Resting and volume-stimulated circulating atrial natriuretic peptide in young normotensive men with positive family histories of hypertension

Normotensive young men (36 ± 5 years old) with positive family histories of hypertension (n=11) and age-matched controls (n=21) with negative family histories of hypertension were examined. The control group was divided into one group matched for body mass index with those subjects with positive family histories (n=10) and one group with normal body mass index (n=11). Blood pressure, central venous pressure (CVP), plasma atrial natriuretic peptide (ANP) and serum aldosterone were examined at a baseline and during an acute volume load with 1000 ml saline solution. Subjects with positive family histories and controls matched for body mass index had a higher blood pressure at baseline than controls with normal body mass index. CVP and serum aldosterone did not differ between the three groups, while sodium intake and plasma concentrations of ANP were significantly higher in subjects with positive family histories. During volume loading, CVP increased significantly more in subjects with positive family histories as compared with the two control groups. A blunted response to ANP was observed during volume loading in subjects with positive family histories, while subjects in the two control groups demonstrated comparable and significant increases in circulating ANP. Serum aldosterone, however, decreased during volume loading in all three groups, with no difference between the groups. We conclude that normotensive subjects with positive family histories are characterized by increased basal concentrations of ANP and exhibit a blunted response to an acute volume load. One possible explanation for the higher basal circulating ANP in subjects with positive family histories could be a higher sodium intake, while the blunted response may represent a primary or an early inability to respond to and excrete a volume load