Hypertension, Vol 8, 483-488, Copyright © 1986 by American Heart Association
RF Bing, AM Heagerty, JA Jackson, H Thurston and JD Swales
The relationship between leukocyte ionized calcium concentration, sodium
content, and blood pressure was studied in normotensive subjects with (n =
17) and without (n = 21) a family history of hypertension and in untreated
patients with essential hypertension (n = 22). There was a highly
significant correlation between intracellular ionized calcium and mean
supine blood pressure (measured on the same occasion) in normal subjects
with no family history of hypertension (r = +0.73, p less than 0.01). This
relationship was lost in normal subjects with a family history of
hypertension, and in hypertensive patients there was a nonsignificant
negative correlation between intracellular ionized calcium and blood
pressure (r = +0.08 and -0.31, respectively). Intracellular ionized calcium
was similar in the normotensive groups (both, 126 +/- 7 nmol/L) and
slightly but nonsignificantly elevated in hypertensive patients (143 +/- 10
nmol/L; p = 0.09). There was no correlation between intracellular ionized
calcium and sodium content in any group (r less than 0.1). These results
indicate that while leukocyte ionized calcium in normotensive subjects with
no family history of hypertension may reflect smooth muscle contractility
resulting in the positive correlation between leukocyte ionized calcium and
blood pressure, this relationship is lost in hypertensive patients and
subjects predisposed to hypertension. This may be due to an altered
relationship between leukocyte and smooth muscle calcium handling in these
subjects or to non-calcium-mediated influences on blood pressure.
ARTICLES
Leukocyte ionized calcium and sodium content and blood pressure in humans
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