ANATOMY

Detailed explanation-1: -In summary, the renin-angiotensin-aldosterone system (RAAS) is a critical regulator of blood pressure (blood volume & electrolyte balance) as well as vascular tone & resistance. Normally, renin is secreted if blood pressure is too low thus activating angiotensin II to increase blood pressure and vascular resistance.

Detailed explanation-2: -In particular, activation of the renin-angiotensin-aldosterone system (RAAS) leads to increased levels of angiotensin II and plasma aldosterone, and promote development of arterial vasoconstriction and remodeling, sodium retention, oxidative process, and cardiac fibrosis.

Detailed explanation-3: -On its own, renin doesn’t affect your blood pressure. Instead, it works together with angiotensin and aldosterone to accomplish this. Angiotensin narrows your blood vessels and aldosterone causes your kidneys to retain water and salt. This increases the amount of fluid in your body and raises your blood pressure.

Detailed explanation-4: -Angiotensin II causes the muscular walls of small arteries (arterioles) to constrict, increasing blood pressure. Angiotensin II also triggers the release of the hormone aldosterone from the adrenal glands and vasopressin (antidiuretic hormone) from the pituitary gland.

Detailed explanation-5: -The RAAS is affected by sex hormones and plays a role in sex-related differences in BP; however, there are no specific guidelines that suggest sex-specific treatment 57, 92– 94.