Cited by 1,163Substance Abuse Treatment and OutcomesPulmonary Hypertension Research and TreatmentsChronic Obstructive Pulmonary Disease (COPD) Research

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Alcohol dependence: Provisional description of a clinical syndrome

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Edwards, G, Gross, M M·1976·BMJ

DOI 10.1136/bmj.1.6017.1058

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BACKGROUND: Oxygen therapy is effective in the prevention and treatment of oedematous exacerbations of cor pulmonale. As renal blood flow is reduced in cor pulmonale a study was designed to investigate whether one of the beneficial effects of oxygen was to increase renal blood flow. The effect of oxygen therapy on renal haemodynamics measured noninvasively was examined in patients with chronic obstructive airways disease and previous episodes of oedema. METHODS: Renal blood flow waveforms were recorded in a single vessel by colour flow Doppler ultrasound in nine hypoxaemic patients (PaO2) (arterial oxygen tension < 8 kPa while they were breathing air) with chronic obstructive airways disease and previous oedema and eight age matched normoxaemic volunteers (arterial oxygen saturation (SaO2) 97% or more when breathing air) while they were breathing air and oxygen. SaO2 and transcutaneous PaO2 (TcPO2) and PaCO2 (TcPCO2) were monitored. Five renal velocity profile recordings were made from the same segmental vessel with the patient breathing room air for one hour followed by oxygen titrated to achieve an oxygen saturation of 95% or more without a rise in TcPCO2 for 15 minutes. Control subjects breathed 35% oxygen. RESULTS: No significant change in the pulsatility index (a measure of distal vascular resistance) or mean height of the waveform (Tamx, a measure of renal blood flow) occurred in the control subjects while they were breathing air or oxygen. The pulsatility index of the patients with chronic obstructive airways disease was significantly greater than that in the control subjects breathing air (1.44 (SD 0.28) v 1.03 (0.14). Breathing oxygen was associated with an increase in TcPO2 in the patients (from 6.9 (1.9) to 11.5 (0.7) kPa), a fall in pulsatility index (from 1.44 (0.28) to 1.26 (0.14) and an increase in Tamx (from 0.187 (0.055) to 0.234 (0.087) m/s). CONCLUSIONS: The results suggest that renal vascular resistance is increased in patients with chronic obstructive airways disease and hypoxaemia and that short term oxygen therapy reduces renal vascular resistance and increases blood flow. Some of the benefits of oxygen therapy in cor pulmonale may be due to improvements in renal haemodynamics.

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Authors: Edwards, G., & Gross, M. M.
Affiliations: SUNY Downstate Health Sciences University (US)
ORCID: Gross, M M
Venue: BMJ
Publisher: BMJ
Published: 1976-05-01
Volume: 1
Issue: 6017
Pages: 1058-1061
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.1.6017.1058
OpenAlex: W2086466782
Cited by: 1,163
References: 7
Citations by year: 2026: 11 · 2025: 15 · 2024: 14 · 2023: 12 · 2022: 15 · 2021: 20 · 2020: 20 · 2019: 17 · 2018: 14 · 2017: 21 · 2016: 18 · 2015: 42 · 2014: 40 · 2013: 28 · 2012: 49
FWCI: 9.17
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: BMJ (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords: alcoholism, clinical syndromes
MeSH terms: Ethanol, Alcoholism, Compulsive Behavior, Drug Tolerance, Humans, Nausea, Research, Substance Withdrawal Syndrome, Sweating, Syndrome, Tremor, Substance-Related Disorders

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