Circulation, Vol 85, 1374-1379, Copyright © 1992 by American Heart Association
JJ McMurray, SG Ray, I Abdullah, HJ Dargie and JJ Morton
BACKGROUND. Endothelins are recently characterized vasoconstrictor
peptides. As chronic heart failure (CHF) is characterized by peripheral
arteriolar and renal vasoconstriction, we have measured venous plasma
endothelin-like immunoreactivity ("endothelin") in patients with this
syndrome. METHODS AND RESULTS. Compared with age- and sex-matched healthy
volunteers (mean +/- SEM plasma endothelin concentration 6.4 +/- 0.3
pmol/l, n = 16), patients with severe CHF had elevated peripheral venous
endothelin concentrations (12.4 +/- 0.6 pmol/l, n = 47, p less than 0.01).
Plasma endothelin did not increase with exercise in normal subjects or in
patients. Plasma endothelin concentration (mean, 13.4 +/- 0.9 pmol/l) did
not correlate with plasma atrial natriuretic factor concentration (mean,
88.9 +/- 11.9 pg/ml) in patients with CHF (n = 21). There was also no
correlation between plasma endothelin and serum urea or between endothelin
and serum creatinine in patients with CHF (n = 34). There was, however,
significant renal extraction of endothelin (aorta, 11.1 +/- 0.8 pmol/l;
renal vein, 8.8 +/- 0.6 pmol/ml; p = 0.02) in patients with CHF (n = 13).
CONCLUSIONS. Evidence suggests that circulatory endothelin concentrations
in the range 5-40 pmol/l are vasoactive. Consequently, the endothelin
concentrations found in patients with CHF may be of pathophysiological
significance.
ARTICLES
Plasma endothelin in chronic heart failure
Department of Cardiology, Western Infirmary, Glasgow, UK.
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||||
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||||
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||||
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||||
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||||
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||||
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||||
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