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Anand IS, Ferrari R, Kalra GS, et al. Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes, and plasma hormones in untreated congestive cardiac failure. Circulation. 1989;80(2):299-305doi: 10.1161/01.cir.80.2.299.
Anand, I. S., Ferrari, R., Kalra, G. S., Wahi, P. L., Poole-Wilson, P. A., & Harris, P. C. (1989). Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes, and plasma hormones in untreated congestive cardiac failure. Circulation, 80(2), 299-305. https://doi.org/10.1161/01.cir.80.2.299
Anand, I S, et al. "Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes, and plasma hormones in untreated congestive cardiac failure." Circulation vol. 80,2 (1989): 299-305. doi: https://doi.org/10.1161/01.cir.80.2.299
Anand IS, Ferrari R, Kalra GS, Wahi PL, Poole-Wilson PA, Harris PC. Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes, and plasma hormones in untreated congestive cardiac failure. Circulation. 1989 Aug;80(2):299-305. doi: 10.1161/01.cir.80.2.299. PMID: 2752558.
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Circulation. 1989 Aug;80(2):299-305. doi: 10.1161/01.cir.80.2.299.

Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes, and plasma hormones in untreated congestive cardiac failure.

Circulation

I S Anand, R Ferrari, G S Kalra, P L Wahi, P A Poole-Wilson, P C Harris

Affiliations

  1. Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

PMID: 2752558 DOI: 10.1161/01.cir.80.2.299

Abstract

This study provides data on plasma hormone levels in patients with severe clinical congestive cardiac failure who had never received therapy and in whom the presence of an accumulation of excess water and sodium had been established. Eight patients were studied; two had ischemic cardiac disease, and six had dilated cardiomyopathy. Mean hemodynamic measurements at rest were as follows: cardiac index, 1.8 l/min/m2; pulmonary wedge pressure, 30 mm Hg; right atrial pressure, 15 mm Hg. Total body water content was 16% above control, extracellular liquid was 33% above control, plasma volume was 34% above control, total exchangeable sodium was 37% above control, renal plasma flow was 29% of control, and glomerular filtration rate was 65% of control. Plasma norepinephrine was consistently increased (on average 6.3 times control), whereas adrenaline was unaffected. Although plasma renin activity and aldosterone varied widely, they were on average above normal (renin 9.5 times control, aldosterone 6.4 times control). Plasma atrial natriuretic peptide (14.3 times control) and growth hormone (11.5 times control) were consistently increased. Cortisol was also increased on average (1.7 times control). Vasopressin was increased only in one patient.

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