Published online before print September 11, 2006, doi: 10.1161/01.HYP.0000240516.60040.ba
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(Hypertension. 2006;48:609.)
© 2006 American Heart Association, Inc.
Original Articles |
Association Between Arterial Properties and Renal Sodium Handling in a General Population
From the Studies Coordinating Centre (J.S., J.A.S., T.N., H.Z., T.K., T.R., R.F.), Division of Hypertension and Cardiovascular Rehabilitation, Department of Cardiovascular Diseases, University of Leuven, Leuven, Belgium; the Faculty of Medicine in Pilsen (J.S., J.F.), Charles University, Pilsen, Czech Republic; the Division of Hypertension and Cardiovascular Medicine (M.M., M. Bochud, M. Burnier), University of Lausanne, Lausanne, Switzerland; the Department of Cardiology (H.Z.), First Affiliated Hospital, Nanjing Medical University, Nanjing, China; the Department of Pharmacology and Toxicology (H.S.B.), University of Maastricht, Maastricht, The Netherlands; Heymans Institute of Pharmacology (L.V.B.), University of Gent, Gent, Belgium; and the School of Nephrology (P.M.), University of Milan, Milan, Italy.
Correspondence to Jan A. Staessen, Studies Coordination Centre, Laboratory of Hypertension, Campus Gasthuisberg, Herestraat 49, Box 702 B-3000 Leuven, Belgium. E-mail jan.staessen{at}med.kuleuven.be
Mean arterial pressure drives pressure–natriuresis and determines arterial structure and function. In a population sample, we investigated the relation between arterial characteristics and renal sodium handling as assessed by the clearance of endogenous lithium. We ultrasonographically measured diameter, cross-sectional compliance (CC) and distensibility (DC) of the carotid, brachial, and femoral arteries in 1069 untreated subjects (mean age: 41.6 years; 50.1% women; 18.8% hypertensive subjects). While accounting for covariates and standardizing for the sodium excretion rate in both sexes, CC and DC of the femoral artery increased with higher fractional distal sodium reabsorption. Differences associated with a 1-SD change in fractional distal reabsorption of sodium were 51.7 mm2/kPax10–3 (95% CI: 23.9 to 79.5; P=0.0002) and 0.56x10–3/kPa (95% CI: 0.17 to 0.94; P=0.004) for femoral CC and DC, respectively. In women as well as in men, a 1-SD increment in fractional proximal sodium reabsorption was associated with decreases in femoral and brachial diameter, amounting to 111.6 µm (95% CI: 38.2 to 185.1; P=0.003) and 52.5 µm (95% CI: 10.0 to 94.9; P=0.016), respectively. There was no consistent association between the properties of the elastic carotid artery and renal sodium handling. In conclusion, higher fractional sodium reabsorption in the distal nephron is associated with higher femoral CC and DC, and higher proximal sodium reabsorption is associated with decreased brachial and femoral diameters. These findings demonstrate that there might be an influence of renal sodium handling on arterial properties or vice versa or that common mechanisms might influence both arterial and renal function.
Key Words: arterial stiffness • arterial distensibility • renal sodium handling • pressure-natriuresis
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