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December 1, 1930Journal of Clinical Investigation31 citationsOpen Access

Studies in Congestive Heart Failure

JCJackie CalhounGCGlenn E. CullenGCGurney Clarke

Key Result

Ventricular overwork and congestive heart failure are associated with a marked decrease in the potassium content of the affected cardiac muscle, independent of edema.

Study Design

Type

Observational (n=19)

Multicenter

No

PICO

P
Population
19 deceased subjects, including those with congestive heart failure, acute pulmonary disease, and controls, whose cardiac muscle was analyzed for potassium content at autopsy.
E
Exposure / Comparator
Congestive heart failure and ventricular overwork vs Control subjects without cardiac or pulmonary disease
O
Primary Outcome
Potassium content of the dry ventricular muscle

Main Result

Absolute Event Rate: 0.94% vs 1.31%

Limitations

  • Small sample size
  • Lack of healthy controls, as tissues were obtained from patients dying of other chronic diseases

Abstract

In one of the previous studies of this series it was shown that the cardiac and skeletal muscles of patients dying of congestive heart failure were abnormally poor in potassium, Harrison, PMlcher and Ewing (1930). The loss of-potassium from skeletal muscle appeared to be related to edema, as muscles which were not edematous con- tained normal amounts of potassium. Pieces of skeletal muscles removed during life contained less potassium when the patients were edematous than when they were edema free. It appears therefore that the presence of edema is an important cause of the loss of potas- sium in skeletal muscle. The present study was undertaken in an attempt to determine the cause of the loss of potassium from the cardiac muscle.

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Cite This Study

Calhoun et al. (1930) conducted an observational in Congestive heart failure (n=19). Congestive heart failure and ventricular overwork vs. Control subjects without cardiac or pulmonary disease was evaluated on Potassium content of the dry ventricular muscle. Ventricular overwork and congestive heart failure are associated with a marked decrease in the potassium content of the affected cardiac muscle, independent of edema.

synapsesocial.com/papers/6a9a2fcda0ce302fc2a0b769https://doi.org/10.1172/jci100312
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