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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5 Pt 1
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pubmed:dateCreated |
1977-12-29
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pubmed:abstractText |
To ascertain whether diuretics have an antihypertensive effect independent of natriuresis, 12 stable patients on maintenance hemodialysis underwent a crossover evaluation with hydrochlorothiazide, 50 mg daily, metolazone, 5 mg daily, or placebo in 4-wk treatment periods for 6 mo. Compliance was assured by pill counts and serum drug concentrations. All patients had daily urine less than 100 ml. Pre- and postdialysis blood pressure, body weight, plasma volume, and plasma renin activity were monitored. Over the 6-mo study period there were no statistically significant changes in any parameter related to diuretic therapy. It is concluded that a functioning kidney with the ability to respond to diuretics with a natriuresis is necessary for the antihypertensive action of diuretics. Direct vascular effects of diuretics to lower peripheral resistance could not be demonstrated in this unique patient population.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antihypertensive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Diuretics,
http://linkedlifedata.com/resource/pubmed/chemical/Hydrochlorothiazide,
http://linkedlifedata.com/resource/pubmed/chemical/Metolazone,
http://linkedlifedata.com/resource/pubmed/chemical/Placebos
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0009-9236
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
499-504
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:334435-Adult,
pubmed-meshheading:334435-Antihypertensive Agents,
pubmed-meshheading:334435-Blood Pressure,
pubmed-meshheading:334435-Clinical Trials as Topic,
pubmed-meshheading:334435-Diuretics,
pubmed-meshheading:334435-Double-Blind Method,
pubmed-meshheading:334435-Humans,
pubmed-meshheading:334435-Hydrochlorothiazide,
pubmed-meshheading:334435-Kidney Failure, Chronic,
pubmed-meshheading:334435-Male,
pubmed-meshheading:334435-Metolazone,
pubmed-meshheading:334435-Middle Aged,
pubmed-meshheading:334435-Natriuresis,
pubmed-meshheading:334435-Placebos,
pubmed-meshheading:334435-Renal Dialysis
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pubmed:year |
1977
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pubmed:articleTitle |
Do diuretics have antihypertensive properties independent of natriuresis?
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, Non-P.H.S.,
Controlled Clinical Trial
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