The renin-angiotensin system in blacks: active, passive, or what?

DA Price, NDL Fisher - Current hypertension reports, 2003 - Springer
DA Price, NDL Fisher
Current hypertension reports, 2003Springer
Plasma renin activity in blacks has been consistently reported to be lower than in whites.
Many mechanisms for the low plasma renin activity have been proposed, including volume
status, renal sodium handling, and the reduction of renin release. The status of the RAS is
paramount in the regulation of salt and water balance and its implications in disease
processes such as hypertension and renal failure. In this review, we present data to suggest
that low systemic plasma renin activity in blacks may not be the primary abnormality, but …
Abstract
Plasma renin activity in blacks has been consistently reported to be lower than in whites. Many mechanisms for the low plasma renin activity have been proposed, including volume status, renal sodium handling, and the reduction of renin release. The status of the RAS is paramount in the regulation of salt and water balance and its implications in disease processes such as hypertension and renal failure. In this review, we present data to suggest that low systemic plasma renin activity in blacks may not be the primary abnormality, but rather the reflection of an overactive RAS at the tissue level in the kidney.
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