Abstract
Both the average serum uric acid and annual increment were determined in 250 treated patients attending a hypertension clinic. The average serum uric acid was greater in men compared with women, in patients receiving a thiazide diuretic and in patients with a high average plasma urea. The mean annual increment in uric acid was close to zero (0.0017 mmol/litre per year) and was not related to sex, age, blood pressure control, diuretic therapy, or plasma urea. There was an unexplained positive association between annual increment and methyldopa therapy though this drug was not associated with a significantly high average serum uric acid. A table is presented giving the theoretical upper limits for average serum uric acid according to sex, plasma urea concentration, and whether or not a thiazide diuretic has been prescribed. It is hoped that this table will be of assistance in assessing the normality or otherwise of a high serum uric acid found in a hypertensive patient.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- ARONOFF A. Acute gouty arthritis precipitated by chlorothiazide. N Engl J Med. 1960 Apr 14;262:767–769. doi: 10.1056/NEJM196004142621507. [DOI] [PubMed] [Google Scholar]
- Acheson R. M., Chan Y. K. New Haven survey of joint diseases. The prediction of serum uric acid in a general population. J Chronic Dis. 1969 Jan;21(8):543–553. doi: 10.1016/0021-9681(69)90050-2. [DOI] [PubMed] [Google Scholar]
- Breckenridge A. Hypertension and hyperuricaemia. Lancet. 1966 Jan 1;1(7427):15–18. doi: 10.1016/s0140-6736(66)90005-5. [DOI] [PubMed] [Google Scholar]
- Bulpitt C. J. Blood urea changes in hypertensive patients according to therapy given, blood pressure control, and serum potassium levels. Br Heart J. 1974 Apr;36(4):383–386. doi: 10.1136/hrt.36.4.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cannon P. J., Stason W. B., Demartini F. E., Sommers S. C., Laragh J. H. Hyperuricemia in primary and renal hypertension. N Engl J Med. 1966 Sep 1;275(9):457–464. doi: 10.1056/NEJM196609012750902. [DOI] [PubMed] [Google Scholar]
- DALEY D., EVANS B. Another hypotensive agent--methyldopa. Br Med J. 1962 Jul 21;2(5298):156–158. doi: 10.1136/bmj.2.5298.156. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DINON L. R., KIM Y. S., VANDER VEER J. B. Clinical experience with chlorothiazide (diuril), with particular emphasis on untoward responses; a report of 121 cases studied over a 15 month period. Am J Med Sci. 1958 Nov;236(5):533–545. [PubMed] [Google Scholar]
- DOLLERY C. T., DUNCAN H., SCHUMER B. Hyperuricaemia related to treatment of hypertension. Br Med J. 1960 Sep 17;2(5202):832–835. doi: 10.1136/bmj.2.5202.832. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FRY L., BARLOW K. A. Serum uric acid levels in hypertensive patients treated with guanethidine. Br Med J. 1962 Mar 31;1(5282):920–921. doi: 10.1136/bmj.1.5282.920. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GUTMAN A. B., YU T. F., BERGER L. Tubular secretion of urate in man. J Clin Invest. 1959 Oct;38:1778–1781. doi: 10.1172/JCI103956. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Humphreys D. M. Acute gout apparently precipitated by furosemide. Br Med J. 1966 Apr 23;1(5494):1024–1025. doi: 10.1136/bmj.1.5494.1024. [DOI] [PMC free article] [PubMed] [Google Scholar]
- OREN B. G., RICH M., BELLE M. S. Chlorothiazide (diuril) as a hyperuricaci'emic agent. J Am Med Assoc. 1958 Dec 20;168(16):2128–2129. doi: 10.1001/jama.1958.63000160005010a. [DOI] [PubMed] [Google Scholar]
- POPERT A. J., HEWITT J. V. Gout and hyperuricaemia in rural and urban populations. Ann Rheum Dis. 1962 Jun;21:154–163. doi: 10.1136/ard.21.2.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SCHMIDT-NIELSEN B. Urea excretion in mammals. Physiol Rev. 1958 Apr;38(2):139–168. doi: 10.1152/physrev.1958.38.2.139. [DOI] [PubMed] [Google Scholar]
- Seegmiller J. E. The clinical significance of hyperuricemia. Med Ann Dist Columbia. 1967 Apr;36(4):215–218. [PubMed] [Google Scholar]
- Smyth C. J., Stecher R. M., Wolfson W. Q. Genetic and Endocrine Determinants of the Plasma Urate Level. Science. 1948 Nov 5;108(2810):514–515. doi: 10.1126/science.108.2810.514. [DOI] [PubMed] [Google Scholar]