Changes in endocrine control of electrolyte homeostasis and blood pressure following heart and heart-lung transplantation. A comparative study

The purpose of this study was to compare the early postoperative effects of heart and heart-lung transplantation on the secretion of atrial natriuretic peptide (alpha-ANP), renin, aldosterone, and vasopressin. This was carried out from the first to the eighth postoperative day in ten heart and five...

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Veröffentlicht in:Chest 1992-04, Vol.101 (4), p.1050-1055
Hauptverfasser: MERTES, P. M, DE TALANCE, N, PINELLI, G, VILLEMOT, J. P, BURLET, C, BOULANGE, M
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container_end_page 1055
container_issue 4
container_start_page 1050
container_title Chest
container_volume 101
creator MERTES, P. M
DE TALANCE, N
PINELLI, G
VILLEMOT, J. P
BURLET, C
BOULANGE, M
description The purpose of this study was to compare the early postoperative effects of heart and heart-lung transplantation on the secretion of atrial natriuretic peptide (alpha-ANP), renin, aldosterone, and vasopressin. This was carried out from the first to the eighth postoperative day in ten heart and five heart-lung recipients. The changes in the release of these hormones were similar in both groups. Vasopressin release remained stable while that of the renin-angiotensin-aldosterone system progressively returned to more normal levels. Grafted heart tissue was capable of high alpha-ANP release early on in both heart and in heart-lung recipients. This sustained alpha-ANP release was not a function of the resulting overall atrial tissue mass. Our findings suggest that it might be the consequence of an intrinsic hypersecretion of alpha-ANP resulting from the loss of normal heart innervation occurring in both heart and heart-lung transplantation.
doi_str_mv 10.1378/chest.101.4.1050
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source MEDLINE; Alma/SFX Local Collection
subjects Adult
Aldosterone - blood
Atrial Natriuretic Factor - blood
Biological and medical sciences
Blood pressure
Blood Pressure - physiology
Body Fluid Compartments - physiology
Electrolytes
Endocrine Glands - metabolism
Female
Heart
Heart Transplantation - physiology
Heart-Lung Transplantation - physiology
Humans
Lungs
Male
Medical sciences
Middle Aged
Natriuretic peptides
Physiological aspects
Postoperative Care
Renin - blood
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Transplantation
Transplantation of organs, tissues, etc
Vasopressins - blood
Water-Electrolyte Balance - physiology
title Changes in endocrine control of electrolyte homeostasis and blood pressure following heart and heart-lung transplantation. A comparative study
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