Abstract
Data obtained from 65 hypertensive patients showed a clear-cut positive correlation between peripheral plasma renin activity and the pressor response to exogenous angiotensin II (r =+0.75). For the various causes of hypertension, the mean values of plasma renin concentration were found to correspond closely to the mean values of the angiotensin pressor dose. In individual cases, however, the pressor dose of angiotensin was not found to be a reliable gauge of peripheral venous renin activity.
It was impossible to establish a causal diagnosis from the results of the angiotensin infusion test or the renin level in peripheral blood under normal conditions. If, however, determinations are carried out on the renal venous effluent with sodium restriction and with the patient in the upright position the renin level is very valuable both in the diagnosis of renovascular hypertension and in predicting the probable outcome of surgical treatment.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- AMES R. P., BORKOWSKI A. J., SICINSKI A. M., LARAGH J. H. PROLONGED INFUSIONS OF ANGIOTENSIN II AND NOREPINEPHRINE AND BLOOD PRESSURE, ELECTROLYTE BALANCE, AND ALDOSTERONE AND CORTISOL SECRETION IN NORMAL MAN AND IN CIRRHOSIS WITH ASCITES. J Clin Invest. 1965 Jul;44:1171–1186. doi: 10.1172/JCI105224. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BARTTER F. C., PRONOVE P., GILL J. R., Jr, MACCARDLE R. C. Hyperplasia of the juxtaglomerular complex with hyperaldosteronism and hypokalemic alkalosis. A new syndrome. Am J Med. 1962 Dec;33:811–828. doi: 10.1016/0002-9343(62)90214-0. [DOI] [PubMed] [Google Scholar]
- BOUCHER R., VEYRAT R., DE CHAMPLAIN J., GENEST J. NEW PROCEDURES FOR MEASUREMENT OF HUMAN PLASMA ANGIOTENSIN AND RENIN ACTIVITY LEVELS. Can Med Assoc J. 1964 Jan 25;90:194–201. [PMC free article] [PubMed] [Google Scholar]
- BRECKENRIDGE A. ANGIOTENSIN-INFUSION TEST. Lancet. 1965 Jul 31;2(7405):209–211. doi: 10.1016/s0140-6736(65)90695-1. [DOI] [PubMed] [Google Scholar]
- Beilin L. J., Schiffman N., Crane M., Nelson D. H. Hypokalaemic alkalosis and hyperplasia of the juxtaglomerular apparatus without hypertension or oedema. Br Med J. 1967 Nov 11;4(5575):327–331. doi: 10.1136/bmj.4.5575.327. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown J. J., Davies D. L., Lever A. F., Robertson J. I. Plasma renin concentration in human hypertension . II. Renin in relation to aetiology. Br Med J. 1965 Nov 20;2(5472):1215–1219. doi: 10.1136/bmj.2.5472.1215. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown J. J., Lever A. F., Robertson J. I. Renin and angiotensin in health and disease. Schweiz Med Wochenschr. 1967 Dec 9;97(49):1635–contd. [PubMed] [Google Scholar]
- CHESLEY L. C., TALLEDO E., BOHLER C. S., ZUSPAN F. P. VASCULAR REACTIVITY TO ANGIOTENSIN II AND NOREPINEPHRINE IN PREGNANT WOMEN. Am J Obstet Gynecol. 1965 Mar 15;91:837–842. doi: 10.1016/0002-9378(65)90462-x. [DOI] [PubMed] [Google Scholar]
- CONN J. W., COHEN E. L., ROVNER D. R. SUPPRESSION OF PLASMA RENIN ACTIVITY IN PRIMARY ALDOSTERONISM. JAMA. 1964 Oct 19;190:213–221. doi: 10.1001/jama.1964.03070160037008. [DOI] [PubMed] [Google Scholar]
- Cohen E. L., Rovner D. R., Conn J. W. Postural augmentation of plasma renin activity. Importance in diagnosis of renovascular hypertension. JAMA. 1966 Sep 19;197(12):973–978. [PubMed] [Google Scholar]
- Cottier P., Wettstein R., Veyrat R., Reubi F. Zur Bedeutung des Hypertensintests nach Kaplan für die ätiologische Diagnose einer Hypertonie. Helv Med Acta Suppl. 1966 May 15;46:140–140. [PubMed] [Google Scholar]
- GROSS F., SCHAECHTELIN G., BRUNNER H., PETERS G. THE ROLE OF THE RENIN-ANGIOTENSIN SYSTEM IN BLOOD PRESSURE REGULATION AND KIDNEY FUNCTION. Can Med Assoc J. 1964 Jan 25;90:258–262. [PMC free article] [PubMed] [Google Scholar]
- Hocken A. G., Kark R. M., Passovoy M. The angiotensin-infusion test. Lancet. 1966 Jan 1;1(7427):5–9. doi: 10.1016/s0140-6736(66)90002-x. [DOI] [PubMed] [Google Scholar]
- JOHNSTON C. I., JOSE A. D. REDUCED VASCULAR RESPONSE TO ANGIOTENSIN II IN SECONDARY HYPERALDOSTERONISM. J Clin Invest. 1963 Sep;42:1411–1420. doi: 10.1172/JCI104826. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KAPLAN N. M., SILAH J. G. THE ANGIOTENSIN-INFUSION TEST. A NEW APPROACH TO THE DIFFERENTIAL DIAGNOSIS OF RENOVASCULAR HYPERTENSION. N Engl J Med. 1964 Sep 10;271:536–541. doi: 10.1056/NEJM196409102711103. [DOI] [PubMed] [Google Scholar]
- KUCHEL O., HORKY K., PAZOUREK M., GREGOROVA I. PRESSOR HYPOREACTIVITY TO ANGIOTENSIN ADDISON'S DISEASE. Lancet. 1964 Dec 19;2(7373):1316–1317. doi: 10.1016/s0140-6736(64)91107-9. [DOI] [PubMed] [Google Scholar]
- Kaneko Y., Ikeda T., Takeda T., Ueda H. Renin release during acute reduction of arterial pressure in normotensive subjects and patients with renovascular hypertension. J Clin Invest. 1967 May;46(5):705–716. doi: 10.1172/JCI105571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LARAGH J. H., CANNON P. J., AMES R. P. INTERACTION BETWEEN ALDOSTERONE SECRETION, SODIUM AND POTASSIUM BALANCE, AND ANGIOTENSIN ACTIVITY IN MAN: STUDIES IN HYPERTENSION AND CIRRHOSIS. Can Med Assoc J. 1964 Jan 25;90:248–256. [PMC free article] [PubMed] [Google Scholar]
- LARAGH J. H. Hormones and the pathogenesis of congestive heart failure: vasopressin, aldosterone, and angiotensin II. Further evidence for renal-adrenal interaction from studies in hypertension and in cirrhosis. Circulation. 1962 Jun;25:1015–1023. doi: 10.1161/01.cir.25.6.1015. [DOI] [PubMed] [Google Scholar]
- Nicotero J. A., Moutsos S. E., Perez-Stable E., Turrian H. E., Shapiro A. P. Diagnostic and physiologic implications of the angiotensin infusion test. N Engl J Med. 1966 Jun 30;274(26):1464–1468. doi: 10.1056/NEJM196606302742603. [DOI] [PubMed] [Google Scholar]
- Pickens P. T., Bumpus F. M., Lloyd A. M., Smeby R. R., Page I. H. Measurement of renin activity in human plasma. Circ Res. 1965 Nov;17(5):438–448. doi: 10.1161/01.res.17.5.438. [DOI] [PubMed] [Google Scholar]
- Siegenthaler W., Weidmann P. Aktuelle Hypertonieprobleme. Schweiz Med Wochenschr. 1967 Mar 18;97(11):355–359. [PubMed] [Google Scholar]
- Silah J. G., Strong C. G., Nowaczynski W., Genest J. The angiotensin infusion test and peripheral venous renin activity. Can Med Assoc J. 1967 May 27;96(21):1397–1400. [PMC free article] [PubMed] [Google Scholar]
- VEYRAT R., DE CHAMPLAIN J., BOUCHER R., GENEST J. MEASUREMENT OF HUMAN ARTERIAL RENIN ACTIVITY IN SOME PHYSIOLOGICAL AND PATHOLOGICAL STATES. Can Med Assoc J. 1964 Jan 25;90:215–220. [PMC free article] [PubMed] [Google Scholar]
- Weidmann P., Siegenthaler W. Das Renin-Angiotensin-Aldosteron-System bei hypertensiven Zuständen. Dtsch Med Wochenschr. 1967 Oct 27;92(43):1953–1961. doi: 10.1055/s-0028-1106072. [DOI] [PubMed] [Google Scholar]
- Weidmann P., Siegenthaler W., Möhring J., Wirz P., Scheitlin W., Rösler H. Vergleich von Reninaktivität, Angiotensin-Infusionstest, Separatharnuntersuchungen nach Rapoport und Isotopennephrogramm bei Nierenarterienstenose. Schweiz Med Wochenschr. 1967 Aug 12;97(32):1031–1038. [PubMed] [Google Scholar]
- Weidmann P., Veragut U., Möhring J., Siegenthaler W. The aldosterone-renin constellation in Conn's syndrome. Helv Med Acta. 1967 Jan;33(4):344–350. [PubMed] [Google Scholar]
