Fortschritte der Medizin
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Fortschritte der Medizin · Oct 1979
[Effect of kidney function on the elimination and action of colloidal plasma substitutes].
Hypovolemia and prophylaxis of thrombosis are the main indications for colloidal plasma substitutes. This is also true for patients with renal failure. Due to their difference in molecular structure colloidal plasma substitutes, which are in clinical use--dextran, hydroxyethyl starch, gelatin--, are eliminated tbrough different pathways. ⋯ Therefore pharmacokinetics and pharmacodynamics of colloidal plasma substitutes, which are based on dextran, hydroxyethyl starch and gelatin, were studied in patients with normal or impaired renal function. Renal insufficiency proved to affect the elimination and therapeutic efficacy of these colloids in different and characteristic ways. Consequently this requires special indications and dosage recommendations for patients with renal insufficiency.
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Fortschritte der Medizin · Aug 1979
[Pathogenesis of essential hypertension. Plasma noradrenaline, plasma renin and pressor effects of noradrenaline and angiotensin in normotensive patients and patients with essential hypertension].
Plasma noradrenaline, plasma renin and pressor action of exogenous noradrenaline and angiotensin in normotensive subjects and patients with essential hypertension. In normotensive subjects an inverse correlation was observed between the index of sympathetic nervous activity, the plasma noradrenaline concentration during physical exercise, and reactivity to exogenous noradrenaline. The relationship between the index of sympathetic nervous activity and reactivity to noradrenaline was invariably disturbed in age-matched patients with essential hypertension. ⋯ An inverse relationship could also be demonstrated between plasma renin concentration and pressor response to angiotensin II in normotensives and hypertensives. However, this relationship was unaltered in the hypertensives. Therefore angiotensin II does not appear to contribute directly to the high blood pressure.
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Fortschritte der Medizin · Jun 1979
[Idiopathic polyneuritis. Course, prognosis and electrodiagnostic findings].
In acute idiopathic polyneuritis, the slowing of nerve conduction velocity does not allow prognostical statements. However, a marked reduction of muscle potential amplitude after stimulation and recording points implies a large number of damaged axons. ⋯ We experienced this most commonly--but not exclusively--in cases with highly acute courses which led to tetraparalytic syndroms. Clinical courses with slowly progressive disease during months and recurrent courses of idiopathic polyneuritis can also lead to permanent paresis.