Abstract:
:Despite the fact that numerous studies have been published regarding the possible presence in plasma of an endogenous Na-K pump inhibitor with a digitalis-like structure in essential hypertension, very little is known about this factor in heart disease in general, and in situations characterized by low cardiac output. We measured the ability of plasma obtained from the femoral vein to inhibit a human renal Na(+)-K+ ATPase before and immediately after percutaneous transluminal coronary angioplasty (PTCA) in 6 patients suffering from angina pectoris and severe coronary stenosis. Intraerythrocyte sodium and potassium concentrations were also measured simultaneously. Na(+)-K+ ATPase inhibition proved significantly greater after angioplasty as compared to basal activity (percentage inhibition: 31.5 +/- 7.8 vs 16.1 +/- 12.2). No significant changes in intraerythrocyte sodium and potassium were detected. Though we are not in a position to define the mechanism underlying the increase in the digitalis-like factor, a plausible hypothesis may be that the reduction in cardiac output during PTCA by raising cardiac pressures may stimulate the production of a factor of compensatory inotropic significance.
journal_name
Life Scijournal_title
Life sciencesauthors
Delva P,Barbieri E,Devynck MA,Capra C,Pernollet MA,Meyer P,Destro G,Zardini P,Lechi Adoi
10.1016/0024-3205(90)90295-3subject
Has Abstractpub_date
1990-01-01 00:00:00pages
385-9issue
5eissn
0024-3205issn
1879-0631pii
0024-3205(90)90295-3journal_volume
47pub_type
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