PMID- 8201778 OWN - NLM STAT- MEDLINE DCOM- 19940705 LR - 20190825 IS - 0021-4868 (Print) IS - 0021-4868 (Linking) VI - 35 IP - 1 DP - 1994 Jan TI - Reduction of beta-adrenergic receptors in atrial cell membranes of patients following mild to moderate heart failure. PG - 27-34 AB - The density of cardiac beta-adrenoceptors (Bmax) was measured in eighteen patients [2 with atrial septal defect (ostium secundum), 4 with aortic valve disease, 3 with mitral valve disease, 1 with aortic and mitral valve disease, 5 with a history of myocardial infarction, and 3 with angina pectoris] following mild to moderate cardiac failure. Measures were obtained by cardiac catheterization prior to cardiac surgery and also during the surgical procedures. On the basis of symptoms immediately preceding surgery, the severity of the condition in each patient was categorized as either Class I (n = 5) or Class II (n = 13) following the New York Heart Association (NYHA) functional classification system. The Bmax was measured using right atrial appendage tissue obtained during cardiac surgery. [125I]-iodocyanopindolol was used for the assay. The Bmax of atrial cell membranes in patients with NYHA class II was significantly lower than that of class I (34.1 +/- 2.5 vs 55.4 +/- 9.3 fmol/mg protein, M +/- SE, p < 0.05). Correlation coefficients between the Bmax and hemodynamic parameters measured just prior to cardiac surgery were examined, but only that between Bmax and the minimum value of the time derivative of left ventricular pressure (max negative dp/dt) was significant (r = -0.552, p < 0.05). Further study is needed to understand and clarify the relationship between Bmax and dp/dt min. FAU - Ohsuzu, F AU - Ohsuzu F AD - Department of Medicine I, National Defense Medical College, Saitama, Japan. FAU - Katsushika, S AU - Katsushika S FAU - Akanuma, M AU - Akanuma M FAU - Hakamada, N AU - Hakamada N FAU - Hamada, H AU - Hamada H FAU - Maie, S AU - Maie S FAU - Muneoka, K AU - Muneoka K FAU - Okumori, M AU - Okumori M FAU - Nakamura, H AU - Nakamura H LA - eng PT - Journal Article PL - Japan TA - Jpn Heart J JT - Japanese heart journal JID - 0401175 RN - 0 (Receptors, Adrenergic, beta) SB - IM MH - Adult MH - Aged MH - Cardiac Catheterization MH - Female MH - Heart Atria/*chemistry MH - Heart Failure/complications/*metabolism/physiopathology MH - Hemodynamics MH - Humans MH - Male MH - Middle Aged MH - Receptors, Adrenergic, beta/*analysis EDAT- 1994/01/01 00:00 MHDA- 1994/01/01 00:01 CRDT- 1994/01/01 00:00 PHST- 1994/01/01 00:00 [pubmed] PHST- 1994/01/01 00:01 [medline] PHST- 1994/01/01 00:00 [entrez] AID - 10.1536/ihj.35.27 [doi] PST - ppublish SO - Jpn Heart J. 1994 Jan;35(1):27-34. doi: 10.1536/ihj.35.27.