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Chest, Vol 101, 1050-1055, Copyright © 1992 by American College of Chest Physicians

ARTICLES

Changes in endocrine control of electrolyte homeostasis and blood pressure following heart and heart-lung transplantation. A comparative study

PM Mertes, N de Talance, G Pinelli, JP Villemot, C Burlet and M Boulange
Renal and Metabolic Function Exploration Laboratory, University of Nancy Medical Center (Centre Hospitalier Universitaire de Brabois), France.

The purpose of this study was to compare the early postoperative effects of heart and heart-lung transplantation on the secretion of atrial natriuretic peptide (alpha-ANP), renin, aldosterone, and vasopressin. This was carried out from the first to the eighth postoperative day in ten heart and five heart-lung recipients. The changes in the release of these hormones were similar in both groups. Vasopressin release remained stable while that of the renin-angiotensin- aldosterone system progressively returned to more normal levels. Grafted heart tissue was capable of high alpha-ANP release early on in both heart and in heart-lung recipients. This sustained alpha-ANP release was not a function of the resulting overall atrial tissue mass. Our findings suggest that it might be the consequence of an intrinsic hypersecretion of alpha-ANP resulting from the loss of normal heart innervation occurring in both heart and heart-lung transplantation.


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A.J. Drake-Holland and M.I.M. Noble
Neural-natriuretic hormone interactions
Eur. Heart J., March 2, 2000; 21(6): 424 - 426.
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