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
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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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