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Comparison of Renal Hemodynamics in Black and White Patients with Essential Hypertension

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Book cover Kidney in Essential Hypertension

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 35))

Abstract

Systemic, splanchnic, and renal hemodynamic data, determined in 60 male and female, black and white, untreated and uncomplicated essential hypertensive patients, confirmed our previous systemic hemodynamic findings. When black and white patients were matched for age, sex, and mean arterial pressure, cardiac index and total peripheral resistance were similar at all levels of pressure. This suggests that hypertensive vascular disease is no more severe in blacks. This conclusion could be confirmed further by our splanchnic hemodynamic findings. However, in contrast to these findings, renal blood flow was less and renal vascular resistance was higher at any mean arterial pressure (or total peripheral resistance) level in blacks—especially in men. These findings tend to support those reports suggesting that hypertensive disease—in particular, renal morbidity—is more severe in the black.

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Authors
  1. E. D. Frohlich
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  2. F. H. Messerli
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  3. F. G. Dunn
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Editor information

Editors and Affiliations

  1. Hemodynamic Laboratory, Ochsner Clinic and Alton Ochsner Medical Foundation, 1514 Jefferson Highway, New Orleans, Louisiana, 70121, USA

    Franz H. Messerli MD (Director Associate Professor of Medicine) (Director Associate Professor of Medicine)

  2. Tulane University School of Medicine, New Orleans, Louisiana, USA

    Franz H. Messerli MD (Director Associate Professor of Medicine) (Director Associate Professor of Medicine)

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© 1984 Martinus Nijhoff Publishing, Boston/The Hague/Dordrecht/Lancaster

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Frohlich, E.D., Messerli, F.H., Dunn, F.G. (1984). Comparison of Renal Hemodynamics in Black and White Patients with Essential Hypertension. In: Messerli, F.H. (eds) Kidney in Essential Hypertension. Developments in Cardiovascular Medicine, vol 35. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3897-0_12

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  • DOI: https://doi.org/10.1007/978-1-4613-3897-0_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3899-4

  • Online ISBN: 978-1-4613-3897-0

  • eBook Packages: Springer Book Archive

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