How aldosterone may raise blood pressure and heart risk during menopause

Aldosterone and the menopausal transition's increase in blood pressure and cardiovascular risk

NIH-funded research University of Michigan at Ann Arbor · NIH-11323147

This project will measure aldosterone and renin in women before, during, and after menopause to link hormone changes with rising blood pressure.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Michigan at Ann Arbor NIH-funded
Lab location1 site (Ann Arbor, United States)
Project IDNIH-11323147 on NIH RePORTER

What this research studies

This work uses blood samples from about 1,534 women enrolled in the long-running Study of Women’s Health Across the Nation (SWAN). Scientists will measure serum aldosterone about five years before the final menstrual period, within a year of the final period, and about five years after to track changes through menopause. When matching samples are available they will also measure plasma renin to understand how the renin-angiotensin-aldosterone system changes alongside blood pressure. The study is observational and aims to explain why some women develop worse hypertension after menopause and why common drugs like ACE inhibitors or ARBs may not fully control aldosterone-related effects.

Who could benefit from this research

Good fit: Ideal candidates are midlife women approaching or recently past their final menstrual period, especially those with rising blood pressure or on blood-pressure medications.

Not a fit: Men, much younger women far from menopause, or people whose high blood pressure is driven by causes unrelated to aldosterone are unlikely to see direct benefit.

Why it matters

Potential benefit: If successful, the findings could help doctors choose better blood-pressure treatments for menopausal women and reduce their long-term heart risk.

How similar studies have performed: Previous research links estrogen loss to RAAS changes and describes 'aldosterone breakthrough' with ACE inhibitors/ARBs, but large longitudinal measurements across the menopausal transition are relatively novel.

Where this research is happening

Ann Arbor, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.