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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Aquatic ecology 23 (1989), S. 19-34 
    ISSN: 1573-5125
    Keywords: biomanipulation ; lake restoration ; eutrophication ; food web ; phytoplankton ; zooplankton ; schistosome dermatitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract The hypertrophic Lake Zwemlust, a small water body used as a swimming pool, was characterized by algal blooms in summer, reducing the Secchi disk transparency to less than 0.3 m. Since in The Netherlands a Secchi disk transparency of ≥1 m is obligatory for swimming waters, corrective measures were called for to improve the light climate of the lake. In March, 1987, as an experiment, the lake was drained by pumping out the water to facilitate fish elimination. Planktivorous and benthivorous fish species, which were predominant, were removed by seine- and electro-fishing. After the lake had refilled by seepage it was restocked by a new simple fish community comprising pike (Esox lucius) and rudd (Scardinius erythrophthalmus) only. Stacks of willow twigs (Salix) and macrophytes (roots ofNuphar lutea and ‘seedlings’ ofChara globularis) were introduced into the lake as spawning grounds and refuges for the pike against cannibalism and as shelter for the zooplankton. The effects of this food web manipulation on the light climate, phytoplankton, zooplankton, fish, macrophytes, macrofauna and on the nutrient concentrations were monitored during 1987 and 1988. In summer 1987, despite of high nutrient concentrations, the phytoplankton density was low, due to control by zooplankton, causing a Secchi disk transparency of ≥2.5 m, the maximum depth. Chlorophyll-a concentrations were low (〈5 μg Chl.l−1), blooms of cyanobacteria did not occur and a shift from rotifers to cladocerans took place. In 1988, however, also some negative effects were noticed. Macrophytes and filamentous green algae reached a much higher biomass (50–60% cover of the lake bottom) than in 1987; some species, growing through the entire water column, interfered with the lake's recreational use. Associated with the macro-vegetation and possibly with the absence of larger cyprinids, the diet of which also comprises snails, a large scale development of the snail population, among themLymnaea peregra var.ovata took place. This species is known to act as an intermediate host of the bird-parasitizing trematodeTrichobilharzia ocellata, the cercariae of which cause an itching sensation at the spot of penetration of the human skin, accompanied by rash (schistosome dermatitis or swimmers' itch); in July, 1988, about 40% of the bathers complained about this itching. A positive effect of the macrophytes and filamentous green algae was the high uptake of nitrogen, resulting in a low nitrogen concentration in the lake and growth limitation of the phytoplankton population by nitrogen in the summer of 1988. In 1988 the cladocerans were abundant in April only; and unlike in 1987, in the summer of 1988 there was a shift from cladocerans to rotifers. Therefore, only in early spring (April) zooplankton grazing controlled phytoplankton growth and in summer nitrogen limitation was the major controlling factor, keeping chlorophyll-a concentrations low.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 58 (1980), S. 1175-1181 
    ISSN: 1432-1440
    Keywords: Plasma Noradrenalin ; Noradrenalin Clearance ; Sympathikus ; Kardiovasculäre Reaktivität ; Essentielle Hypertonie ; Plasma norepinephrine ; Norepinephrine clearance ; Adrenergic activity ; Cardiovascular reactivity ; Essential hypertension
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Whether and to what extent the sympathetic nervous system participates in the development of essential hypertension has remained largely unclear. The role of the adrenergic effector — cardiovascular response axis in the pathogenesis of essential hypertension was investigated by combined analysis of blood levels, total plasma clearance and cardiovascular pressor effects of norepinephrine (NE). Measurements of plasma NE and blood pressure were performed before, during and after an intravenous infusion of NE at stepwise increasing rates in approximately age and sex-matched groups of 28 normal subjects and 35 patients with essential hypertension. The threshold of the pressor effect of NE was lower in hypertensive than in normal subjects (20±10 vs. 42±26 ng/kg min;P〈0.001); but the slope of the dose — response curve and basal endogenous plasma NE were in the average similar. Total plasma NE clearance estimated under steady state conditions was similar in normal and hypertensive subjects (5.3±2.5 vs. 5.4±2.3 l/min). NE clearance correlated inversely with basal plasma NE in normal subjects (r=0.57;P〈0.005). The plasma half-life of NE was about 2 min. These findings demonstrate that basal blood levels and total plasma clearance of NE during NE infusion are usually normal in essential hypertension. A low threshold of the pressor effect of NE in the presence of normal adrenergic activity may contribute to the development and/or maintenance of essential hypertension.
    Notes: Zusammenfassung Die Bedeutung des sympathischen Nervensystems bei der Entwicklung einer essentiellen Hypertonie ist weiterhin unklar. Bei 28 Normalpersonen und 35 Patienten mit essentieller Hypertonie (bezüglich Alter und Geschlecht vergleichbar) wurden der Blutspiegel, die Clearance und die Blutdruckwirkung von exogen zugeführtem Noradrenalin untersucht. Die Schwellendosis der noradrenalin-induzierten Blutdrucksteigerung war bei den Hypertonikern niedriger als bei den Normalpersonen (20±10 versus 42±26 ng/kg·min;P〈0.001). Die Steigerung der Dosis-Wirkungskurve und die basale endogene Plasmanoradrenalinkonzentration waren dagegen in beiden Gruppen vergleichbar. Die mittlere Gesamt-Plasmaclearance von Noradrenalin war ebenfalls gleich (5.3±2.5 gegenüber 5.4±2.3 l/min). Die Plasma-Noradrenalinclearance korrelierte bei den Normalpersonen invers mit der basalen Plasmanoradrenalinkonzentration (r=0.57;P〈0.005). Die Halbwertszeit von Plasmanoradrenalin betrug etwa 2 min. Diese Ergebnisse weisen darauf hin, daß sowohl die basalen Blutspiegel und wie auch die Gesamt-Plasmaclearance von Noradrenalin während einer Noradrenalininfusion bei essentieller Hypertonie normal sind. Eine abnormal tiefe Schwelle der blutdrucksteigernden Wirkung von Noradrenalin könnte in Gegenwart von normalen Plasmanoradrenlinkonzentrationen zur Entwicklung und/oder Aufrechterhaltung einer essentiellen Hypertonie beitragen.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1440
    Keywords: Reaktivität gegenüber Pressorsubstanzen ; Katecholamine ; Renin ; Normalpersonen ; Essentielle Hypertonie ; Responsiveness to pressor agents ; Catecholamines ; Renin ; Normal man ; Essential hypertension
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The interrelationships among age, cardiovascular pressor reactivity to intravenously infused norepinephrine (NE) or angiotensin II, and endogenous plasma NE or renin (PRA) levels were evaluated in 31 normal subjects and 37 patients with essential hypertension. In normal subjects both angiotensin II pressor dose and PRA decreased progressively with aging. Angiotensin pressor dose correlated positively with PRA (r=0.41,P〈0.025) and inversely with age (r=−0.46,P〈0.02). NE pressor dose and basal plasma NE were also positively correlated (r=0.53,P〈0.005), but the two factors remained largely unchanged with aging. Findings in essential hypertension differed in certain aspects. Angiotensin II pressor dose did not correlate with either basal PRA or age; and pressor doses of NE and angiotensin II tended to be lower in some patients than in normal subjects. These findings indicate that aging is accompanied by a physiologic increase in cardiovascular reactivity to angiotensin II, probably due to a concomitant decrease in circulating renin. The dissociation between angiotensin pressor dose and PRA in essential hypertension suggests an interference from an other factor.
    Notes: Zusammenfassung Bei 31 Normalpersonen und 37 Patienten mit essentieller Hypertonie wurden die Beziehungen zwischen Alter, der kardiovaskulären Reaktivität gegenüber intravenös infundiertem Noradrenalin (NA) und Angiotensin II, sowie den Plasmaspiegeln von NA und Renin (PRA) untersucht. Bei den Normalpersonen nahmen sowohl die Angiotensin II-Pressor-Dosis als auch PRA mit zunehmendem Alter ab. Die Angiotensin II-Pressor-Dosis korrelierte positiv mit PRA (r=0.41,P〈0.025) und negativ mit dem Alter (r=−0.46,P〈0.02). Die NA-Pressor-Dosis und der basale NA-Blutspiegel korrelierten ebenfalls positiv miteinander (r=0.53,P〈0.005), doch zeigten diese beiden Faktoren keine wesentliche Altersabhängigkeit. Bei der essentiellen Hypertonie ergaben sich zum Teil andere Befunde. Die Angiotensin II-Pressor-Dosis korrelierte weder mit der basalen PRA noch mit dem Alter; und die Pressor-Dosen sowohl von NA wie auch von Angiotensin II waren bei den Hypertonikern eher niedriger als bei Normalpersonen. Unsere Befunde zeigen, daß der Altersprozeß von einer physiologischen Abnahme der kardiovaskulären Reaktivität gegenüber Angiotensin II begleitet ist, wahrscheinlich als Folge einer parallelen Abnahme der PRA. Die Dissoziation zwischen Angiotensin II-Pressor-Dosis und PRA bei der essentiellen Hypertonie weist auf einen wichtigen Einfluß eines zusätzlichen Faktors auf dieses System hin.
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  • 4
    ISSN: 1432-1440
    Keywords: Renin ; Katecholamine ; Aldosteron ; essentielle Hypertonie ; Furosemid ; Renin ; Catecholamines ; Aldosterone ; Essential hypertension ; Furosemide
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The influences of sequential stimulation with upright posture and sodium depletion by intravenous furosemide on blood levels of norepinephrine, epinephrine, dopamine, renin and aldosterone was studied in 26 normal subjects and 45 patients with borderline (N=20) or established (N=25) essential hypertension. Basal 24-h urinary sodium, norepinephrine and epinephrine excretion rates and basal (supine) plasma catecholamine, renin and aldosterone levels and the body sodium-volume state were comparable between the three groups. Assumption of the upright posture for 10 to 60 min caused significant increases in plasma norepinephrine (P〈0.001), epinephrine (P〈0.001) or dopamine (P〈0.05) levels. Upright plasma catecholamine concentrations were similar in normal and hypertensive subjects and they were not modified further by furosemide. In contrast upright posture as well as furosemide induced each a successive significant (P〈0.02) increase in plasma renin and aldosterone levels. Furosemide-stimulated renin was significantly (P〈0.05) lower in patients with established hypertension than in normal or borderline hypertensive subjects; however, plasma aldosterone levels were comparable. These findings suggest that renin release induced by furosemide is not mediated by increased adrenergic activity. Consequently, renin-hyporesponsiveness in established hypertension cannot be explained by decreased sympathetic activity. In contrast to the altered renin regulation, aldosterone-responsiveness to upright posture or furosemide as well as adrenergic activity under these conditions appear to be usually normal in borderline or established hypertension.
    Notes: Zusammenfassung Bei 26 Normalpersonen und 45 Patienten mit grenzwertiger (N=20) oder etablierter (N=25) essentieller Hypertonie wurden die Effekte einer sequentiellen Stimulation mittels aufrechter Körperhaltung und furosemid-induzierter Natrium-Depletion auf die Blutspiegel von Noradrenalin, Adrenalin, Dopamin, Renin und Aldosteron untersucht. Die basalen 24 h-Exkretionsraten von Natrium, Noradrenalin und Adrenalin, die basalen (liegend) Plasma-Katecholamin-, -Renin und -Aldosteronspiegel, sowie der Körpernatrium-Volumen-Status waren bei den 3 Gruppen vergleichbar. Der Wechsel zur aufrechten Körperhaltung während 10 bzw. 60 min bewirkte eine signifikante Erhöhung von Plasma-Noradrenalin (P〈0,001), -Adrenalin (P〈0,001) und -Dopamin (P〈0,05). Die in aufrechter Haltung gemessenen Plasma-Katecholamin-Konzentrationen waren bei normalen und hypertensiven Personen vergleichbar und wurden durch die Gabe von Furosemid nicht mehr weiter verändert. Im Gegensatz dazu bewirkte sowohl die Einnahme der aufrechten Haltung als auch Furosemid einen sukzessiven signifikanten (P〈0,02) Anstieg der Plasma-Renin und -Aldosteron-Werte. Die furosemid-stimulierte Renin-Aktivität war bei Patienten mit etablierter essentieller Hypertonie signifikant (P〈0,05) niedriger als bei Normalpersonen oder Patienten mit Grenzwert-Hypertonie. Die furosemid-stimulierten Plasma-Aldosterone-Spiegel waren dagegen bei den drei Gruppen vergleichbar. Diese Befunde weisen darauf hin, daß die furosemid-induzierte Renin-Sekretion nicht durch eine erhöhte adrenerge Aktivität vermittelt wird. Somit kann die verminderte Stimulierbarkeit von Renin bei etablierter essentieller Hypertonie nicht durch eine erniedrigte sympathische Aktivität erklärt werden. Im Gegensatz zur gestörten Renin-Regulation scheinen sowohl die Stimulierbarkeit von Aldosteron wie auch die adrenerge Aktivität bei aufrechter Körperhaltung und nach Furosemid-Applikation bei grenzwertiger oder etablierter essentieller Hypertonie meist normal zu sein.
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 58 (1980), S. 681-687 
    ISSN: 1432-1440
    Keywords: Refractory hypertension ; Antihypertensive treatment ; Diazoxide ; Minoxidil ; Hyperglycemia ; Therapierefraktäre Hypertonie ; Hypertoniebehandlung ; Diazoxid ; Minoxidil ; Hyperglykämie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei 11 Patienten mit therapierefraktärer Hypertonie wurden die blutdrucksenkende Wirksamkeit und unerwünschte Nebenwirkungen einer peroralen Behandlung mit den beiden starken Vasodilatatoren Diazoxid und Minoxidil verglichen. Alle Patienten hatten vorausgehend mit ihrem Blutdruck ungenügend auf eine Kombinationstherapie mit Diuretika, Betablockern und/oder Sympatholytika, sowie Dihydralazin oder Prazosin angesprochen. Die beiden letzteren Substanzen wurden deshalb abgesetzt und durch Diazoxid oder Minoxidil ersetzt. Bei neun Patienten ging die Diazoxidbehandlung der Minoxidiltherapie voraus, während bei 2 Patienten Minoxidil zuerst verabreicht wurde. Vor dem Einsatz der potenten Vasodilatatoren betrug der Blutdruck im Mittel 181/107 mm Hg liegend und 161/103 mm Hg stehend. Orales Diazoxid (mediane Dosis 400 mg/Tag) und Minoxidil (mediane Dosis 17,5 mg/Tag) senkten (P〈0,02) den mittleren Blutdruck im Liegen (−15% für beide Medikamente) und im Stehen (−11% gegenüber −12%) vergleichbar. Sie bewirkten eine Tendenz zu Natrium-Wasser-Retention und Gewichtszunahme, welche jedoch, außer bei einem Patienten, durch Intensivierung der Diuretikatherapie korrigiert werden konnte. Eine Hypertrichose kam unter beiden Medikamenten vor, war jedoch unter Diazoxid eher etwas weniger ausgeprägt. Das Elektrokardiogramm blieb meist unverändert. Die Plasmaglukose stieg unter Diazoxid bei 6 Patienten an, bei 2 kam es zu schweren Hyperglykämien. Wegen der hyperglykämischen Wirkung mußte die Diazoxidtherapie bei 4 Patienten abgebrochen werden. Diese Untersuchungen zeigen, daß die antihypertensive Wirksamkeit und die meisten Nebenwirkungen von oralem Diazoxid und Minoxidil weitgehend vergleichbar sind; der hyperglykämische Effekt von Diazoxid dürfte jedoch den Einsatz dieser Substanz einschränken.
    Notes: Summary The efficacy and side effects of two potent vasodilatators, namely diazoxide and minoxidil given orally, were compared in 11 patients who had hypertension refractory to conventional drug treatment. The latter included diuretics, betablockers and/or sympatholytics, and either dihydralazine or prazosin. In a crossover approach, dihydralazine and prazosin were withdrawn and replaced by diazoxide or minoxidil. In nine patients the diazoxide phase preceded the minoxidil treatment, while in two it followed minoxidil treatment. Before introduction of the more potent vasodilatators blood pressure averaged 181/107 mm Hg in the supine and 161/103 mm Hg in the upright position. Both, oral diazoxide (median dose 400 mg/d) and minoxidil (median dose 17.5 mg/d) produced similar decreases (p〈0.02) in mean arterial pressure (−15%) in the supine and (−11 vs. −12%) in the upright position. They caused a comparable tendency for sodium retention and weight gain which could be satisfactorily controlled with increased diuretic therapy, except in one patient. Hypertrichosis occurred with both drugs, but tended to be somewhat milder with diazoxide. Electrocardiograms remained generally unchanged. Plasma glucose levels were increased during diazoxide treatment in six patients necessitating interruption of this therapy in four patients. It is concluded that the antihypertensive potency and most side effect of orally administered diazoxide are comparable to those of minoxidil, except for diazoxide-related hyperglycemia which may limit the use of this substance.
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  • 6
    ISSN: 1432-1238
    Keywords: Key words Lung transplantation ; Malnutrition ; ICU
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract   Objective: To determine the relation of malnutrition and underlying diagnosis to the length of stay in the Intensive Care Unit (ICU) and to mortality after lung transplantation (LTX). Design: Retrospective ICU chart review. Setting: Cardiothoracic ICU in a University hospital. Patients: Fifty-one consecutive patients who suffered from end-stage lung disease from April 1992 to January 1994. Interventions: None. Measurements and results: The median time spent in the ICU was 5 days (range, 2–123 days). Patients with an underlying diagnosis of obstructive lung disease had significantly shorter ICU stays (median 4 days; range, 2–28 days) than those with restrictive lung disease (median 7 days; range, 2–123 days) (p=0.005) or pulmonary hypertension (median 10 days; range, 2–38 days) (p=0.041). Significant differences in ICU duration were observed between patients after double lung transplantation (median 10 days; range, 2–123 days) and those after single lung transplantation (median 4 days; range, 2–36 days) (p=0.004). No statistically significant difference in ICU duration was found between patients with different nutritional statuses. In those patients who could not be discharged from the ICU before the 5th day, a body mass index (BMI) below the 25th percentile was a statistically significant risk factor for ICU mortality (p〈0.05). Conclusions: We conclude that the type of transplant procedure and the underlying diagnosis are important predictive indicators of ICU duration. A poor nutritional status (BMI below the 25th percentile) is a risk factor for ICU mortality in cases of patients who stay for 5 days or longer in the ICU.
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  • 7
    ISSN: 1432-1238
    Keywords: Lung transplantation ; Malnutrition ; ICU
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective To determine the relation of malnutrition and underlying diagnosis to the length of stay in the Intensive Care Unit (ICU) and to mortality after lung transplantation (LTX). Design Retrospective ICU chart review. Setting Cardiothoracic ICU in a University hospital. Patients Fifty-one consecutive patients who suffered from end-stage lung disease from. April 1992 to January 1994. Interventions None. Measurements and results The median time spent in the ICU was 5 days (range, 2–123 days). Patients with an underlying diagnosis of obstructive lung disease had significantly shorter ICU stays (median 4 days; range, 2–28 days) than those with restrictive lung disease (median 7 days; range, 2–123 days) (p=0.005) or pulmonary hypertension (median 10 days; range, 2–38 days) (p=0.041). Significant differences in ICU duration were observed between patients after double lung transplantation (median 10 days; range, 2–123 days) and those after single lung transplantation (median 4 days; range, 2–36 days) (p=0.004). No statistically significant difference in ICU duration was found between patients with different nutritional statuses. In those patients who could not be discharged from the ICU before the 5th day, a body mass index (BMI) below the 25th percentile was a statistically significant risk factor for ICU mortality (p〈0.05). Conclusions We conclude that the type of transplant procedure and the underlying diagnosis are important predictive indicators of ICU duration. A poor nutritional status (BMI below the 25th percentile) is a risk factor for ICU mortality in cases of patients who stay for 5 days or longer in the ICU.
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  • 8
    ISSN: 1432-1041
    Keywords: vasodilator ; hypertension ; haemodynamic effects ; renal plasma flow ; renal tubular function ; plasma renin activity ; aldosterone ; Ro 12-4713
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Selected cardiovascular and endocrine effects of the new oral vasodilator Ro 12-4713 have been evaluated in an acute single dose study. In five patients with essential hypertension, Ro 12-4713 caused a dose-dependent decrease in supine and upright blood pressure and an increase in heart rate. Initial effects occurred one to 2 h after drug ingestion and maximal effects were noted after five hours and persisted for at least 8 h. Blood pressure was normalized, and the antihypertensive and chronotropic effects persisted for 24 h after a dose of about 300 mg/1.73 m2. Plasma and urinary norepinephrine and plasma renin levels tended to be raised, whereas plasma and urinary epinephrine and plasma aldosterone did not change. Changes in supine heart rate were inversely correlated with changes in mean blood pressure (r=−0.60; P〈0.02), and positively with those in plasma norepinephrine (r=0.55; P〈0.05) and renin (r=0.62, P〈0.01); changes in supine plasma renin level were also inversely correlated with those in mean blood pressure (r=−0.65; P〈0.01), and positively with those in plasma norepinephrine (r=0.58; P〈0.05). 24 h-urinary sodium excretion was significantly (P〈0.001) decreased; it was positively correlated with mean blood pressure (r=0.51; P〈0.05) and inversely with supine plasma renin activity (r=−0.63; P〈0.01). In six normal subjects and six patients with essential hypertension, effective renal plasma flow and the renal clearance of sodium, potassium, calcium and uric acid were not significantly altered five hours after a dose of Ro 12-4713 of about 250 mg/1.73 m2; glomerular filtration rate tended to be slightly decreased, and filtration fraction was significantly (P〈0.05) reduced in the hypertensive patients. At the same time blood pressure was decreased and plasma norepinephrine (P〈0.01) and renin (ns) were slightly increased in both groups. Ro 12-4713 in a single oral dose of about 300 mg appeared to be a potent, long acting, hypotensive vasodilator.
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  • 9
    ISSN: 1432-1041
    Keywords: vasodilator ; hypertension ; antihypertensive treatment ; catecholamines ; renin ; aldosterone ; blood volume
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary The antihypertensive efficacy and endocrine profile of the new antihypertensive agent, Ro 12-4713, were evaluated in 23 patients (17 men and 6 women) with moderate to severe arterial hypertension. Following addition of Ro 12-4713 to pre-existing therapy with diuretics and beta-blockers or sympatholytics, blood pressure in most of the patients was normalized within one month by a daily dose of 60 to 120 mg. Heart rate was only slightly increased. Orthostatic hypotension was not observed. Weight gain or oedema formation occurred in 14 patients within the first four weeks, but could be controlled satisfactorily by intensified diuretic therapy. Increased hair growth occurred in most of the patients. After a mean duration of treatment of 2.8 months, plasma volume and plasma and urine sodium were unaltered, and plasma potassium was slightly decreased. Plasma renin activity was doubled, whereas plasma aldosterone concentrations were unaltered. Plasma norepinephrine levels were high before and increased only slightly during chronic Ro 12-4713 treatment, whereas urinary norepinephrine excretion was unchanged. Plasma and urinary epinephrine were unaltered by Ro 12-4713. Ro 12-4713 appears to be a potent vasodilator for the combination treatment of hypertension in men.
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  • 10
    ISSN: 0550-3213
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Physics
    Type of Medium: Electronic Resource
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