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What are the regional differences in atrial natriuretic factor clearance in humans?
What are the regional differences in atrial natriuretic factor clearance in humans?
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The substantial peripheral clearance of ANF indicates that arterial sampling may be preferred over venous sampling in conditions with altered peripheral vascular resistance.
During sinus coronarius catheterization in humans undergoing diagnostic right-sided cardiac catheterization, levels of atrial natriuretic factor (ANF) measured in sinus coronarius (n = 12) were four times higher than in peripheral arterial blood. Atrial natriuretic factor underwent average extractions of 0.57, 0.40, and 0.28 in the kidneys (n = 14), liver (n = 15), and forearm (n = 15) respectively. However, a close relationship was observed between arterial and peripheral venous concentrations. The substantial clearance of ANF even over the forearm indicates that arterial sampling may be preferred in conditions with altered peripheral vascular resistance, since an uptake of ANF in the peripheral vascular bed is likely to have occurred.
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Thaulow et al. (1993) studied this question.
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