Abstract

The aim of the present study was to investigate the effect of moderate continuous overloading of the heart on 24-h water intake (WI), urine (Vu), sodium (UNaV), potassium (UKV), solute (Cosm) and free water (CH20) excretion. The overloading of heart was produced by construction of the fistula (AVF) between the femoral artery and the vena cava inferior. Twenty four hours WI, Vu, UNaV, UKV, Cosm, CH20, as well as central venous (CVP), arterial (MABP) and interstitial (IP) pressure and volume of the extracellular fluid (ECW) were examined before and 1, 2 or 3 months after production of AVF. Daily water intake, and water/food ratio decreased, whereas CVP, MABP and IP increased significantly after production of the fistula. A significant increase in ECW was found 1 month after production of AVF. It is suggested that a moderate overloading of the heart may cause a prolonged decrease in water intake, possibly due to augmentation of the inhibitory input from the cardiovascular receptors.

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