[Salt sensitivity in patients with arterial hypertension].

We present literature review on the role of excessive sodium consumption with food in pathogenesis of salt sensitive arterial hypertension (AH) as well as scientific data allowing to consider sensitivity to salt as independent factor of development and unfavorable course of AH associated with insulin resistance, high activity of sympathetic nervous system, and risk of cardiovascular complications. We present data on differential antihypertensive activity of drugs used for therapy of AH depending on sensitivity of patients to salt.

[Comparative eficacy of antihypertensive therapy in patients with arterial hypertension and various sensitivity to salt].

In 102 patients with high risk (52 patients with history of myocardial infarction, 50 patients with history of cerebral stroke within previous 6-48 months) arterial hypertension (AH) we studied clinical efficacy on angiotensin converting enzyme inhibitor (ACEI) lisinopril, calcium antagonist felodipine, and nonselective - -blocker carvedilol in dependence on salt sensitivity of AH. Efficacy of treatment was assessed with the help of office pressure measurement and 24 hour arterial pressure monitoring before and after 12 weeks of therapy. Patients who showed 10 or more mm Hg lowering of AP at transition from high salt (15 g/day) to low salt ( 3 g/day) diet were considered salt sensitive. On the basis of obtained results optimal for the treatment of AH in salt resistant patients are ACEI while in the treatment of salt sensitive patients it is expedient to administer calcium antagonists. The use of -adrenoblockers is equally effective in AH with various salt sensitivity.