Abstract
This study aimed to examine whether alpha-human atrial natriuretic peptide (alpha-hANP) alters cardiac dimensions in humans. Left atrial (LA) and left ventricular diastolic (LV) diameters were measured by echocardiography at control and with lower body negative pressure (LBNP) at -10 and -20 mmHg during intravenous (IV) infusion of saline or alpha-hANP at a dose of 0.03-0.04 microgram/kg per minute (n = 8). Studies were also done during IV infusion of saline or nitroglycerin (NG) at a dose of 10-15 micrograms/kg per minute in another group of subjects (n = 6). LBNP decreased central venous pressure (CVP) and the LA and LV diameter. alpha-hANP lowered CVP at rest and with LBNP at -10 and -20 mmHg compared with corresponding values during saline infusion; NG produced comparable decreases in CVP, which suggests that decreases in venous return caused by the two drugs were similar. However, NG decreased, but alpha-hANP did not alter the LA and LV diameter at rest or with LBNP. In another group of subjects (n = 4), we observed that alpha-hANP caused comparable decreases in CVP and pulmonary capillary wedge pressure. These data suggest that ANP may dilate the cardiac chambers in humans.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call