The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Antidiuretic hormone in congestive heart failure.
Abstract
In advanced heart failure, severe edema develops associated with hyponatremia. In 20 patients with severe congestive heart failure, we studied plasma antidiuretic hormone (ADH) concentrations related to hemodynamics and plasma osmolality. Prazosin was used to test the acute response to changes in atrial receptors and hemofiltration to test the response to changes in volume receptors. One group of the patients had inappropriately high ADH values (14.5 +/- 8.8 pg/ml) in relation to their plasma osmolality, which was well below normal values (276 +/- 23 mosmol/kg water) with no apparent osmoregulatory control. The other group showed a normal relationship of ADH and plasma osmolality (3.9 +/- 1.0 pg/ml; 289 +/- 8 mosmol/kg water), Only in the normal regulating group did lowering of left atrium pressure by prazosin result in a rise in ADH related to the decrease in pressure. Inappropriately high ADH secretion could be reversed by hemofiltration. This suggests that the syndrome of "dilutional hypo-osmolality" in severe congestive heart failure may be caused by an inappropriately high ADH secretion in which the osmoreceptor system is dominated by nonosmolar stimuli; however, it cannot be ruled out that associated hemodynamic effects in the kidney or other intrarenal or hormonal factors contribute to this mechanism.
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“in the study (Riegger et al., 1982), one group of patients with congestive heart failure had inappropriately high values of plasma antidiuretic hormone (14.5 ± 8.8 pg/ml) in relation to their plasma osmolality, which was well below normal values (276 ± 23 mOsmol/kg water).”
From Thoroughly Calibrated Modular Agent-Based Model of the Human Cardiovascular and Renal Systems for Blood Pressure Regulation in Health and Disease (2021) · cites this paper as Riegger et al., 1982
Citations
Cites
Croonian Lecture - The antidiuretic hormone and the factors which determine its release
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The osmoregulation of vasopressin
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Merrill, A. J. (1946) · Journal of Clinical Investigation · doi:10.1172/jci101720 · Cited by 357
The renin-angiotensin-aldosterone system in congestive failure in conscious dogs.
Watkins, L., Burton, J. A., Haber, E., Cant, J. R., Smith, F. W., & Barger, A. C. (1976) · Journal of Clinical Investigation · doi:10.1172/jci108431 · Cited by 302
The possible role of cardiac atrial stretch receptors in the induction of changes in urine flow
Henry, J. P., & Pearce, J. W. (1956) · The Journal of Physiology · doi:10.1113/jphysiol.1956.sp005483 · Cited by 224
A study of right and left atrial receptors
Paintal, A. S. (1953) · The Journal of Physiology · doi:10.1113/jphysiol.1953.sp004920 · Cited by 210
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Cannon, P. (1977) · New England Journal of Medicine · doi:10.1056/nejm197701062960108 · Cited by 133
Nonosmolar Factors Affecting Renal Water Excretion
Schrier, R. W., & Berl, T. (1975) · New England Journal of Medicine · doi:10.1056/nejm197501092920207 · Cited by 131
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Cited by
Pathophysiology of Heart Failure
Tanai, E., & Frantz, S. (2015) · Comprehensive Physiology · doi:10.1002/cphy.c140055 · Cited by 552
The Neurohumoral Axis in Congestive Heart Failure
FRANCIS, G. S., GOLDSMITH, S. R., LEVINE, T. B., OLIVARI, M. T., & COHN, J. N. (1984) · Annals of Internal Medicine · doi:10.7326/0003-4819-101-3-370 · Cited by 600
Lee, W. H., & Packer, M. (1986) · Circulation · doi:10.1161/01.cir.73.2.257 · Cited by 552
Schrier, R. W. (1988) · New England Journal of Medicine · doi:10.1056/nejm198810273191705 · Cited by 497
Dzau, V. J., Packer, M., Lilly, L. S., Swartz, S. L., Hollenberg, N. K., & Williams, G. H. (1984) · New England Journal of Medicine · doi:10.1056/nejm198402093100603 · Cited by 428
Metadata
- Authors
- Riegger, G. A. J., Liebau, G., & Kochsiek, K.
- Corresponding author
- Riegger, Günther A.J.
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 1982-01
- Volume
- 72
- Issue
- 1
- Pages
- 49-52
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2011628654
- Cited by
- 193
- References
- 25
- Citations by year
- 2025: 2 · 2023: 1 · 2021: 7 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 1
- FWCI
- 17.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Electrolyte and hormonal disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Keywords
- vasopressin, congestive heart failure, hyponatremia, plasma osmolality, prazosin, atrial receptors, hemofiltration, osmoregulation, left atrial pressure, volume receptors
- MeSH terms
- Adult, Edema, Heart Failure, Hemodynamics, Humans, Hyponatremia, Middle Aged, Osmolar Concentration, Prazosin, Vasopressins
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- Riegger, G. A. J., Liebau, G., & Kochsiek, K. (1982). Antidiuretic hormone in congestive heart failure. The American Journal of Medicine. https://doi.org/10.1016/0002-9343(82)90576-9
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.