Influence of age, posture and intra-individual variation on plasma levels of atrial natriuretic peptide.

Abstract:

:This paper describes some factors to which attention should be paid when atrial natriuretic peptide (ANP) values are to be interpreted. Changing from the supine to the sitting position decreased ANP levels, while no further decrease was observed when the upright position was assumed. On the other hand, plasma renin activity (PRA) increased only when changing from the sitting to the upright position. Returning to the supine position decreased PRA, while ANP did not change. Under these conditions plasma aldosterone levels did not differ in any of the four positions. No correlation was observed between the percentage changes of ANP, PRA and aldosterone. ANP values measured in 66 healthy subjects positively correlated with age (r = 0.59, P less than 0.01). To study intra-individual variation, ANP was sampled eight times within one hour. The mean, standard deviation and the coefficient of variation (CV) for each subject were calculated. The CV of 9 out of 15 subjects significantly exceeded the intra-assay coefficient of variation (7.0%), thereby indicating that ANP levels, like those of many other hormones, may exhibit endogenous fluctuations.

journal_name

Ann Clin Biochem

authors

Tan AC,Kloppenborg PW,Benraad TJ

doi

10.1177/000456328902600604

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

481-6

eissn

0004-5632

issn

1758-1001

journal_volume

26 ( Pt 6)

pub_type

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