• Title/Summary/Keyword: renin activity

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Diagnosis of Primary Aldosteronism and Usefulness of Aldosterone/Renin Ratio in Secondary Hypertension (이차성 고혈압 환자에서 알도스테론/혈장 레닌활성도 비율을 이용한 원발성 알도스테론증의 진단 및 임상적 유용성 평가)

  • Kim, Hye-Sook;Kwon, Won-Hyun;Moon, Ki-Choon;Lee, In-Won
    • The Korean Journal of Nuclear Medicine Technology
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    • v.12 no.3
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    • pp.241-246
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    • 2008
  • Purpose: To study of difference among primary aldosteronism patients and normal groups and essential hypertension patients and to confirm aldosterone/plasma renin activity ratio increase in secondary hypertension group which was diagnosed as primary aldosteronism. Materials and method: 1. Period: from April 2006 to March 2008. 2.Targets: 901 patients who visited seoul national university bundang hospital. 3. Groups: we divided by three groups. (normal group (n=147), essential hypertension (n=709), primary aldosteronism (n=45)) 4. Then calculated aldosterone/plasma renin activity ratio. 5. We used ROC curve to measure sensitivity and specificity. Results: 1. normal groups aldosterone/plasma renin activity ratio: $52.8{\pm}52.46$ essential hypertension patients aldosterone/plasma renin activity ratio: $171.04{\pm}291.56$ primary aldosteronism patients aldosterone/plasma renin activity ratio: $2325{\pm}2200$. 2. Aldosterone/renin ratio was significant in comparing each groups (p<0.001). 3. The sensitivity was 91.1% and the specificity was 92.4% when cut off of aldosterone/renin ratio was 485. Conclusion: It was confirmed that aldosterone/plasma renin activity ratio in primary aldosteronism was higher than normal group. According to this result, we can tell that aldosterone/ plasma renin activity ratio is very useful in diagnosis of primary aldosteronism.

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Effects of Rehmannia Radix Water Extracts on the Plasma Renin Activity and Plasma Levels of Aldosterone and Atrial Natriuretic Peptide in Rats (지황(地黃) 전탕액(煎湯液) 투여(投與)가 백서(白鼠)의 혈장(血漿) Renin 활성도(活性度), 혈장(血漿) Aldosterone 및 Atrial Natriuretic Peptide 농도(濃度)에 미치는 영향(影響))

  • Lee, Ho-Sub;Ryu, Do-Gon;Yun, Yong-Gap;Yu, Yun-Cho
    • The Journal of Korean Medicine
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    • v.17 no.1 s.31
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    • pp.329-335
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    • 1996
  • Rehmannia Radix is a thick tuberous root about 3-6 cm diameter. The tuberous root is repared for medicine. The material in the fresh state is shengdihuang (生地黃). The material in the dried state is gandihuang (乾地黃). Shudihuang (熱地黃) is made by taking juicy roots, washing them in millet wine, steaming on a willow frame in a percelain vessel, drying, and resteaming and redrying nine times. The aim of this experiments was to investigate the effect of Rehmannia Radix Water extracts on the plasma renin activity and plasma levels of aldosterone and atrial natriuretic peptide (ANP) in rats. The results of study were as follows: Plasma renin activity was not changed after administration of Rehmannia Radix water extracts. Plasma levels of aldosterone was decreased significantly after administration of Shudihuang (熱地黃) water extracts. Plasma levels of atrial natriuretic peptide was increased significantly after administration of Shudihuang (熱地黃) water extracts.

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Effects of Palmijihwangtang Water Extracts on the Plasma Renin Activity, Plasma Levels of Aldosterone and Artrial Natriuretic Peptide in Rats (팔미지황탕(八味地黃湯) 전탕액(煎湯液) 투여(投與)가 백서(白鼠)의 혈장(血漿) Renin 활성도(活性度), 혈장(血漿) Aldosterone 및 Atrial Natriuretic Peptide 농도(濃度)에 미치는 영향(影響))

  • Jeong, Weun-Kyung;Cho, Nam-Su;Lee, Chun-Woo;Choi, Min-Ho;Hea, Jin-Young;Kang, Sung-Do;Go, Jeong-Soo;Sung, Yeun-Kyung;Sung, Ki-Ho;Lee, Kwang-Hyung;Ryu, Do-Gon;Lee, Ho-Sub
    • Journal of Oriental Physiology
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    • v.14 no.2 s.20
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    • pp.209-214
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    • 1999
  • The aim of the present experiments was to investigate the effect of Palmijihwangtang water extracts on the plasma renin activity and plasma levels of atrial natriuretic peptide and aldosterone in rats. The results of this study were as follows 1. Plasma renin activity was not different after the administration of Palmijihwangtang water extracts 2. Plasma levels of aldosterone decreased significantly after the administration of Palmijihwangtang water extract 3.0 ml/kg. 3. Plasma levels of atrial natriuretic peptide (ANP) decreased significantly after the administration of Palmijihwangtang water extracts.

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Effects of Radix Aconiti Water Extract on the Plasma Renal Activity and Plasma Levels of Aldosterone and Atrial Natriuretic Peptide in the Rats (부자(附子) 전탕액(煎湯液) 투여(投與)가 백서(白鼠)의 혈장(血漿) Renin 활성도(活性度), 혈장(血漿) Aldosterone 및 Atrial Natriuretic Peptide 농도(濃度)에 미치는 영향(影響))

  • Lee, Ho-Sub;Yu, Yun-Cho
    • The Journal of Korean Medicine
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    • v.17 no.2 s.32
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    • pp.291-295
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    • 1996
  • The aim of this experiments was to investigate the effecd of Radix Aconiti water extrac on the plasma renin activity and plasma levels of aldosterone and atrial natriuretic peptide in rats. The results of study were as follows; Plasma renin activity was decreased significantly after administration of Radix Aconiti water extract. Plasma levels of aldosterone was decreased significantly after administration of Radix Aconiti water extract. Plasma levels of atrial natriuretic peptide was not changed after administration of Radix Aconiti water extract.

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Dietary Sodium Effects on Responses of Atrial Natriuretic Peptide, Aldosterone and Renin Release to Acute Volume Expansion in SHR (장기간 고염 섭취한 SHR 고혈압 쥐에서, 급성 혈장량 증가에 대한 Atrial Natriuretic Peptide, Aldosterone 및 Renin 분비 반응의 비교)

  • Kim, Ae-Ra;Lee, Won-Jung;Choo, Young-Eun;Kim, Suhn-Hee;Cho, Kyung-Woo
    • The Korean Journal of Physiology
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    • v.23 no.2
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    • pp.253-261
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    • 1989
  • Responses of atrial natriuretic peptide (ANP), aldosterone and renin release to acute volume expansion were compared in normotensive Wistar and spontaneously hypertensive rat (SHR) fed low or high-sodium diet (2 or 25 mmol Na/100 g diet). Experimental diets were fed for 6 weeks from 7-week-old and the growth rate was similar in all groups. In the morning of the experiment, catheters were inserted under ether anesthesia in femoral artery for pressure recording and blood collection, femoral vein for saline infusion, and bladder for urine collection. Then, the rats were placed in restraining cages. When the rats were recovered from anesthesia and the arterial pressure became stabilized, control urine and blood samples were collected. Then, 0.9% saline was infused for 30 min for volume expansion (3% BW). Arterial pressure was significantly higher in the high-sodium SHR but there was no difference between the two groups of Wistar rats. Control plasma levels of Na, K, ANP, renin activity, and hematocrit were not different among the 4 groups. However, plasma aldosterone level was significantly higher in the low-sodium groups. Wistar low-sodium rats showed approximately two times higher plasma aldosterone level than the SHR counterpart. Volume expansion produced a marked increase in plasma ANP level, especially in the high-sodium groups. The low-sodium groups of both strains showed approximately two-fold increase in plasma ANP level. Following a volume expansion plasma aldosterone level and renin activity decreased in all groups. There was a significant logarithmic positive correlation between plasma renin activity and aldosterone concentration. The low-sodium rats produced a greater increase in aldosterone release by small increase in plasma renin than did the high-sodium rats. The low- and high-sodium rats produced a similar degree of diuresis and natriuresis after volume expansion. However, SHR produced a greater natriuresis than did the Wistar rats. The above results indicate that regulatory mechanisms of ANP, aldosterone and renin release are different between the normotensive and hypertensive rats, and between the low- and high-sodium groups.

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Plasma Renin Activity in Diabetes Mellitus (당뇨병(糖尿病)에서의 혈장(血漿) Renin 활성(活性)에 관(關)한 연구(硏究))

  • Pyo, Heui-Jung;Part, Jung-Sik;Kim, Sung-Kwon;Choi, Kang-Won;Lee, Jung-Sang;Lee, Mun-Ho
    • The Korean Journal of Nuclear Medicine
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    • v.13 no.1_2
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    • pp.23-29
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    • 1979
  • To evaluate the renin-angiotensin-aldosterone system in diabetes mellitus, basal plasma renin activity (PRA) and its response to intravenous furosemide were determined in 40 diabetic subjects. The diabetics were divided into 4 groups according to the pressence of nephropathy and/or hypertension. Uncomplicated diabetics (Group I) were taken as control group and the results of the ether groups were compared to this group. In diabetics with nephropathy alone (Group II), and with nephropathy and hypertension (Group III), basal PRA values were $0.63{\pm}0.59ng/ml/hr.,\;and\;0.79{\pm}0.62ng/ml/hr.,$ respectively, both significantly lower than control group. ($1.53{\pm}1.09ng/ml/hr.$). (p<0.05) In both of the above groups, the responses to intravenous furosemide tended to be blunted. On the other hand, in diabetics with hypertension only (Group IV), the basal and stimulated PRA were not significantly different from control. Above results suggests that nephropathy may be one of the factors which suppress renin activity in diabetes mellitus.

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