Atrial natriuretic factor and concomitant hormonal, hemodynamic and renal function changes after slow continuous ultrafiltration

We treated a patient with refractory biventricular heart failure, dilutional hyponatremia and prerenal azotemia, by means of ultrafiltration. After ultrafiltration, gas exchange and cardiac output improved, with concomitant reduction of systemic and pulmonary vascular resistances. Despite a decrease...

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Veröffentlicht in:	International journal of cardiology 1992-09, Vol.36 (3), p.305-307
Hauptverfasser:	Bergerone, S., Golzio, P.G., Pacitti, A.
Format:	Artikel
Sprache:	eng
Schlagworte:	Atrial natriuretic factor Atrial Natriuretic Factor - blood Biological and medical sciences Blood Gas Analysis Cardiology. Vascular system Congestive heart failure Endocardial Fibroelastosis - complications Female Heart Heart Failure - etiology Heart Failure - physiopathology Heart Failure - therapy Heart failure, cardiogenic pulmonary edema, cardiac enlargement Hemodynamics Humans Hyponatremia - etiology Hyponatremia - physiopathology Hyponatremia - therapy Medical sciences Middle Aged Renin - blood Ultrafiltration Ultrafiltration - instrumentation Ultrafiltration - methods Uremia - etiology Uremia - physiopathology Uremia - therapy
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Zusammenfassung:	We treated a patient with refractory biventricular heart failure, dilutional hyponatremia and prerenal azotemia, by means of ultrafiltration. After ultrafiltration, gas exchange and cardiac output improved, with concomitant reduction of systemic and pulmonary vascular resistances. Despite a decrease of right atrial and wedge pressure, atrial natriuretic factor rose and plasma renin activity decreased.
ISSN:	0167-5273 1874-1754
DOI:	10.1016/0167-5273(92)90300-R