Serum calcium levels in patients with essential hypertension and their first degree relatives

K Sudhakar1, M Sujatha, S Ramesh Babu

  • 1Institute of Genetics & Hospital for Genetic Diseases, Osmania University, Begumpet, 500 016 Hyderabad.

Insights

Serum calcium levels were significantly decreased in Indian individuals with essential hypertension and their relatives. This finding suggests a potential link between low calcium and hypertension in this population.

Area of Science:

  • Cardiology
  • Endocrinology
  • Human Physiology

Background:

  • Essential hypertension is a complex condition with multifactorial causes.
  • Calcium homeostasis is recognized as a potential factor in blood pressure regulation.
  • Previous research suggests a role for calcium in hypertension pathophysiology.

Purpose of the Study:

  • To investigate serum calcium levels in Indian individuals with essential hypertension.
  • To examine serum calcium levels in first-degree relatives of hypertensive patients.
  • To determine if decreased serum calcium is associated with essential hypertension in an Indian cohort.

Main Methods:

  • Serum calcium levels were measured in 117 patients with essential hypertension.
  • Serum calcium levels were measured in 77 first-degree relatives of hypertensive patients.
  • Serum calcium levels were compared between hypertensive subjects, their relatives, and 77 normotensive controls.

Main Results:

  • Serum calcium levels were significantly lower (p<0.01) in males with essential hypertension compared to controls.
  • Serum calcium levels were significantly lower (p<0.01) in females with essential hypertension compared to controls.
  • First-degree relatives of hypertensive individuals also exhibited significantly decreased serum calcium levels.

Conclusions:

  • This study indicates a significant association between decreased serum calcium levels and essential hypertension in the Indian population.
  • The findings suggest that low serum calcium may be a contributing factor or marker for essential hypertension.
  • This is the first study to report these findings in an Indian population, highlighting a potential area for further research and intervention.

Related Concept Videos

Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Skeleton and Calcium Homeostasis01:21

Skeleton and Calcium Homeostasis

Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...