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Reduced Plasma Norepinephrine Response to Standing in Autonomic Dysfunction
Philip E. Cryer, MD;
Stuart Weiss, MD
Arch Neurol. 1976;33(4):275-277.
Abstract
• In five patients having primary autonomic dysfunction with clinical manifestations including postural hypotension, the mean plasma norepinephrine concentrations were significantly lower than those of normal subjects after two and five minutes in the standing position. The mean (± SE) increment in the plasma norepinephrine concentration after two minutes standing was 123 ± 19 pg/ml in the normal subjects and 13 4 pg/ml (P <.001) in the patients with primary autonomic dysfunction. After five minutes standing, the mean increment in plasma norepinephrine concentration was 244 ± 36 pg/ml in the normal subjects and 99 ± 51 pg/ml (P <.05) in the patients. There were no statistically significant differences in plasma epinephrine between the two groups.
Author Affiliations
From the departments of medicine (Dr Cryer) and neurology and neurosurgery (Dr Weiss), Washington University School of Medicine, St Louis, Mo.
Footnotes
Accepted for publication March 25, 1975.
Read before the Midwest Section, American Federation for Clinical Research, Chicago, 1974.
Reprint requests to Metabolism Division, Department of Medicine, Washington University School of Medicine, 660 S Euclid St, St Louis, MO 63110 (Dr Cryer).
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