Cardiotoxic Effects of Hypercatecholemia in Renal Insufficiency

Author:

RAAB W.1,LEPESCHKIN E.1,STARCHESKA Y. K.1,GIGEE W.1

Affiliation:

1. From the Division of Experimental Medicine, University of Vermont, College of Medicine, and the Cardiovascular Research Unit at the DeGoesbriand Memorial Hospital, Burlington, Vt.

Abstract

Renal insufficiency is regularly accompanied by an increase of the total catecholamines of the blood. Adrenolytic drugs, which inactivate circulating catecholamines, temporarily improve the abnormal S-T segments and T waves in patients with renal insufficiency but not in hypertensive patients without renal complications. It is suggested that in renal insufficiency, the retained circulating catecholamines damage cardiac metabolism and function. In agreement with previous observations, the behavior of the "left ventricular strain pattern" was relatively independent of the blood pressure level.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference29 articles.

1. RAAB W.: Cardiotoxic substances in the blood and heart muscle in uremia (their nature and action). J. Lab. & Clin. 'Med. 29: 715 1944.

2. Total Urinary Catechol Excretion in Cardiovascular and Other Clinical Conditions

3. USE OF PIPEROXAN AND REGITINE® AS ROUTINE TESTS IN PATIENTS WITH HYPERTENSION

4. Plasma concentration of epinephrine and norepinephrine in hypertension. Abstracted;MANGER W.;Circulation,1955

5. The pathogenic significance of adrenalin and related substances in the heart muscle;'RAAB WV.;Exper. Med. & Surg.,1943

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