Enhanced metabolic vasodilation secondary to diuretic therapy in decompensated congestive heart failure secondary to coronary artery disease
作者： Lawrence Sinoway , John Minotti , Timothy Musch , David Goldner , Dwight Davis
DOI: 10.1016/0002-9149(87)90995-7
关键词: Heart failure 、 Cardiology 、 Diuretic 、 Internal medicine 、 Vasodilation 、 Coronary artery disease 、 Blood flow 、 Plethysmograph 、 Weight loss 、 Diuresis 、 Medicine
摘要: Abstract Since sodium and water retention have been implicated as major factors limiting maximal metabolic vasodilation in congestive heart failure (CHF), the effect of rigorous diuresis on vasodilatory capacity was studied systematically 9 subjects hospitalized with decompensated CHF. Peak reactive hyperemic blood flow, measured by straingauge plethysmography, used an index capacity. After 24 hours a 2.2-kg weight loss, flow increased from 19.9 to 26.1 ml/min · 100 ml (p
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sci-hub.se 参考文章(24)
Howard L. Bleich, Mary Jean Moore, Philip E. Cryer, Physiology and Pathophysiology of the Human Sympathoadrenal Neuroendocrine System New England Journal of Medicine. ,vol. 303, pp. 436- 444 ,(1980) , 10.1056/NEJM198008213030806
ROBERT ZELIS, DEAN T. MASON, Diminished forearm arteriolar dilator capacity produced by mineralocorticoid-induced salt retention in man. Implications concerning congestive heart failure and vascular stiffness. Circulation. ,vol. 41, pp. 589- 592 ,(1970) , 10.1161/01.CIR.41.4.589
Laurence M. Demers, Eric Sampson, Arthur H. Hayes, Plasma and urinary aldosterone measurement in healthy subjects with a radioimmunoassay kit not requiring chromatography Clinical Biochemistry. ,vol. 9, pp. 243- 246 ,(1976) , 10.1016/S0009-9120(76)80069-0
J R Wilson, J L Martin, D Schwartz, N Ferraro, Exercise intolerance in patients with chronic heart failure: role of impaired nutritive flow to skeletal muscle. Circulation. ,vol. 69, pp. 1079- 1087 ,(1984) , 10.1161/01.CIR.69.6.1079
H.Edward Holling, H.Christine Boland, Ellier Russ, Investigation of arterial obstruction using a mercury-in-rubber strain gauge. American Heart Journal. ,vol. 62, pp. 194- 205 ,(1961) , 10.1016/0002-8703(61)90318-0
JAMES CONWAY, A vascular abnormality in hypertension. A study of blood flow in the forearm. Circulation. ,vol. 27, pp. 520- 529 ,(1963) , 10.1161/01.CIR.27.4.520
ROBERT ZELIS, JOHN LONGHURST, ROBERT J. CAPONE, DEAN T. MASON, Robert Kleckner, A Comparison of Regional Blood Flow and Oxygen Utilization During Dynamic Forearm Exercise in Normal Subjects and Patients with Congestive Heart Failure Circulation. ,vol. 50, pp. 137- 143 ,(1974) , 10.1161/01.CIR.50.1.137
MORRIS STAMPFER, STEPHEN E. EPSTEIN, G. DAVID BEISER, EUGENE BRAUNWALD, Hemodynamic Effects of Diuresis at Rest and During Intense Upright Exercise in Patients with Impaired Cardiac Function Circulation. ,vol. 37, pp. 900- 911 ,(1968) , 10.1161/01.CIR.37.6.900
ROBERT ZELIS, CATHERINE S. DELEA, HENRY NEAL COLEMAN, DEAN T. MASON, Arterial sodium content in experimental congestive heart failure. Circulation. ,vol. 41, pp. 213- 216 ,(1970) , 10.1161/01.CIR.41.2.213
J Kugler, C Maskin, W H Frishman, E H Sonnenblick, T H LeJemtel, Regional and systemic metabolic effects of angiotensin-converting enzyme inhibition during exercise in patients with severe heart failure. Circulation. ,vol. 66, pp. 1256- 1261 ,(1982) , 10.1161/01.CIR.66.6.1256