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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2009 December;168(6):353-7
Effective renal plasma flow and other tests in patients with systolic and diastolic heart dysfunction
Department of Internal Medicine, University of Palermo, Palermo, Italy
Aim. The aim of this study is to inquiry for some kidney function differences between diastolic heart dysfunction patients and systolic heart dysfunction patients.
Methods. 80 hypertensive patients and with or without coronary artery disease were inquired by mean of the blood pool radionuclide angiography and by mean of the dual radionuclide renography. The patients were divided in 3 groups according to the collected data: the group 1 contained the patients with EF less than 45% that it was the patients with systolic heart dysfunction; the group 2 contained the patients with EF more than 50% and the PFR less then or equal to 2 Kcounts/sec that it was the patients with diastolic heart dysfunction, the group 3 the patients with EF more than 50% and PFR more than or equal to 2,5 Kcounts/sec.
Results. Many parameters were recorded and t of Students tests were executed between the group 1 and 2 patients; the tests were always not significant except that for the ERPF (effective renal plasma flow) / BMI (body mass index) ratio that was greater for the diastolic dysfunction patients.
Conclusions. The author remarks that this advantage pairs with the better diuretic therapy answer of the systolic heart failure patients.