Atrial natriuretic factor in cirrhosis: relationship to renal function and hemodynamic changes

Plasma atrial natriuretic factor concentrations and different hemodynamic parameters, including the evaluation of femoral arteriovenous shunting by measuring the arteriovenous difference of oxygen content (Ca-vO 2), were determined in eight healthy subjects and 24 patients with cirrhosis without ren...

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Veröffentlicht in:Journal of hepatology 1994-08, Vol.21 (2), p.211-216
Hauptverfasser: Fernández-Rodriguez, Conrado, Prieto, Jesús, Quiroga, Jorge, Zozaya, Jose M., Andrade, Amalia, Rodriguez-Martinez, Dolores
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container_end_page 216
container_issue 2
container_start_page 211
container_title Journal of hepatology
container_volume 21
creator Fernández-Rodriguez, Conrado
Prieto, Jesús
Quiroga, Jorge
Zozaya, Jose M.
Andrade, Amalia
Rodriguez-Martinez, Dolores
description Plasma atrial natriuretic factor concentrations and different hemodynamic parameters, including the evaluation of femoral arteriovenous shunting by measuring the arteriovenous difference of oxygen content (Ca-vO 2), were determined in eight healthy subjects and 24 patients with cirrhosis without renal failure (group I: seven patients without ascites, group II: nine patients with ascites and UNaV>10 mEq/24 h and group III: eight patients with ascites and UNaV≤10 mEq/24 h). Atrial natriuretic factor was 34±4.7 pg/ml in the control group and 44.28±5.4, 67.89±8.8 and 84±10.8 pg/ml in groups I, II and III respectively ( p
doi_str_mv 10.1016/S0168-8278(05)80397-6
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Atrial natriuretic factor was 34±4.7 pg/ml in the control group and 44.28±5.4, 67.89±8.8 and 84±10.8 pg/ml in groups I, II and III respectively ( p<0.001. group III vs. I and control and II vs. control). Atrial natriuretic factor directly correlated with cardiac index ( p<0.01), blood volume ( p: 0.01), femoral blood flow ( p<0.01) and inversely with systemic and femoral vascular resistances ( p<0.02), Ca-vO 2 ( p<0.01), serum albumin (r: −0.61; p<0.01) and prothrombin index (r: −0.63; p<0.02). These results indicate that plasma atrial natriuretic factor is increased in patients with cirrhosis, especially in those with advanced disease and marked renal sodium retention. This suggests that in cirrhosis, arteriolar vasodilation and peripheral arteriovenous shunting influence renal function while inducing a state of overflow at the central venous compartment leading to increased atrial natriuretic factor secretion. Increased production of this vasodilatory hormone may thus contribute to the hyperkinetic circulation of cirrhosis.]]></description><identifier>ISSN: 0168-8278</identifier><identifier>EISSN: 1600-0641</identifier><identifier>DOI: 10.1016/S0168-8278(05)80397-6</identifier><identifier>PMID: 7989711</identifier><identifier>CODEN: JOHEEC</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Arteriovenous shunts ; Atrial Natriuretic Factor - blood ; Atrial Natriuretic Factor - physiology ; Biological and medical sciences ; Blood Gas Analysis ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Hemodynamics - physiology ; Humans ; Kidney - blood supply ; Kidney - physiology ; Liver - blood supply ; Liver Cirrhosis - blood ; Liver Cirrhosis - physiopathology ; Liver function ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Natriuresis ; Other diseases. 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Atrial natriuretic factor was 34±4.7 pg/ml in the control group and 44.28±5.4, 67.89±8.8 and 84±10.8 pg/ml in groups I, II and III respectively ( p<0.001. group III vs. I and control and II vs. control). Atrial natriuretic factor directly correlated with cardiac index ( p<0.01), blood volume ( p: 0.01), femoral blood flow ( p<0.01) and inversely with systemic and femoral vascular resistances ( p<0.02), Ca-vO 2 ( p<0.01), serum albumin (r: −0.61; p<0.01) and prothrombin index (r: −0.63; p<0.02). These results indicate that plasma atrial natriuretic factor is increased in patients with cirrhosis, especially in those with advanced disease and marked renal sodium retention. This suggests that in cirrhosis, arteriolar vasodilation and peripheral arteriovenous shunting influence renal function while inducing a state of overflow at the central venous compartment leading to increased atrial natriuretic factor secretion. Increased production of this vasodilatory hormone may thus contribute to the hyperkinetic circulation of cirrhosis.]]></description><subject>Arteriovenous shunts</subject><subject>Atrial Natriuretic Factor - blood</subject><subject>Atrial Natriuretic Factor - physiology</subject><subject>Biological and medical sciences</subject><subject>Blood Gas Analysis</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Kidney - blood supply</subject><subject>Kidney - physiology</subject><subject>Liver - blood supply</subject><subject>Liver Cirrhosis - blood</subject><subject>Liver Cirrhosis - physiopathology</subject><subject>Liver function</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Natriuresis</subject><subject>Other diseases. 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Liver. Pancreas. Abdomen</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Kidney - blood supply</topic><topic>Kidney - physiology</topic><topic>Liver - blood supply</topic><topic>Liver Cirrhosis - blood</topic><topic>Liver Cirrhosis - physiopathology</topic><topic>Liver function</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Natriuresis</topic><topic>Other diseases. Semiology</topic><topic>Vascular Resistance - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernández-Rodriguez, Conrado</creatorcontrib><creatorcontrib>Prieto, Jesús</creatorcontrib><creatorcontrib>Quiroga, Jorge</creatorcontrib><creatorcontrib>Zozaya, Jose M.</creatorcontrib><creatorcontrib>Andrade, Amalia</creatorcontrib><creatorcontrib>Rodriguez-Martinez, Dolores</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernández-Rodriguez, Conrado</au><au>Prieto, Jesús</au><au>Quiroga, Jorge</au><au>Zozaya, Jose M.</au><au>Andrade, Amalia</au><au>Rodriguez-Martinez, Dolores</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial natriuretic factor in cirrhosis: relationship to renal function and hemodynamic changes</atitle><jtitle>Journal of hepatology</jtitle><addtitle>J Hepatol</addtitle><date>1994-08-01</date><risdate>1994</risdate><volume>21</volume><issue>2</issue><spage>211</spage><epage>216</epage><pages>211-216</pages><issn>0168-8278</issn><eissn>1600-0641</eissn><coden>JOHEEC</coden><abstract><![CDATA[Plasma atrial natriuretic factor concentrations and different hemodynamic parameters, including the evaluation of femoral arteriovenous shunting by measuring the arteriovenous difference of oxygen content (Ca-vO 2), were determined in eight healthy subjects and 24 patients with cirrhosis without renal failure (group I: seven patients without ascites, group II: nine patients with ascites and UNaV>10 mEq/24 h and group III: eight patients with ascites and UNaV≤10 mEq/24 h). Atrial natriuretic factor was 34±4.7 pg/ml in the control group and 44.28±5.4, 67.89±8.8 and 84±10.8 pg/ml in groups I, II and III respectively ( p<0.001. group III vs. I and control and II vs. control). Atrial natriuretic factor directly correlated with cardiac index ( p<0.01), blood volume ( p: 0.01), femoral blood flow ( p<0.01) and inversely with systemic and femoral vascular resistances ( p<0.02), Ca-vO 2 ( p<0.01), serum albumin (r: −0.61; p<0.01) and prothrombin index (r: −0.63; p<0.02). These results indicate that plasma atrial natriuretic factor is increased in patients with cirrhosis, especially in those with advanced disease and marked renal sodium retention. This suggests that in cirrhosis, arteriolar vasodilation and peripheral arteriovenous shunting influence renal function while inducing a state of overflow at the central venous compartment leading to increased atrial natriuretic factor secretion. Increased production of this vasodilatory hormone may thus contribute to the hyperkinetic circulation of cirrhosis.]]></abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>7989711</pmid><doi>10.1016/S0168-8278(05)80397-6</doi><tpages>6</tpages></addata></record>
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subjects Arteriovenous shunts
Atrial Natriuretic Factor - blood
Atrial Natriuretic Factor - physiology
Biological and medical sciences
Blood Gas Analysis
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hemodynamics - physiology
Humans
Kidney - blood supply
Kidney - physiology
Liver - blood supply
Liver Cirrhosis - blood
Liver Cirrhosis - physiopathology
Liver function
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Natriuresis
Other diseases. Semiology
Vascular Resistance - physiology
title Atrial natriuretic factor in cirrhosis: relationship to renal function and hemodynamic changes
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