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Title: ACE inhibition in diabetic patients: effect on pressor responsiveness to noradrenaline. Author: Strocchi E, Malini PL, Ciavarella A, Valtancoli G, Ricci C, Mustacchio A, Vannini P, Ambrosioni E. Journal: J Hum Hypertens; 1992 Aug; 6(4):317-9. PubMed ID: 1433167. Abstract: The pressor responsiveness to noradrenaline was assessed before and after four weeks of treatment with enalapril (20 mg/day) in eight mild-to-moderate essential hypertensives, in eight normotensive type II diabetics and in eight mild-to-moderate hypertensive type II diabetic patients. The ACE inhibitor interfered to the same extent with the renin-angiotensin system and did not alter noradrenaline kinetics in the three groups of patients, but significantly reduced the arterial responsiveness only in non-diabetic subjects. It is suggested that factors, such as an exaggerated sodium retention, might determine the lack of effect of enalapril in diabetic patients.[Abstract] [Full Text] [Related] [New Search]