Plasma atrial natriuretic peptide in fetuses with cardiac disease

被引:1
作者
Bartha, JL
Penney, MD
Soothill, PW
机构
[1] Univ Bristol, St Michaels Hosp, Dept Obstet & Gynecol, Fetal Med Res Unit, Bristol, Avon, England
[2] Royal Gwent Hosp, Dept Chem Pathol, Newport, Gwent, Wales
关键词
atrial natriuretic peptide; polyhydramnios; cardiac disease in fetuses; fetal heart disease;
D O I
10.1159/000086825
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective:To investigate atrial natriuretic peptide (ANP) levels in fetuses with cardiac defects and to evaluate the relationships between plasma ANP levels and the presence of polyhydramnios. Methods: Plasma ANP levels were measured by radioimmunoassay in 27 fetuses with cardiac abnormalities and in 14 normal healthy fetuses. Results: Fetal plasma ANP levels were similar in the two studied groups (p = 0.18) but they were significantly higher in a subset of cases with cardiac disease and polyhydramnios (n = 7) than in those with cardiac disease and normal amniotic fluid (n = 20; p = 0.036) and controls (p = 0.01). Conclusion: Polyhydramnios in fetuses with heart conditions might be explained by increased fetal diuresis secondary to increased ANP production. Copyright (c) 2005 S. Karger AG, Basel.
引用
收藏
页码:426 / 430
页数:5
相关论文
共 22 条
[1]   PLASMA-LEVELS OF ATRIAL-NATRIURETIC-FACTOR (ANF) AND URINARY-EXCRETION OF ANF, ARGININE-VASOPRESSIN AND CATECHOLAMINES IN CHILDREN WITH CONGENITAL HEART-DISEASE - EFFECT OF CARDIAC-SURGERY [J].
AGNOLETTI, G ;
SCOTTI, C ;
PANZALI, AF ;
CECONI, C ;
CURELLO, S ;
ALFIERI, O ;
MARZOLLO, P ;
BINI, R ;
ALBERTINI, A ;
FERRARI, R .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1993, 7 (10) :533-539
[2]   Natriuretic peptides in the pathogenesis of cardiac dysfunction in the recipient fetus of twin-twin transfusion syndrome [J].
Bajoria, R ;
Ward, S ;
Chatterjee, R .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 186 (01) :121-127
[3]   Atrial natriuretic peptide mediated polyuria: Pathogenesis of polyhydramnios in the recipient twin of twin-twin transfusion syndrome [J].
Bajoria, R ;
Ward, S ;
Sooranna, SR .
PLACENTA, 2001, 22 (8-9) :716-724
[4]  
COWIE MR, 1997, LANCET, V350, P1347
[5]  
Di Lieto A, 2002, J Matern Fetal Neonatal Med, V11, P183
[6]   NATRIURETIC HORMONES [J].
ESPINER, EA ;
RICHARDS, AM ;
YANDLE, TG ;
NICHOLLS, MG .
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1995, 24 (03) :481-&
[7]   EXPRESSION OF THE ATRIAL NATRIURETIC PEPTIDE GENE IN HUMAN-FETAL HEART [J].
GARDNER, DG ;
HEDGES, BK ;
WU, J ;
LAPOINTE, MC ;
DESCHEPPER, CF .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1989, 69 (04) :729-737
[8]   Elevation of atrial natriuretic peptide prohormone.: Hemodynamic background of the elevation of N-terminal natriuretic peptide prohormone in children with congenital heart disease [J].
Holmström, H ;
Hall, C ;
Stokke, O ;
Lindberg, H ;
Thaulow, E .
CARDIOLOGY IN THE YOUNG, 1999, 9 (02) :141-149
[9]   Cardiac gene expression of atrial natriuretic peptide and brain natriuretic peptide in trisomic fetuses [J].
Hyett, JA ;
Bizot, ML ;
VonKaisenberg, CS ;
McKie, AT ;
Farzaneh, F ;
Nicolaides, KH .
OBSTETRICS AND GYNECOLOGY, 1996, 87 (04) :506-510
[10]  
MATSUOKA S, 1988, PEDIATRICS, V82, P639