PMID- 2534411 OWN - NLM STAT- MEDLINE DCOM- 19900511 LR - 20191029 IS - 0952-1178 (Print) IS - 0952-1178 (Linking) VI - 7 IP - 6 DP - 1989 Dec TI - Evidence for a further stimulation of atrial natriuretic factor release by atrial pacing in patients with mitral stenosis. PG - S242-3 AB - To investigate the release of atrial natriuretic factor (ANF) in mitral stenosis and the effect of an increased atrial contraction frequency on atrial distension and ANF secretion, we studied 14 patients [New York Heart Association (NYHA) grades II-III] in sinus rhythm, undergoing cardiac catheterization for mitral stenosis. Echocardiographic tracings, repeat determinations of mean pulmonary artery wedge pressure and blood samples from the pulmonary artery for ANF measurements were taken at baseline, during atrial pacing (125 beats/min for 5 min) and 5 min after pacing. After pacing, ANF levels rose markedly with a parallel increase in mean pulmonary artery wedge pressure and left atrial size. These data indicate that atrial pacing is capable of further stimulating ANF release, even in patients with elevated baseline ANF and left atrial pressure and an increased left atrial dimension. FAU - Malatino, L S AU - Malatino LS AD - Istituto di Clinica Medica Luigi Condorelli, Catania, Italy. FAU - Stancanelli, B AU - Stancanelli B FAU - Greco, G AU - Greco G FAU - Polizzi, G AU - Polizzi G FAU - Leonardi, C AU - Leonardi C FAU - Russo, G AU - Russo G FAU - Tamburino, C AU - Tamburino C FAU - Greco, G AU - Greco G FAU - Giuffrida, G AU - Giuffrida G FAU - Tamburino, G AU - Tamburino G LA - eng PT - Journal Article PL - England TA - J Hypertens Suppl JT - Journal of hypertension. Supplement : official journal of the International Society of Hypertension JID - 8501422 RN - 85637-73-6 (Atrial Natriuretic Factor) SB - IM MH - Adult MH - Atrial Natriuretic Factor/blood/*metabolism MH - Cardiac Catheterization MH - *Cardiac Pacing, Artificial MH - Echocardiography MH - Female MH - Heart Atria/physiopathology MH - Humans MH - Male MH - Middle Aged MH - Mitral Valve Stenosis/blood/*physiopathology MH - Pulmonary Wedge Pressure/physiology MH - Time Factors EDAT- 1989/12/01 00:00 MHDA- 1989/12/01 00:01 CRDT- 1989/12/01 00:00 PHST- 1989/12/01 00:00 [pubmed] PHST- 1989/12/01 00:01 [medline] PHST- 1989/12/01 00:00 [entrez] AID - 10.1097/00004872-198900076-00117 [doi] PST - ppublish SO - J Hypertens Suppl. 1989 Dec;7(6):S242-3. doi: 10.1097/00004872-198900076-00117.