scholarly journals Plasma renin activity, response to aliskiren, and clinical outcomes in patients hospitalized for heart failure: the ASTRONAUT trial

2017 ◽  
Vol 20 (4) ◽  
pp. 677-686 ◽  
Author(s):  
Muthiah Vaduganathan ◽  
Baljash Cheema ◽  
Erin Cleveland ◽  
Kamya Sankar ◽  
Haris Subacius ◽  
...  
2019 ◽  
Vol 21 (12) ◽  
pp. 1561-1570 ◽  
Author(s):  
Rayan Jo Rachwan ◽  
Javed Butler ◽  
Sean P. Collins ◽  
Gad Cotter ◽  
Beth A. Davison ◽  
...  

1978 ◽  
Vol 55 (s4) ◽  
pp. 301s-303s ◽  
Author(s):  
S. F. Wong ◽  
M. I. Mitchell ◽  
V. Robson ◽  
R. Wilkinson

1. Plasma renin activity, response to saralasin and exchangeable sodium have been measured in 43 patients with early renal disease. 2. Blood pressure was directly proportional to plasma renin activity. However, mean plasma renin activity was lower in patients with renal disease than in normal controls. 3. Blood pressure fell in response to saralasin infusion in proportion to the pre-infusion plasma renin activity. 4. Exchangeable sodium in hypertensive patients with renal disease did not exceed that in normotensive patients in contrast to earlier reports. Discrepancies may arise from the difficulty in interpreting measured exchangeable sodium in relation to body build.


2017 ◽  
Vol 18 (3) ◽  
pp. 147032031772991 ◽  
Author(s):  
Petra Nijst ◽  
Frederik H Verbrugge ◽  
Pieter Martens ◽  
Philippe B Bertrand ◽  
Matthias Dupont ◽  
...  

Background: Renin-angiotensin-aldosterone system (RAAS) activation in heart failure with reduced ejection fraction (HFREF) is detrimental through promotion of ventricular remodeling and salt and water retention. Aims: The aims of this article are to describe RAAS activity in distinct HFREF populations and to assess its prognostic impact. Methods: Venous blood samples were prospectively obtained in 76 healthy volunteers, 72 patients hospitalized for acute decompensated HFREF, and 78 ambulatory chronic HFREF patients without clinical signs of congestion. Sequential measurements were performed in patients with acute decompensated HFREF. Results: Plasma renin activity (PRA) was significantly higher in ambulatory chronic HFREF (7.6 ng/ml/h (2.2; 18.1)) compared to patients with acute decompensated HFREF (1.5 ng/ml/h (0.8; 5.7)) or healthy volunteers (1.4 ng/ml/h (0.6; 2.3)) (all p < 0.05). PRA was significantly associated with arterial blood pressure and renin-angiotensin system blocker dose. A progressive rise in PRA (+4 ng/ml/h (0.4; 10.9); p < 0.001) was observed in acute decompensated HFREF patients after three consecutive days of decongestive treatment. Only in acute HFREF were PRA levels associated with increased cardiovascular mortality or HF readmissions ( p = 0.035). Conclusion: PRA is significantly elevated in ambulatory chronic HFREF patients but is not associated with worse outcome. In contrast, in acute HFREF patients, PRA is associated with cardiovascular mortality or HF readmissions.


1977 ◽  
Vol 24 (5) ◽  
pp. 513-518 ◽  
Author(s):  
TETSUO SAKAMAKI ◽  
SHUICHI ICHIKAWA ◽  
SACHIKO TONOOKA ◽  
HIDEYO MATSUO ◽  
YOSHIRO SUGAI ◽  
...  

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