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권호별목차 / 소장처보기

H : 소장처정보

T : 목차정보

The Korean journal of internal medicine : KJIM 21건

  1. [국내논문]   Preoperative Evaluation of the Curative Resectability of Gastric Cancer by Abdominal Computed Tomography and Ultrasonography: A Prospective Comparison Study  

    Kim, Jae-Jun (Department of Radiology, Seoul National University College of Medicine, Seoul, Korea ) , Jung, Hyun Chae (Department of Radiology, Seoul National University College of Medicine, Seoul, Korea ) , Song, In Sung (Department of General Surgery, Seoul National University College of Medicine, Seoul, Korea ) , Choi, Kyoo Wan (Department of General Surgery, Seoul National University College of Medicine, Seoul, Korea ) , Kim, Chung Yong (Department of General Surgery, Seoul National University College of Medicine, Seoul, Korea ) , Han, Joon Koo (Department of Pathology, Seoul National University College of Medicine, Seoul, Korea) , Choi, Byung Ihn , Park, Jae Gahb , Lee, Kuhn Uk , Choe, Kuk Jin , Kim, Woo Ho
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 1 - 6 , 1997 , 1226-3303 ,

    초록

    Objectives We compared the ability of preoperative abdominal computed tomography (CT) with that of preoperative abdominal ultrasonography (US) in predicting the extent of tumor growth and the curative resectability of gastric cancer. Methods Abdominal CT and US were done in 95 patients with gastric adenocarcinoma. The radiologic findings were prospectively compared with surgical and pathologic findings. Results The sensitivities of abdominal CT and US in detecting the perigastric lymph node involvement were 26.6% and 20%, respectively. The sensitivity of abdominal CT in predicting the pancreatic invasion (60%) was better than that of abdominal US (20%). However, there were 6 false positive diagnosis of pancreatic invasion by abdominal CT; in contrast, there was no false positive diagnosis of pancreatic invasion by abdominal US. Of 95 patients who underwent surgical exploration, 14 were found to have unresectable tumors because of extragastric organ involvement and distant metastases. Abdominal CT falsely predicted 8 of 74 cases in which curative gastric resection was impossible as resectable. Moreover, abdominal CT falsely predicted 5 of 81 cases in which curative gastric resection was possible as unresectable. Abdominal US falsely predicted 12 of 14 cases in which curative surgery was impossible as resectable. Conclusion Preoperative abdominal CT and US did not accurately predict the tumor extent and the curative resectability of the gastric cancer. Especially, abdominal CT finding of pancreatic invasion by gastric cancer should not be a contraindication for surgical exploration.

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  2. [국내논문]   Differences in Immunophenotyping of Mucosal Lymphocytes Between Ulcerative Colitis and Crohn's Disease  

    Lee, Heung Bum (Division of GI and Hepatology, Department of General Surgery, Chon Buk National University, Chonju, Chonbuk, Korea) , Kim, Jong Hun , Yim, Chang Yeol , Kim, Dae Ghon , Ahn, Deuk Soo
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 7 - 15 , 1997 , 1226-3303 ,

    초록

    Objectives Immunologic studies have characterized the numbers and types of inflammatory cells in diseased inflammatory bowel disease (IBD) mucosa but have yielded conflicting results regarding intestinal lymphocytes activation in IBD. We investigated the levels of lymphocytes subsets, interieukin-2 receptor, transferrin receptor, and T cell receptors in mainly isolated lamina propria lymphocytes, including intraepithelial lymphocytes of normal colonic mucosa or IBD (ulcerative colitis and Crohn's disease) mucosa to understand the pathogenesis of IBD. We have results from this study. Results 1) In comparing ulcerative colitis with control, IL-2R (p 2) In comparing Crohn's disease with control, CD3 (p 3) In comparing Crohn's disease with ulcerative colitis, CD19 (p Conclusion From these results, there are increased T cell markers, IL-2R, TR, and CD3/HLA-DR in UC, but differently, decreased CD3, TCR α/β and TCR γ/δ in CD compared with control. In addition, definitive differences in lymphocytes markers, CD19, TR, TCR α/β and TCR γ/δ, which are higher in UC than in CD, may elucidate the different immunopathogenesis between UC and CD.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [국내논문]   Gallbladder Motility Change in Late Pregnancy and after Delivery  

    Hahm, Joon Soo (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Park, Joon Yong (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Song, Seung Chan (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Cho, Yun Ju (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Moon, Kwang Ho (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Song, Yong Ho (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Lee, Oh Young (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Choi, Ho Soon (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Yoon, Byung Chul (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Lee, Min Ho (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Kee, Choon Suhk (Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea ) , Park, Kyung Nam (Department of Interna)
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 16 - 20 , 1997 , 1226-3303 ,

    초록

    Objectives The incidence of gallstone disease has increased recently in Korea and there seems to be an increased prevalence of gallstones when in association with pregnancy. Although the pathogenesis is incompletely defined, an altered motility of the gallbladder may contribute to the increased risk of gallstones during pregnancy. Methods We measured gallbladder volume using real-time ultrasonography to find out the mechanism for the changes of gallbladder motility during late pregnancy. Eighteen pregnant women took the gallbladder ultrasonography during their last trimester of pregnancy and after delivery: gallbladder volume and ejection fraction were calculated in each patient. Results Fasting gallbladder volumes increased significantly in the last trimester of pregnancy (25.28± 14.26ml) compared with postpartum (17.44±5.82ml) ( p p p Conclusion Gallbladder motility in late pregnancy shows significant impairment compared with that in postpartum. Thus, we suggest that gallbladder hypomotility may occur during late pregnancy, and this impairment of gallbladder motility may play an important role in gallstone formation.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [국내논문]   Hepatitis C Virus Genotypes in Korea and Their Relationship to Clinical Outcome in Type C Chronic Liver Diseases  

    Han, Chul Ju (Department of Internal Medicine, Seoul National University College of Medicine, Liver Research Institute, Seoul, Korea ) , Lee, Hyo-Suk (Department of Internal Medicine, Seoul National University College of Medicine, Liver Research Institute, Seoul, Korea ) , Kim, Hyun-Sung (Department of Biological Science, Korea Advanced Institute of Science and Technology, Taejon, Korea ) , Choe, Joon Ho (Department of Biological Science, Korea Advanced Institute of Science and Technology, Taejon, Korea ) , Kim, Chung Yong (Department of Internal Medicine, Seoul National University College of Medicine, Liver Research Institute, Seoul, Korea)
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 21 - 27 , 1997 , 1226-3303 ,

    초록

    Objectives The relationship between HCV genotype and the development of more serious liver disease has not been clearly established. This study was to investigate the distribution pattern of HCV genotypes in Korea and their relationship to the viremic level and to progression of chronic liver disease. Methods Study population was 217 patients with type C chronic liver disease. They were divided into 4 groups: 83 patients with near-normal ALT (group 1), 64 patients with elevated ALT (group 2), 20 patients with decompensated liver cirrhosis (group 3) and 50 patients with hepatocellular carcinoma (group 4). HCV genotypes were determined by reverse transcription polymerase chain reaction (RT-PCR) using mixed primer sets, and then the fidelity of genotyping was confirmed by cloning and sequencing. HCV RNA concentration was measured by quantitative competitive RT-PCR for 23 patients in group 2. Results The genotypes could be determined in 166 (76%) out of 217 patients. Type 1b and type 2a were predominantly occurring over the other types in somewhat similar frequency (45% and 51%, respectively). The genotype distribution of type 1b and 2a among four different groups showed 42% and 54% in group 1, 49% and 45% in group 2, 53% and 47% in group 3 and 41% and 57% in group 4; thus there was no significant difference in genotype distribution among 4 different disease groups. However, the viremia levels in patients with genotype 1b infection were significantly higher than those with genotype 2a. Conclusion Genotype 2a infection is as prevalent as genotype 1b in Korea, and genotype 2a infection may pose no less risk for progression of disease despite lower replication level than genotype 1b infection.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [국내논문]   Viral Loads and E2/NS1 Region Sequences of Hepatitis C Virus in Hepatocellular Carcinoma and Surrounding Liver  

    Park, Choong Kee (LG Chem. Biotech Research Institute, Taejon, Korea ) , Park, Tae Rim (LG Chem. Biotech Research Institute, Taejon, Korea ) , Kim, Yong Bum (LG Chem. Biotech Research Institute, Taejon, Korea) , Kim, Hak Yang , Yoo, Jae Young , Kim, Chun-Hyung , Choo, Sung-Ho , Cho, Joong-Myung
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 28 - 33 , 1997 , 1226-3303 ,

    초록

    Objectives Numerous epidemiologic data have documented that chronic infection by hepatitis C virus (HCV) is a major risk factor for the development of hepatocellular carcinoma (HCC). But the molecular mechanism underlying these strong epidemiologic associations between HCV and HCC has not been elucidated. We observed the changes of HCV in HCC to investigate the association of HCV with HCC. Methods We used competitive and quantitative polymerase chain reaction and dideoxy-nucleotide chain termination method to compare HCV titers and sequences of the hypervariable region of E2/NS1 region of four isolates from the HCC and surrounding cirrhotic liver tissues in two anti-HCV positive patients. Results The copy numbers of HCV-RNA were 1×10 6 and 4×10 6 /gm wet weight of HCC, and 8×10 7 and 3.2×10 8 /gm wet weight of cirrhotic liver tissues from patient-1 and -2. The sequence differences between HCV RNA in HCC and in cirrhotic liver were two and five nucleotides in patient-1 and in patient-2 respectively. The amino acid sequences were changed in one and two site in each patient. Conclusion These findings may suggest the possible etiological role of HCV in carcinogenesis of HCC, but complete sequence analysis of HCV including multiple isolates in the same patient, should be performed in many cases.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [국내논문]   Atrial Fibrillation in Patients with Permanent VVI Pacemakers: Risk Factors for Atrial Fibrillation  

    Cho, Jeong Gwan (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Jeong, Yang Ho (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Cho, In Jong (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Ahn, Young Geun (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Cha, Kwang Soo (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Seo, Jeong Pyeong (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Park, Joo Hyung (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Jeong, Myung Ho (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Park, Jong Chun (Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital, Kwangju, Korea ) , Kang, Jung Chaee (Division of Cardiology, Department of Internal Medicine, Chonnam Universi)
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 34 - 38 , 1997 , 1226-3303 ,

    초록

    Objectives Atrial fibrillation (AF) does not only deteriorate the cardiac function and increases the thromboembolic risk but also triggers rapid and irregular ventricular rhythm in patients with atrial synchronous pacing. However, the risk factors for the development of AF in patients with pacemakers are not clearly determined yet. The present study was designed to determine the risk factors for AF in patients with VVI pacemakers. Methods This study included 80 patients (41 sick sinus syndrome, 39 AV block) who were followed for more than 6 months or developed AF regardless of the duration of follow-up after implantation of VVI pacemakers. Patients were divided into two groups according to whether or not AF developed during follow-up (mean: 25.7±2.5 months): group A developed AF and group B did not. The underlying arrhythmias, cardiovascular risk factors, left atrial size, characteristics of P wave were compared between the two groups. Results The mean age of the patients was 58.9±11.4 years and 28(35%) were male. AF developed in 13(16.3%) of 80 patients with VVI pacemakers. Sick sinus syndrome (SSS) as an underlying arrhythmia was significantly more frequent in group A than group B(84.6% vs. 44.8%, p Conclusion These results suggest that sinus node dysfunction and intra-atrial conduction delay may be the risk factors for AF in patients with VVI pacemakers. Further studies are needed to determine how sick sinus syndrome and intra-atrial conduction delay increase the risk for AF in patients with VVI pacemakers.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [국내논문]   Does Arterial Hypotension Due to Cardiogenic Shock in Older Patients Lead to Functional Oliguria or to Acute Renal Failure?  

    Duraković (Department of Internal Medicine, Rebro University Hospital, Medical Faculty University of Zagreb, Croatia) , , Zijad
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 39 - 44 , 1997 , 1226-3303 ,

    초록

    Objectives Reports indicate some differencies in the outcome of prolonged arterial hypotension due to cardiogenic shock: acute renal failure in older and more often functional oliguria in younger patients. The aim of the study is to analyze prolonged hypotension due to acute myocardial infarction in older and younger patients and to answer the question: does prolonged hypotension, due to acute myocardial infarction, lead to acute renal failure or to functional oliguria in older patients. Methods During a 10-year observation, a study of 11 older (≥65 years) and 7 younger patients ( Results In 7 older and 5 younger patients, natriuresis indicated acute renal failure. The ratio of creatinine in urine and plasma in 3 older and 5 younger indicated functional oliguria: in 3 older and 1 younger, acute renal failure; and in 5 older and 1 younger, borderline values. In 7 older and 2 younger, the values of urine osmolality were in the range of functional oliguria and, in 4 older and 5 younger, borderline values between those two parameters, as the osmolality quotient in urine and plasma. The values of the renal failure index in all older and younger patients was lower than 3.0 (in 6 older and 3 younger, lower than 1.0) indicated functional oliguria, as the fractional excretion of filtered sodium. Of 9 older patients who died, 5 were examined by autopsy, and 3 out of 4 younger who died. All had myocardial fibrosis and scars, apart from recent myocardial infarction and coronary atherosclerosis. In 2 older, acute tubular necrosis was found while in 2 no renal changes were found. In 2 younger, no renal changes were found and in 1 showed disseminated intravascular coagulation. Conclusion Acute renal failure due to cardiogenic shock in older patients is functional, or is rare renal.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [국내논문]   The Factors Related to Recurrence after Transcatheter Arterial Embolization for the Treatment of Hemoptysis  

    Kim, Ki Joong (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea ) , Yoo, Jee Hong (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea ) , Sung, Nak Cheon (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea ) , Won, Hyun Sang (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea ) , Yoou, Ki Heon (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea ) , Kang, Hong Mo (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea)
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 45 - 51 , 1997 , 1226-3303 ,

    초록

    Objectives Massive hemoptysis is a major clinical problem associated with high morbidity and mortality. Transcatheter arterial embolization is widely used for the treatment of massive hemoptysis, but it was reported that the recurrence rate after embolization is 12–54% in the previous studies. We evaluated the therapeutic effect of transcatheter arterial embolization for the treatment of massive hemoptysis and the factors related to recurrence. Methods We reviewed 51 patients (M:F=36:15) of trancatheter arterial embolization for the treatment of massive hemoptysis from Jan 1988 to Dec 1994, retrospectively. Results After arterial embolization, immediate successful control ( 400ml/24hr) or frequent history of hemoptysis had increased tendency of recurrence (87.5%, 72.7%). Conclusion Transcatheter arterial embolization is a useful and safe procedure for immediate control in massive hemoptysis. However, the patients with this procedure had a potentiality for recurrence. We suggest that close follow-up and caution will be needed in the patients with multiple artery bleeding or with large amounts of hemoptysis or with previous episodes more than 3 times.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [국내논문]   Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome  

    Park, Choel Whee (Department of Internal Medicine, Catholic University Medical College, Seoul, Korea ) , Yun, Sung No (Department of Internal Medicine, Catholic University Medical College, Seoul, Korea) , Yang, Chul Woo , Kim, Tai Gyu , Han, Hoon , Choi, Euy Jin , Chang, Yoon Sik , Bang, Byung Kee
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 52 - 57 , 1997 , 1226-3303 ,

    초록

    Objectives In order to evaluate the association between the Hantaan virus-induced cellular-immune response and clinical severity in patients with hemorrhagic fever with renal syndrome (HFRS). Methods We serially measured the serum (n = 16) and urine (n =6) concentrations of soluble HLA class I antigen (sHLA-I) and clinical powameters in patients with HFRS. Results Serum sHLA-I concentrations in patients with HFRS were significantly higher than those in controls throughout all clinical phases (p Conclusion We suggest that the serum and urine sHLA- I concentrations can be used as a stable and objective parameter for monitoring clinical severity and renal dysfunction in patients with HFRS.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [국내논문]   Attenuated Central Pressor Response to Nitric Oxide Synthesis Inhibition in Chronic Renal Failure Rats  

    Choi, Ki Chul (Departments of Physiology, Chonnam University Medical School, Kwangju ) , Jung, Meehye (Departments of Physiology, Chonnam University Medical School, Kwangju) , Lee, Jong-Un , Kim, Soo Wan , Kim, Nam Ho , Kang, Young Joon
    The Korean journal of internal medicine : KJIM v.12 no.1 ,pp. 58 - 61 , 1997 , 1226-3303 ,

    초록

    Objectives Central and peripheral roles of nitric oxide (NO) in blood pressure regulation have been suggested. The present study was aimed at examining if the role of NO in blood pressure regulation is altered in chronic renal failure. Methods Blood pressure responses to acute inhibition of NO were examined in 5/6 nephrectomized rats. Three weeks after the renal ablation, under thiopental (50 mg/kg, i.p.) anesthesia, an intracerebroventricuiar cannula was placed in the left lateral ventricle and the femoral vein was cannuiated to serve as an infusion route. The arterial blood pressure was measured in the right femoral artery. N G -nito-L-arginine methyl ester (L-NAME) was infused (100μg/kg per min for 60 min) either intracerebroventricularly or intravenously. Results Chronic renal failure rats showed a significantly higher arterial pressure than the control rats (147±14mmHg vs. 122±13mmHg). Intracerebroventricuiar L-NAME did not affect the arterial pressure in chronic renal failure rats (0.5±4mmHg increase from the basal), while it significantly increased the arterial pressure in normal rats (22±3mmHg increases from the basal). Intravenous L-NAME increased the arterial pressure, the magnitude of which did not differ between the normal and chronic renal failure rats (24±3 vs. 16±3mmHg increases from the basal). Conclusion These results indicate that the central role of NO in the regulation of blood pressure is altered in chronic renal failure.

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