Plasma Renin Activity

Specialist

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What it isAn enzyme released by specialized kidney cells when they sense low blood pressure or low sodium. It cleaves angiotensinogen to start the renin-angiotensin-aldosterone cascade.

DoesInitiates aldosterone release, vasoconstriction, and sodium retention.

GoodA mid-range renin alongside appropriate aldosterone signals balanced volume regulation.

BadSuppressed renin with high aldosterone signals primary aldosteronism. High renin signals dehydration, kidney artery stenosis, or appropriate response to drugs.

Standard
Upright 0.65–5 ng/mL/hr.
Optimal
1.0–3.0 ng/mL/hr upright (narrow target)
Modifiers
Posture-dependent; affected by many blood pressure medications.

How to optimize

Lifestyle
Manage blood pressure.
Diet
Moderate sodium.
Supplements
Peptides
Drugs
ACE inhibitors, ARBs, direct renin inhibitors. --