Br Med J (Clin Res Ed) 1986;293:1391-1392 (29 November), doi:10.1136/bmj.293.6559.1391
Raised concentrations of plasma atrial natriuretic peptides in cardiac transplant recipients.
D R Singer,
M G Buckley,
G A Macgregor,
A Khaghani,
N R Banner,
M H Yacoub
Plasma atrial natriuretic peptide concentrations were measured
by radioimmunoassay six to 77 weeks after operation in eight
cardiac transplant recipients with no appreciable evidence of
cardiac failure or rejection and in eight control subjects matched
for age, sex, race, and blood pressure. Plasma atrial natriuretic
peptide concentrations were significantly higher in the cardiac
transplant recipients (mean 19.4 (SE 3.9) ng/l) than in the
controls (7.3 (1.2) ng/l p less than 0.01). The mechanisms underlying
these raised values were not clear. These findings suggest that
the transplanted atria may secrete atrial peptides and also
that innervation is not obligatory for secretion of atrial natriuretic
peptides to occur. Before this can be confirmed, however, it
remains to be established what the relative contribution of
donor and recipient atrial tissue is to the secretion of these
peptides.

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