Prediction and consistency of blood pressure salt-sensitivity as assessed by a rapid volume expansion and contraction protocol

Pasquale Strazzullo, Ferruccio Galletti, Paolo Dessì-Fulgheri, Claudio Ferri, Nicola Glorioso, Lorenzo Malatino, Franco Mantero, Paolo Manunta, Andrea Semplicini, Lorenzo Ghiadoni, Carmine Zoccali

Research output: Contribution to journalArticle

Abstract

Background: This multicenter trial in essential hypertensive patients (n=94) is aimed i) to evaluate the distribution of blood pressure salt-sensitivity by a rapid volume expansion/contraction protocol over three days; ii) to investigate the within-patient reproducibility and to identify predictors of the response to the test; iii) to compare this response with the response to dietary NaCl restriction. Methods: The study design included: 1) screening for salt-sensitivity by the rapid test; 2) a controlled trial of dietary salt restriction; 3) repetition of the rapid test in a subgroup of patients. Results: The mean BP response to the rapid test fitted a Gaussian curve. In multivariate regression analysis, controlling for the effect of potential confounders, the blood pressure increment during the intravenous saline infusion was the best independent predictor of the response to the test (r=0.713) with minor contributions by the 24-h urinary sodium excretion before the test and by baseline fasting serum insulin. These three variables together explained 61% of the overall variability of the response. The Spearman rank correlation coefficient between the BP response to the rapid test and the response to the dietary protocol was 0.21, p=0 05. Upon repetition of the rapid test, the correlation coefficient between the responses observed on the two occasions was 0.60 (n=19, p

Original languageEnglish
Pages (from-to)46-53
Number of pages8
JournalJournal of Nephrology
Volume13
Issue number1
Publication statusPublished - Jan 2000

    Fingerprint

Keywords

  • Blood pressure
  • Diet
  • Hypertension
  • Reproducibility
  • Salt-sensitivity
  • Sodium

ASJC Scopus subject areas

  • Nephrology

Cite this

Strazzullo, P., Galletti, F., Dessì-Fulgheri, P., Ferri, C., Glorioso, N., Malatino, L., Mantero, F., Manunta, P., Semplicini, A., Ghiadoni, L., & Zoccali, C. (2000). Prediction and consistency of blood pressure salt-sensitivity as assessed by a rapid volume expansion and contraction protocol. Journal of Nephrology, 13(1), 46-53.