None of the theories proposed to explain renin suppression in patients with low-renin hypertension has received general consent (2, 3); on the other hand, high-renin levels, which were originally attributed to severe vascular damage of the kidneys (4), are often present even in young patients with mild, uncomplicated, essential hypertension (5). Also, the hypothesis of Esler et al. (5, 6) that the high- and low-renin levels of renin may reflect, respectively, a hyper- and hypoadrenergic activity, has been recently denied by other investigators (7, 8).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mitchell JR, Taylor AA, Pool JL, Lake CR, Rollins DE, Bartter FC (1977) NIH conference: Renin-aldosterone profiling in hypertension. Ann Intern Med 87: 596–612

    Google Scholar 

  2. Dunn MJ, Tannen RL (1974) Low renin hypertension. Kid Int 5: 317–325

    Article  CAS  Google Scholar 

  3. Ganguly A, Weinberger M (1979) Low renin hyper-tension: A current review of definitions and controversies. Am Heart J 98: 642–652

    Article  PubMed  CAS  Google Scholar 

  4. Brunner HR, Laragh JH, Baer L, Newton MA, Goodwin FT, Krakoff LR, Bard HR, Buhler FR (1972) Essential hypertension: Renin and aldosterone, heart attack and stroke. New Engl J Med 286: 441–449

    Article  PubMed  CAS  Google Scholar 

  5. Esler M, Julius J, Zweigler A, Randall O, Harburg E, Gardiner H, DeQuattro V (1977) Mild high-renin essential hypertension. New Engl J Med 296: 405–411

    Article  PubMed  CAS  Google Scholar 

  6. Esler M, Randall O, Bennet J, Zweigler A, Julius S, Rydeleck P (1976) Suppression of sympathetic nervous function in low renin essential hypertension. Lancet 2: 115–118

    Article  PubMed  CAS  Google Scholar 

  7. Taylor AA, Pool JL, Lake RC, Ziegler MG, Rosen AA, Rollins DE, Mitchell JR (1978) Plasma norepinephrine concentrations: No differences among normal volunteers and low, high or normal renin hypertensive patients. Life Sci 22: 1499–1510

    Article  PubMed  CAS  Google Scholar 

  8. Buhler FR, Bertel O, Kiowski DW (1978) Plasma noradrenaline and adrenaline and -adrenoreceptor responsiveness in renin subgroups of essential hypertension. Clin Sci Mol Med 55: 57S–60S

    Google Scholar 

  9. Passon PG, Peuler JD (1973) A simplified radiometric assay for plasma norepinephrine and epinephrine. Ann Biochem 51: 618–631

    Article  CAS  Google Scholar 

  10. Sealey JE, Laragh JH (1977) How to do a plasma renin assay. Cardiovasc Med 2: 1079–1092

    CAS  Google Scholar 

  11. Morganti A, Lopez-Ovejero JA, Pickering TG, Laragh JH (1979) The role of the sympathetic nervous system in mediating the renin response to head up tilt and their possible synergism in defending blood pressure against postural changes during sodium deprivation. Am J Cardiol 43: 600–604

    Article  PubMed  CAS  Google Scholar 

  12. Bravo EL, Tarazi RC, Dustan HP (1974) On the mechanism of suppressed plasma renin activity during beta-adrenergic blockade with propranolol. J Lab Clin Med 83: 119–128

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1981 Springer-Verlag New York Inc.

About this paper

Cite this paper

Morganti, A., Pickering, T.G., Lopez-Ovejero, J.A., Laragh, J.H. (1981). Renin Responsiveness to Neural and Nonneural-Mediated Stimuli in the Renin Subgroups of Essential Hypertension. In: Laragh, J.H., Bühler, F.R., Seldin, D.W. (eds) Frontiers in Hypertension Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5899-5_42

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5899-5_42

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-5901-5

  • Online ISBN: 978-1-4612-5899-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics