About: The effect of oral sodium loading and saline infusion on direct active renin in healthy volunteers     Goto   Sponge   NotDistinct   Permalink

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Description
  • In patients with suspected primary aldosteronism (PA), the aldosteroneto-renin ratio (ARR) is the most frequently recommended screening test. Further evaluation is based on hormonal changes during volume expansion. Both analyses are critically dependent on an accurate estimation of renin concentration. Direct active renin (DAR) is a novel laboratory technique used for plasma renin assessment. The objective of this study was to evaluate DAR for use in PA diagnostic work-ups. The study enrolled 69 healthy volunteers. Blood sampling was conducted before and after an increase in oral salt intake. Furthermore, a subset of 32 individuals uderwent a saline infusion suppression terst. DAR and serum aldosterone were measured in all blood samples. To calculate the ARR, serum aldosterone and DAR were expressed in ng/L. ARR values (median (range); 97,5 percentile) associated with normal and elevated oral salt intake were 8.4 (0.6-37.7); 26.3, and 6.8 (1.1-37.7); 19.6, respectively. DAR and serum aldosterone concentrations (median (range); 97.5 percentile) after saline infusion suppression were 2.9 (2.7-10.7); 7.2 ng/L and 30 (30-72); 54 pmol/L, respectively. The observed values may be useful in excluding a diagnosis of PA.
  • In patients with suspected primary aldosteronism (PA), the aldosteroneto-renin ratio (ARR) is the most frequently recommended screening test. Further evaluation is based on hormonal changes during volume expansion. Both analyses are critically dependent on an accurate estimation of renin concentration. Direct active renin (DAR) is a novel laboratory technique used for plasma renin assessment. The objective of this study was to evaluate DAR for use in PA diagnostic work-ups. The study enrolled 69 healthy volunteers. Blood sampling was conducted before and after an increase in oral salt intake. Furthermore, a subset of 32 individuals uderwent a saline infusion suppression terst. DAR and serum aldosterone were measured in all blood samples. To calculate the ARR, serum aldosterone and DAR were expressed in ng/L. ARR values (median (range); 97,5 percentile) associated with normal and elevated oral salt intake were 8.4 (0.6-37.7); 26.3, and 6.8 (1.1-37.7); 19.6, respectively. DAR and serum aldosterone concentrations (median (range); 97.5 percentile) after saline infusion suppression were 2.9 (2.7-10.7); 7.2 ng/L and 30 (30-72); 54 pmol/L, respectively. The observed values may be useful in excluding a diagnosis of PA. (en)
Title
  • The effect of oral sodium loading and saline infusion on direct active renin in healthy volunteers
  • The effect of oral sodium loading and saline infusion on direct active renin in healthy volunteers (en)
skos:prefLabel
  • The effect of oral sodium loading and saline infusion on direct active renin in healthy volunteers
  • The effect of oral sodium loading and saline infusion on direct active renin in healthy volunteers (en)
skos:notation
  • RIV/00179906:_____/11:10108580!RIV12-MZ0-00179906
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • Z(MSM0021620817), Z(MZ0FNHK2005)
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 196384
http://linked.open...ai/riv/idVysledku
  • RIV/00179906:_____/11:10108580
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • direct active renin; primary aldosteronism (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • RO - Rumunsko
http://linked.open...ontrolniKodProRIV
  • [AB1E1403BC86]
http://linked.open...i/riv/nazevZdroje
  • Acta Endocrinology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 7
http://linked.open...iv/tvurceVysledku
  • Ceral, Jiří
  • Solař, Miroslav
  • Pelouch, Radek
  • Kopecká, P.
  • Malířová, Eva
http://linked.open...ain/vavai/riv/wos
  • 000289007600004
http://linked.open...n/vavai/riv/zamer
issn
  • 1841-0987
number of pages
http://bibframe.org/vocab/doi
  • 10.4183/aeb.2011.33
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