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RESEARCH PRODUCT

Renal plasma flow, filtration fraction and microalbuminuria in hypertensive patients: Effects of chronic smoking

R. Ferraro-mortellaroGiuseppe AndronicoGiovanni CerasolaSilvio BuscemiMaria RoméAntonina Lo CiceroRenato ParsiGiovanna Seddio

subject

AdultMalemedicine.medical_specialtyHypertension RenalSettore MED/09 - Medicina InternaPopulationUrologyRenal functionHemodynamicsRenal CirculationExcretionInternal medicinePrevalencemedicineAlbuminuriaHumansSettore MED/49 - Scienze Tecniche Dietetiche Applicateeducationeducation.field_of_studyRenal circulationbusiness.industrySmokingGeneral MedicineMiddle Agedmedicine.diseaseFiltration fractionsmoking renal function obesitymedicine.anatomical_structureEndocrinologyNephrologyRenal blood flowChronic DiseaseMicroalbuminuriabusinessGlomerular Filtration Rate

description

SUMMARY: Introduction:  Albumin excretion rate is usually increased in people who smoke, but the physiological basis of this phenomenon is not fully understood. Methods:  The effect of chronic smoking on renal haemodynamics was studied in a cohort of 66 men. Twenty-seven were smokers and 36 were hypertensive. In all subjects, the albumin excretion rate was evaluated; in hypertensive patients, a renoscintigraphic evaluation of renal plasma flow and glomerular filtration were carried out and the filtration fraction was calculated. Results:  The hypertensive smoking population presented an increased urinary albumin excretion rate in comparison with hypertensive non-smoking patients. No significant differences were found for the mean values of renal plasma flow, the glomerular filtration rate and the filtration fraction between hypertensive smokers and hypertensive non-smoking patients. Conclusions:  In hypertensive patients, smoking does not modify typical renal haemodynamic changes of arterial hypertension; however, it significantly increases the albumin excretion rate.

10.1111/j.1440-1797.2005.00458.xhttp://hdl.handle.net/10447/16697