Associations of plasma atrial natriuretic peptide and electrolyte levels with essential hypertension

Abstract

This study aimed to investigate the associations among the levels of plasma atrial natriuretic peptide (ANP) and electrolytes and essential hypertension (EH) in Uygur, Han and Kazakh populations in Xinjiang. A total of 724 hypertensive participants of different ethnicities from Xinjiang (208 Uygur, 287 Han and 229 Kazakh) and 741 normal controls (208 Uygur, 267 Han and 266 Kazakh) were enrolled. The associations of ANP with serum potassium, serum sodium and blood pressure were assessed. In the normal control (NT) group, the concentration of ANP was higher in the Uygur population than in the Han population, and the concentration in the Han population was higher than that in the Kazakh population (P<0.05). In the EH group, the serum potassium levels of the Uygur and Han populations were higher than that of the Kazakh population (P<0.05). The ANP concentration in the Uygur ethnic group was higher than that in the Han population, which was in turn higher than that in the Kazakh participants (P<0.05). In the Kazakh population, the serum potassium level was significantly lower in the EH group compared with that in the NT group (P<0.05). The serum potassium level was significantly lower and the ANP concentration significantly higher in the EH group compared with those of NT groups in the Uygur and Han populations (P<0.05). Age and body mass index (BMI) were associated with hypertension in the Uygur, Han and Kazakh populations. Low serum potassium may be a risk factor of hypertension in individuals of Uygur and Kazakh ethnicity. Plasma ANP may be a regulatory factor involved in the development of hypertension in Uygur and Han populations.

Serum Electrolytes and Red Blood Cell Membrane Potential of Hypertensive Patients

“…The serum increased significantly (p<0.05) in hypertensive subjects when compared to s in the present study. The observation is inconsistent with earlier study of [29], who reported no significant difference in serum sodium level between hypertension groups. increased significantly ) in hypertensive subjects when compared to those of normotensive subjects.…”

“…[27] and Rinner et al [28] found that serum potassium level was negatively associated with blood pressure. Hu et al [29] suggested that serum potassium level was lower in hypertension group compared with nonlevel reduced significantly (p<0.05) in hypertensive subjects bjects in the present + is in line with the observation of Hu et al [29]. The mechanism behind the observed reduction in hypertensive subjects remains unclear.…”

“…Students t-distribution was used to establish a significant difference at 5% significant levels. [29]. The mechanism behind the observed reduction in hypertensive subjects remains unclear.…”

Additive effects of Capsaicin Oleoresin, Irbesartan and Amlodipine Besylate on the blood pressure of spontaneously hypertensive rats

“…It is also possible that serum potassium derangement is part of a physiological mechanism of inducing hypertension in the SHR because the control group effectively demonstrated lower serum potassium. In support of the later observation, Hu et al (2013), Kanbay et al (2013) and Van Crombruggen et al (2011) reported restoring normal SBP by re-establishing a normal potassium status in potassium-depleted rats. Additionally, limiting plasma renin activity and sensitization of the arteriolar vascular bed to catecholamines have been proposed as potassiumcontrolling mechanisms (Mulrow, 1999;Hu et al, 2013).…”

Correlation between Serum Sodium and Potassium Levels and Risk of Developing Hypertension

“…The Framingham Heart Study found that adults with serum potassium ≥ 5.2 mEq/L had increased risk of hypertension, though the difference was not significant. 20 Hu, et al; 21 suggested that serum potassium level was lower in the hypertension group compared with the non-hypertension group. These findings were similar to the findings of our study.…”