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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1989-10-6
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pubmed:abstractText |
Short term angiotensin converting enzyme inhibition may induce a transient salt and water retention in patients with hypertension or heart failure. To verify the glomerular and tubular effects of short term converting enzyme inhibition, thirteen patients with mild to moderate essential hypertension (WHO I-II) were treated orally either with perindopril (4 mg o.d.) or captopril (25 mg b.i.d.) for one week. Both drugs reduced supine mean blood pressure significantly (p less than 0.01) (perindopril from 126 +/- 11 to 108 +/- 7 mmHg, mean +/- SD, and captopril from 132 +/- 12 to 121 +/- 16). Plasma volume (radio-iodinated albumin space) was unchanged while mean extracellular fluid volume (inulin space) increased although not significantly (from 5.05 +/- 1.32 l/sqm to 5.71 +/- 2.21 with perindopril and from 4.96 +/- 2.6 to 5.6 +/- 1.7 with captopril). Sodium clearance decreased (from 1.4 +/- 0.6 to 1.1 +/- 0.5 ml/min 1.73 sqm with perindopril, p less than 0.05, and from 0.97 +/- 0.44 to 0.88 +/- 0.51 with captopril, n.s.). In 9 patients (6 on captopril and 3 on perindopril) extra-cellular fluid volume increased simultaneously with reduction in glomerular filtration rate and in proximal tubule sodium re-absorption as well as an increase in distal tubule sodium reabsorption. In these patients the changes in proximal and distal tubule sodium reabsorption were significantly (p = 0.05) different from those of the patients with no extra-cellular fluid expansion.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0046-5968
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
428-32
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2670657-Adult,
pubmed-meshheading:2670657-Angiotensin-Converting Enzyme Inhibitors,
pubmed-meshheading:2670657-Body Water,
pubmed-meshheading:2670657-Captopril,
pubmed-meshheading:2670657-Double-Blind Method,
pubmed-meshheading:2670657-Extracellular Space,
pubmed-meshheading:2670657-Female,
pubmed-meshheading:2670657-Glomerular Filtration Rate,
pubmed-meshheading:2670657-Humans,
pubmed-meshheading:2670657-Hypertension,
pubmed-meshheading:2670657-Indoles,
pubmed-meshheading:2670657-Kidney Tubules,
pubmed-meshheading:2670657-Male,
pubmed-meshheading:2670657-Middle Aged,
pubmed-meshheading:2670657-Perindopril,
pubmed-meshheading:2670657-Random Allocation,
pubmed-meshheading:2670657-Time Factors
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pubmed:year |
1989
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pubmed:articleTitle |
[Volume of the extracellular liquid and renal function during short-term administration of angiotensin converting enzyme inhibitors in essential hypertension].
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pubmed:affiliation |
Clinica Medica I, Università di Padova.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract,
Randomized Controlled Trial,
Controlled Clinical Trial
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