Copyright © 1993 by the European Society of Cardiology.
© 1993 The European Society of Cardiology
Cardiac diastolic abnormalities and atrial natriuretic factor in essential hypertension
Division of Nephrology Italy
*Division of Cardiology, Department of Internal Medicine, University of Genoa Italy
Received 1 June 1992; revised 22 December 1992; .
Correspondence: Roberto Pontremoli, MD, Division of Nephrology, Department of Internal Medicine, viale Benedetto XV, 6. 16132 Genoa, Italy
Abstract
Cardiac function and plasma levels of atrial natriuretic factor (ANF) were studied in a group of 38 patients with untreated essential hypertension and in a group of 31 well matched normotensive controls. ANF was slightly but significantly higher in hypertensives and was directly correlated with mean arterial pressure and inversely with plasma renin activity (PRA). Hypertensives showed normal systolic function and higher cardiac mass compared to controls. ANF was inversely correlated to echocardiographic indexes of left ventricular performance in the former group. At Doppler echocardiographic evaluation, hypertensives showed an impairment in diastolic function which was correlated to the increase in ANF levels. Stepwise multiple regression analysis performed with ANF as the dependent variable and several biohumoral and echocardiographic parameters as the independent variables showed that only cardiac diastolic function and PRA significantly affect ANF levels in hypertensives. In conclusion, an impairment in cardiac diastolic function may be responsible together with other factors for the increased ANF levels encountered in essential hypertension.
Key Words: Atrial natriuretic factor essential hypertension cardiac diastolic function
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