HAeMODYNAMIC STUDIES IN HIGH OUTPUT BERI-BERI

Blacket, R. B.; Palmer, Albert

doi:10.1136/hrt.22.4.483

Cited by 78 publications

(26 citation statements)

References 36 publications

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“…The two cases reported here correspond exactly with this description. The laboratory data in four cases in the literature [3,8,19,20] are concordant with our own: severe metabolic acidosis with an anion gap, a sharp fall in blood thiamin levels (especially in its phosphorylated form) and/or of red cell transketolase activity. Metabolic acidosis in S.B.B.…”

Section: Discussionsupporting

confidence: 88%

“…Blacket has shown that in the traditional "congestive" beriberi (C.B.B. ), the blood flow resistance varies according to the region [8]. This means that the drop in T.P.R.…”

Section: Discussionmentioning

confidence: 97%

“…have been published in the West [3,6,8,10,19,20,23,33] but in only two have both laboratory and hemodynamic tests been performed [3,19].…”

mentioning

confidence: 97%

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Two cases of shoshin beri beri with hemodynamic and plasma catecholamine data

et al. 1980

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Section: Discussionsupporting

confidence: 88%

“…Blacket has shown that in the traditional "congestive" beriberi (C.B.B. ), the blood flow resistance varies according to the region [8]. This means that the drop in T.P.R.…”

Section: Discussionmentioning

confidence: 97%

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Two cases of shoshin beri beri with hemodynamic and plasma catecholamine data

et al. 1980

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“…However, most cases did not fit that hypothesis as they had low-output HF, were well nourished, and responded poorly to thiamine. Blacket and Palmer resolved the situation: 'It [beriberi] responds completely to thiamine, but merges imperceptibly into another disease, called ACM, which doesn't respond to thiamine' [6]. Beriberi is characterized by generalized peripheral arteriolar dilation with a resultant large arteriovenous shunt and high cardiac output at rest.…”

Section: Historymentioning

confidence: 99%

Alcohol and cardiovascular diseases: where do we stand today?

2015

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Abstract. Klatsky AL (Northern California Kaiser Permanente, Oakland, CA, USA). Alcohol and cardiovascular diseases: where do we stand today?. (Review). J Intern Med 2015;278: 238-250.For centuries, multiple medical risks of heavy alcohol drinking have been evident with simultaneous awareness of a less harmful or sensible drinking limit. The increased risks of heavy drinking, defined as three or more standard-sized drinks per day, are both cardiovascular (CV) and non-CV. The CV risks include the following: (i) alcoholic cardiomyopathy (ACM), (ii) systemic hypertension, (iii) atrial arrhythmias, (iv) haemorrhagic stroke and, probably, ischaemic stroke. By contrast, modern epidemiological studies have shown lower morbidity and mortality amongst light-moderate drinkers, due mostly to a reduced risk of coronary artery disease (CAD), with contributions from ischaemic stroke and heart failure (HF). A low level of alcohol drinking has no clear relation to increased risk of any CV condition, except for haemorrhagic stroke. There is good evidence that supports the existence of mechanisms by which alcohol might protect against CAD, but the mechanisms for other alcohol-CV associations remain unclear. Interrelationships amongst the CV conditions affect the individual alcohol-disease relationships; for example, lower CAD risk in lightmoderate drinkers is to a large extent responsible for the reduced HF risk. International comparison data plus the presence of proposed beneficial nonalcohol components in wine (particularly in red wine) suggest that this beverage type might afford extra CAD protection. However, the effect of beverage choice is confounded by a healthier drinking pattern and more favourable risk traits in wine drinkers. Debate persists about methodological and public health issues related to the epidemiology of alcohol-related CV disease.

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“…On the other hand, these alterations have consequences, such as an increase in peripheral venous pressure and renal retention of sodium and water 4 , during which edema may be established, even in the absence of clear evidence of heart failure.…”

Section: Case Reportmentioning

confidence: 99%