Corticotropin (ACTH) in Heart Disease: Its Paradoxical Effect on Sodium Excretion in Resistant Congestive Failure

Author:

CÁMARA AUGUSTO A.1,SCHEMM FERDINAND R.1

Affiliation:

1. From the Metabolic Unit, Montana Deaconess Hospital and the Department of Medicine of the Great Falls Clinic, Great Falls, Montana.

Abstract

Since the spring of 1952 we have undertaken a clinical trial of corticotropin in 21 cardiac patients with resistant edema. Of these, there were eight with arteriosclerotic, eight with chronic rheumatic, and three with hypertensive heart disease, while two had cor pulmonale. Beneficial results were obtained in 17, or 81 per cent of the cases. These consisted of a spontaneous diuresis either during corticotropin administration or after its withdrawal, or an alteration of response to mercurials, the patients subsequently responding favorably, whereas they had previously been completely refractory to the mercurial diuretics.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference5 articles.

1. Electrolyte excretion in congestive heart failure and the riole played by various dliuretics and electrolyte disturbances;SCHEMM F. R.;International Record of Mleed.,1953

2. DE BOWES A. AND CHURCH. C. F.: Food Values of Portions Commonly Used. Ed. 7 Philadelphia College Offset Press 1952.

3. MINIMAL SODIUM LOSSES THROUGH THE SKIN 1

4. SCHEMM F. R.: A high fluid intake in thie management of edema especially c(ar(liac edema. Ann. Int. Med:. 17: 952 1942.

5. THE PREVENTION OF ACTH-INDUCED SODIUM RETENTION BY THE USE OF POTASSIUM SALTS: A QUANTITATIVE STUDY

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