Support for adrenaline-hypertension hypothesis: 18 hour pressor effect after 6 hours adrenaline infusion

Lancet. 1988 Dec 17;2(8625):1386-9. doi: 10.1016/s0140-6736(88)90585-5.

Abstract

In a double blind, crossover study 6 h infusions of adrenaline (15 ng/kg/min; 1 ng = 5.458 pmol), noradrenaline (30 ng/kg/min; 1 ng = 5.911 pmol), and a 5% dextrose solution (5.4 ml/h), were given to ten healthy volunteers in random order 2 weeks apart. By means of intra-arterial ambulatory monitoring the haemodynamic effects were followed for 18 h after the infusions were stopped. Adrenaline, but not noradrenaline, caused a delayed and protracted pressor effect. Over the total postinfusion period systolic and diastolic arterial pressure were 6 (SEM 2)% and 7 (2)%, respectively, higher than after dextrose infusion (ANOVA, p less than 0.001). Thus, "stress" levels of adrenaline (230 pg/ml) for 6 h cause a delayed and protracted pressor effect. These findings are strong support for the adrenaline-hypertension hypothesis in man.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Pressure / drug effects*
  • Double-Blind Method
  • Epinephrine / administration & dosage
  • Epinephrine / blood
  • Epinephrine / pharmacology*
  • Glucose / administration & dosage
  • Heart Rate / drug effects
  • Humans
  • Infusions, Intravenous
  • Male
  • Norepinephrine / administration & dosage
  • Norepinephrine / blood
  • Renin / blood

Substances

  • Renin
  • Glucose
  • Norepinephrine
  • Epinephrine