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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3C
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pubmed:dateCreated |
1985-11-12
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pubmed:abstractText |
Enalapril (at a mean dose of 25 mg), a potent, long-acting angiotensin converting enzyme inhibitor, was prescribed in combination with hydrochlorothiazide (at a mean dose of 64 mg) for 96 weeks in 11 patients with essential hypertension who had pretreatment (placebo) glomerular filtration rates of less than 80 ml/minute/1.73 m2. Blood pressure was well controlled. After 56 weeks of therapy, glomerular filtration rate (assessed by inulin clearance) increased 55 percent and effective renal plasma flow (assessed by para-amino-hippurate clearance) increased by 32 percent; these increases were sustained through the 96 weeks of therapy. Furthermore, gains in renal function were sustained without adversely affecting 24-hour urinary protein excretion, sodium excretion, or body fluid composition. These results suggest that enalapril, in combination with hydrochlorothiazide, has the pharmacologic capability to favorably modify a primary pathophysiologic characteristic of essential hypertension by decreasing renal vascular and mesangial tone.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9343
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
27
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pubmed:volume |
79
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
10-3
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2996341-Adult,
pubmed-meshheading:2996341-Aged,
pubmed-meshheading:2996341-Body Fluids,
pubmed-meshheading:2996341-Drug Therapy, Combination,
pubmed-meshheading:2996341-Enalapril,
pubmed-meshheading:2996341-Hemodynamics,
pubmed-meshheading:2996341-Humans,
pubmed-meshheading:2996341-Hydrochlorothiazide,
pubmed-meshheading:2996341-Hypertension,
pubmed-meshheading:2996341-Kidney,
pubmed-meshheading:2996341-Middle Aged
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pubmed:year |
1985
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pubmed:articleTitle |
Hemodynamic and renal function in essential hypertension during treatment with enalapril.
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pubmed:publicationType |
Journal Article
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