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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
31-32
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pubmed:dateCreated |
1992-9-9
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pubmed:abstractText |
Plasma concentrations of renin and aldosterone were measured before and 60 min after taking 25 mg captopril in 242 patients with arterial hypertension (124 men, 118 women, aged 51.9 +/- 12.7 years; unilateral aldosterone-producing adrenal adenoma in 8, idiopathic hyperaldosteronism in 16 and essential hypertension in 189). Basal plasma aldosterone levels were twice as high in those with adenoma or hyperaldosteronism (216.9 +/- 99.1 pg/ml and 256 +/- 123 pg/ml, respectively) as in those with essential hypertension (117.7 +/- 115 pg/ml). Basal renin levels in adenoma and idiopathic hyperaldosteronism (1 +/- 0.8 microU/ml and 2.6 +/- 1.9 microU/ml, respectively) were decreased compared with those in essential hypertension (13.1 +/- 14.2 microU/ml). The basal aldosterone/renin ratio was higher in adenoma (436 +/- 370 pg/microU) and idiopathic hyperaldosteronism (615 +/- 950 pg/microU) than in essential hypertension (52.9 +/- 151.3 pg/microU). The sensitivity of this ratio in combination with the aldosterone concentration was 100% for recognizing an adrenal adenoma, its specificity 92.7%. The mean plasma aldosterone level after captopril administration did not change in adenoma patients, but fell to 162 +/- 85 pg/ml (P less than 0.001) in those with idiopathic hyperaldosteronism. These data indicate that the captopril test contributes to distinguishing primary from idiopathic hyperaldosteronism.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0012-0472
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
31
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pubmed:volume |
117
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1175-80
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1644014-Adenoma,
pubmed-meshheading:1644014-Adrenal Gland Neoplasms,
pubmed-meshheading:1644014-Adult,
pubmed-meshheading:1644014-Aldosterone,
pubmed-meshheading:1644014-Blood Pressure,
pubmed-meshheading:1644014-Captopril,
pubmed-meshheading:1644014-Diagnosis, Differential,
pubmed-meshheading:1644014-Evaluation Studies as Topic,
pubmed-meshheading:1644014-Female,
pubmed-meshheading:1644014-Humans,
pubmed-meshheading:1644014-Hyperaldosteronism,
pubmed-meshheading:1644014-Hypertension,
pubmed-meshheading:1644014-Male,
pubmed-meshheading:1644014-Middle Aged,
pubmed-meshheading:1644014-Renin,
pubmed-meshheading:1644014-Sensitivity and Specificity
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pubmed:year |
1992
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pubmed:articleTitle |
[Does the captopril test improve the diagnosis of primary hyperaldosteronism?].
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pubmed:affiliation |
Medizinische Klinik II, Universität Köln.
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pubmed:publicationType |
Journal Article,
English Abstract
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