tag:blogger.com,1999:blog-11288840.post113879741154663981..comments2024-02-08T05:17:29.432-05:00Comments on Kidney Notes: Dietary Approaches to Prevent and Treat Hypertension from the American Heart AssociationTesthttp://www.blogger.com/profile/17979185526814569632noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-11288840.post-1138803039370442272006-02-01T09:10:00.000-05:002006-02-01T09:10:00.000-05:00Very interesting post - thank you.I have a questio...Very interesting post - thank you.<BR/><BR/>I have a question about salt reduction in CRF patients. You're recommending a decrease in salt intake across the board, whether a person is hypertensive or not, at least as a prophylactic measure.<BR/><BR/>However, a June 2004 article on Medscape ( <A HREF="http://www.medscape.com/viewarticle/480719_2" REL="nofollow">Dietary Approaches to Prevent and Treat Hypertension</A> ) mentions the following: <I>"In this large study (11,346 subjects) the main finding was that lower salt intake related to higher all-cause mortality."</I> The article also mentions a higher incidence of MI in those who had a reduced salt intake.<BR/><BR/>It goes on to state: <I>"Finally, those who deem salt restriction as not advisable or even harmful, support their view by postulating that the untoward biochemical effects of the commonly used thiazides (carbohydrate intolerance, increased plasma insulin, serum cholesterol, and low-density lipoprotein cholesterol levels) may counteract or attenuate the beneficial effects of blood pressure reduction. Moreover, it has been suggested that thiazide-induced renal potassium wasting may relate to increased ventricular arrhythmias and sudden death,[6] while normal body potassium may have protective effects on cardiovascular events, such as stroke, independent of blood pressure.[7]"</I><BR/><BR/>As a hypertensive CRF patient who is currently following the DASH diet, the information concerns me ... since a thiaziade (Hyzaar) is among several medications being used in my treatment.<BR/><BR/>Personally, I've found over the last couple of years that even with an extended increase in salt intake, for example over the holidays or during travel, that the BP did not seem to be adversely affected.<BR/><BR/>I'm wondering if perhaps salt is going to be one "those things" about which medical science eventually changes it's collective mind?Anonymousnoreply@blogger.com