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. 1986 Aug 16;293(6544):409–412. doi: 10.1136/bmj.293.6544.409

Plasma alpha natriuretic peptide in cardiac impairment.

A M Richards, J G Cleland, G Tonolo, G D McIntyre, B J Leckie, H J Dargie, S G Ball, J I Robertson
PMCID: PMC1341233  PMID: 2943356

Abstract

Regional plasma alpha human atrial natriuretic peptide concentrations were measured, and their relation to intracardiac pressures assessed, in an unselected series of 45 patients undergoing diagnostic cardiac catheterisation. Arteriovenous gradients in plasma concentrations of alpha human atrial natriuretic peptide were consistent with its cardiac secretion and its clearance by the liver and kidneys. Plasma concentrations of the peptide in the pulmonary artery, aorta, and superior vena cava correlated closely with the mean right atrial and pulmonary arterial pressures, and similar, though weaker, positive relations were seen with the left ventricular end diastolic and pulmonary artery wedge pressures. Concentrations of both atrial natriuretic peptide and renin showed significant inverse relations with serum sodium concentrations. Plasma concentrations of alpha human atrial natriuretic peptide are an additional objective indicator of the severity of haemodynamic compromise in patients with cardiac impairment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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