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Title: Suppression of sympathetic nervous function in low-renin essential hypertension. Author: Esler M, Randall O, Bennett J, Zweifler A, Julius S, Rydelek P. Journal: Lancet; 1976 Jul 17; 2(7977):115-8. PubMed ID: 59183. Abstract: Study of general haemodynamics in 15 patients with low-renin essential hypertension showed haemodynamic and pathophysiological heterogeneity. However, there was suppression of sympathetic nervous system function in all low-renin patients, regardless of haemodynamic pattern. Subnormal sympathetic nervous activity was manifested by a low normal mean plasma-noradrenaline concentration at rest, diminished noradrenaline responsiveness to postural stimulation, and a reduced blood-pressure response to the indirectly acting sympathomimetic amine tyramine. It is proposed that the syndrome of low-renin essential hypertension is of diverse aetiology, but with secondary sympathetic nervous system underactivity as a feature common to the various forms. The low plasma-renin activity is probably an expression of defective sympathetic nervous system stimulation of renin release.[Abstract] [Full Text] [Related] [New Search]