Marks L S, Maxwell M H, Kaufman J J
Lancet. 1977 Mar 19;1(8012):615-7. doi: 10.1016/s0140-6736(77)92054-2.
In two hypertensive patients with renal-artery stenosis, overactivity of the renin-angiotensin system was ruled out by investigations of renin and aldosterone concentrations and by the lack of a vasodepressor response to angiotensin blockade with saralasin. Nevertheless, hypertension was cured by renal revascularisation. The date suggest that there is a form of renovascular hypertension which is not mediated by the renin-angiotensin system.
在两名患有肾动脉狭窄的高血压患者中,通过对肾素和醛固酮浓度的检测以及缺乏对沙拉新(saralasin)阻断血管紧张素的降压反应,排除了肾素 - 血管紧张素系统的过度活跃。然而,通过肾血管重建术治愈了高血压。这些数据表明存在一种不由肾素 - 血管紧张素系统介导的肾血管性高血压形式。