Sodium is more important than calcium in essential hypertension.
- 1 July 1985
- journal article
- abstracts
- Published by Wolters Kluwer Health in Hypertension
- Vol. 7 (4) , 628-640
- https://doi.org/10.1161/01.hyp.7.4.628
Abstract
There is much circumstantial and some direct evidence in humans to suggest that a high consumption of salt predisposes communities and individuals to the development of essential hypertension. Recent work has suggested possible mechanisms whereby a high salt intake could cause a rise in blood pressure in genetically susceptible persons. Restriction of salt intake in the diet lowers blood pressure in many subjects with high blood pressure and this fall in blood pressure is mediated in part by a diminished renin response to sodium restriction as hypertension develops. The effect of sodium restriction, like diuretics, is additive to most blood pressure lowering drugs, particularly those that inhibit the renin system such as beta-blockers and angiotensin converting enzyme inhibitors. Claims that a slight reduction in calcium intake may be important in the development of high blood pressure are disputed. Furthermore, no satisfactory hypothesis has been put forward to explain how a small reduction in dietary calcium intake could cause high blood pressure. Large increases in calcium intake have been reported to lower blood pressure in both normotensive and hypertensive humans. The three published studies, however, are not in agreement.Keywords
This publication has 89 references indexed in Scilit:
- Remission of Essential Hypertension after Renal TransplantationNew England Journal of Medicine, 1983
- Divalent Cations in Essential HypertensionNew England Journal of Medicine, 1983
- Blood pressure response to dietary sodium restriction in normotensive adults.Hypertension, 1983
- Nonpharmacologic therapy of hypertension: The independent effects of weight reduction and sodium restriction in overweight borderline hypertensive patientsAmerican Heart Journal, 1983
- Low Serum Concentrations of Ionized Calcium in Patients with HypertensionNew England Journal of Medicine, 1982
- Influence on Blood Pressure of Renal Isografts between Spontaneously Hypertensive and Normotensive Rats, Utilizing the F1 HybridsJapanese Heart Journal, 1978
- The role of humoral agents in volume expanded hypertensionLife Sciences, 1976
- Effect of potassium and norepinephrine on the tone of the isolated artery: Changes by ouabain pretreatmentCellular and Molecular Life Sciences, 1974
- Moderate sodium restriction and diuretics in the treatment of hypertensionAmerican Heart Journal, 1973
- THE TERATOGENIC INDUCTION OF HYPERTENSION*Journal of Clinical Investigation, 1962