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Correlation of Quantitated Intravascular Volume with Blood Pressure in Patients with Systemic Hypertension
Marat Fudim1,2, Vanessa L Blumer3, Renato D Lopes4
1Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, NC, USA. marat.fudim@dm.duke.edu.
Insights
Hypertension management requires understanding blood volume. This study found wide variations in total blood volume (TBV), plasma volume (PV), and red blood cell volume (RBV) in hypertensive patients, with no correlation to systolic blood pressure (SBP).
Area of Science:
- Cardiology
- Nephrology
- Internal Medicine
Background:
- Volume management is crucial in anti-hypertensive therapy.
- Specific volume phenotypes in hypertension require further investigation.
Purpose of the Study:
- To investigate total blood volume (TBV), plasma volume (PV), and red blood cell volume (RBV) in hypertensive patients.
- To determine the correlation between blood volume parameters and systolic blood pressure (SBP).
Main Methods:
- Radioisotope iodine-131-labeled albumin dilution technique used for blood volume measurements.
- 95 hypertensive patients from an outpatient cardiology clinic (1998-2003) were included.
- Blood volume parameters expressed as percentage deviation from ideal volumes.
Main Results:
- Wide variations observed in TBV (-23% to +28%), PV (-22% to +36%), and RBV (-29% to +37%).
- No significant correlation found between SBP and TBV (r=-0.03), PV (r=-0.12), or RBV (r=-0.08).
Conclusions:
- Hypertensive patients exhibit significant heterogeneity in blood volume parameters.
- Blood volume does not correlate with systolic blood pressure in this cohort.
Abstract:
Volume management is an essential component of anti-hypertensive therapy. Different volume phenotypes have been proposed. We sought to study the total blood volume (TBV), plasma volume (PV), and red blood cell volume (RBV) in hypertensive patients. We included patients followed in an outpatient cardiology clinic from 1998 to 2003. Blood volume (BV) parameters were measured using radioisotope iodine-131-labeled albumin dilution technique. Values were expressed as percentage (%) deviation from ideal volumes. A total of 95 patients were included. The intravascular volume distribution as percent deviation from normal volume ranged from - 23 to + 28% for TBV, - 22 to + 36% for PV and - 29 to + 37% for RBV. There was no significant correlation between systolic BP and any of the BV parameters (TBV and SBP, r = - 0.03; PV and SBP, r = - 0.12; RBV and SBP, r = - 0.08). Patients with hypertension have a wide variation in BV parameters. BV does not correlate with SBP.
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