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Intrinsic Plasma Volume Deficits in Patients With Coronary Artery Disease: Effects of Myocardial Revascularization

Intrinsic Plasma Volume Deficits in Patients With Coronary Artery Disease: Effects of Myocardial... Abstract Plasma volumes, red blood cell volumes, large vessel hematocrit readings, and total blood volumes were measured before operation, immediately after operation, and four to six months later in 12 patients with coronary artery obstruction, disabling angina, and normal left ventricular function. There were significant plasma volume deficits in all patients before and six months after operation despite complete amelioration of angina and replenishment of the plasma volume immediately after surgery. The importance of recognizing possibly significant preoperative oligemia in patients undergoing coronary revascularization is emphasized. References 1. Cohn LH, Angell WW: Relative extracellular fluid deficits in patients undergoing coronary artery bypass . Surg Forum 22:151-154, 1971. 2. Johnson WD, et al: The physiologic parameters of ventricular function as affected by direct coronary surgery . J Thorac Cardiovas Surg 60:483-490, 1970. 3. Morgan AP, et al: Effects of computer controlled transfusion on recovery from cardiac surgery. Ann Surg, to be published. 4. Moore FD, et al: The Body Cell Mass . Philadelphia, WB Saunders Co, 1963. 5. Dagher, et al: Blood volume measurement: A critical study prediction of normal values: Controlled measurement of sequential changes: Choice of a bedside method . Adv Surg 1:69-109, 1965. 6. Burch G, DePasquale N: Erythrocytosis and ischemic myocardial disease . Am Heart J 62:139-140, 1961.Crossref 7. Gaisböck F: Die bedeutung der blutdruckmessung fuer die Praxis . Dtsch Arch Klin Med 83:363-409, 1905. 8. Kemp HG, et al: The anginal syndrome with normal coronary arteriography . Trans Assoc Am Physicians 80:59-70, 1967. 9. Lawrence JH, Berlin NI: Relative polycythemia: The polycythemia of stress . Yale J Biol Med 24:498-505, 1951-1952. 10. Russell RP, Conley CL: Benign polycythemia: Gaisböck's syndrome . Arch Intern Med 114:734-740, 1964.Crossref 11. Stables DP, et al: The possible role of hemoconcentration in the etiology of myocardial infarction . Am Heart J 73:115-159, 1967.Crossref 12. Hall CA: Gaisböck's disease: Redefinition of an old syndrome . Arch Intern Med 116:4-9, 1965.Crossref 13. Parker JO, et al: The influence of changes in blood volume on angina pectoris: A study of the effect of phlebotomy . Circulation 41:593-604, 1970.Crossref 14. Khaja F, et al: Effect of volume expansion on the anginal threshold . Circulation 43:824-835, 1971.Crossref 15. Sanghvi VR, et al: Effects of blood volume expansion on left ventricular hemodynamics in man . Circulation 46:780-787, 1972.Crossref 16. Cohn JN: Relationship of plasma volume changes to resistance and capacitance vessel effects of sympathomimetic amines and angiotensin in man . Clin Sci 30:267-278, 1966. 17. Finnerty FA Jr, et al: The blood volumes and plasma protein during levarterenol-induced hypertension . J Clin Invest 37:425-429, 1958.Crossref 18. Brunjes S, et al: Pheochromocytoma . N Engl J Med 262:393-396, 1960.Crossref 19. Weil JV, Chidsey CA: Plasma volume expansion resulting from interference with adrenergic function in normal man . Circulation 37:54-61, 1968.Crossref 20. Lukomsky PE, Oganov RG: Blood plasma catecholamines and their urinary excretion in patients with acute myocardial infarction . Am Heart J 83:182-188, 1972.Crossref 21. Prakash R, et al: Serum cortisol, plasma free fatty acids and urinary catecholamines as indicators of complications in acute myocardial infarction . Circulation 45:736-745, 1972.Crossref 22. Gazes PC, et al: Plasma catecholamine concentrations in myocardial infarction and angina pectoris . Circulation 19:657-661, 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Intrinsic Plasma Volume Deficits in Patients With Coronary Artery Disease: Effects of Myocardial Revascularization

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01350250049013
Publisher site
See Article on Publisher Site

Abstract

Abstract Plasma volumes, red blood cell volumes, large vessel hematocrit readings, and total blood volumes were measured before operation, immediately after operation, and four to six months later in 12 patients with coronary artery obstruction, disabling angina, and normal left ventricular function. There were significant plasma volume deficits in all patients before and six months after operation despite complete amelioration of angina and replenishment of the plasma volume immediately after surgery. The importance of recognizing possibly significant preoperative oligemia in patients undergoing coronary revascularization is emphasized. References 1. Cohn LH, Angell WW: Relative extracellular fluid deficits in patients undergoing coronary artery bypass . Surg Forum 22:151-154, 1971. 2. Johnson WD, et al: The physiologic parameters of ventricular function as affected by direct coronary surgery . J Thorac Cardiovas Surg 60:483-490, 1970. 3. Morgan AP, et al: Effects of computer controlled transfusion on recovery from cardiac surgery. Ann Surg, to be published. 4. Moore FD, et al: The Body Cell Mass . Philadelphia, WB Saunders Co, 1963. 5. Dagher, et al: Blood volume measurement: A critical study prediction of normal values: Controlled measurement of sequential changes: Choice of a bedside method . Adv Surg 1:69-109, 1965. 6. Burch G, DePasquale N: Erythrocytosis and ischemic myocardial disease . Am Heart J 62:139-140, 1961.Crossref 7. Gaisböck F: Die bedeutung der blutdruckmessung fuer die Praxis . Dtsch Arch Klin Med 83:363-409, 1905. 8. Kemp HG, et al: The anginal syndrome with normal coronary arteriography . Trans Assoc Am Physicians 80:59-70, 1967. 9. Lawrence JH, Berlin NI: Relative polycythemia: The polycythemia of stress . Yale J Biol Med 24:498-505, 1951-1952. 10. Russell RP, Conley CL: Benign polycythemia: Gaisböck's syndrome . Arch Intern Med 114:734-740, 1964.Crossref 11. Stables DP, et al: The possible role of hemoconcentration in the etiology of myocardial infarction . Am Heart J 73:115-159, 1967.Crossref 12. Hall CA: Gaisböck's disease: Redefinition of an old syndrome . Arch Intern Med 116:4-9, 1965.Crossref 13. Parker JO, et al: The influence of changes in blood volume on angina pectoris: A study of the effect of phlebotomy . Circulation 41:593-604, 1970.Crossref 14. Khaja F, et al: Effect of volume expansion on the anginal threshold . Circulation 43:824-835, 1971.Crossref 15. Sanghvi VR, et al: Effects of blood volume expansion on left ventricular hemodynamics in man . Circulation 46:780-787, 1972.Crossref 16. Cohn JN: Relationship of plasma volume changes to resistance and capacitance vessel effects of sympathomimetic amines and angiotensin in man . Clin Sci 30:267-278, 1966. 17. Finnerty FA Jr, et al: The blood volumes and plasma protein during levarterenol-induced hypertension . J Clin Invest 37:425-429, 1958.Crossref 18. Brunjes S, et al: Pheochromocytoma . N Engl J Med 262:393-396, 1960.Crossref 19. Weil JV, Chidsey CA: Plasma volume expansion resulting from interference with adrenergic function in normal man . Circulation 37:54-61, 1968.Crossref 20. Lukomsky PE, Oganov RG: Blood plasma catecholamines and their urinary excretion in patients with acute myocardial infarction . Am Heart J 83:182-188, 1972.Crossref 21. Prakash R, et al: Serum cortisol, plasma free fatty acids and urinary catecholamines as indicators of complications in acute myocardial infarction . Circulation 45:736-745, 1972.Crossref 22. Gazes PC, et al: Plasma catecholamine concentrations in myocardial infarction and angina pectoris . Circulation 19:657-661, 1959.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1974

References