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In patients with autonomic dysfunction water drinking elicits a pressor response mediated by sympathetic activation. If any, in healthy subjects there is only a slight increase in blood pressure. However, the sympathetic activation is observable by resting energy expenditure increases greater than 20%.
The investigators believe that the response to water may be mediated through sympathetic activation elicited by osmosensitve spinal afferents in the liver. Therefore, the investigators want to test water in liver transplant patients who have a denervated liver. Kidney transplant patients serve as control subjects. The investigators hypothesize that the increase in norepinephrine after water drinking is blunted in liver transplant recipients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| liver transplanted patients | Experimental | Target group to confirm the hypothesis. Transplantation has to be between 6 an 24 Month before participation. |
|
| kidney transplanted patients | Active Comparator | Control group, age, gender and medication matched. Transplantation has to be between 6 an 24 Month before participation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 500ml water intake | Dietary Supplement | subjects have to ingest 500ml water within 5 minutes after resting 30 minutes in supine position |
|
| Measure | Description | Time Frame |
|---|---|---|
| norepinephrine plasma level | 30-40 minutes after water drinking |
| Measure | Description | Time Frame |
|---|---|---|
| pressure response | cardiovascular changes are monitored by finapress and ICG | blood pressure 30-40 minutes after water drinking |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hannover Medical School | Hanover | NDS | 30625 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22016786 | Derived | May M, Gueler F, Barg-Hock H, Heiringhoff KH, Engeli S, Heusser K, Diedrich A, Brandt A, Strassburg CP, Tank J, Sweep FC, Jordan J. Liver afferents contribute to water drinking-induced sympathetic activation in human subjects: a clinical trial. PLoS One. 2011;6(10):e25898. doi: 10.1371/journal.pone.0025898. Epub 2011 Oct 7. |
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| ID | Term |
|---|---|
| D054970 | Pure Autonomic Failure |
| D013575 | Syncope |
| ID | Term |
|---|---|
| D054969 | Primary Dysautonomias |
| D001342 | Autonomic Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014474 | Unconsciousness |
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| ID | Term |
|---|---|
| D004326 | Drinking |
| ID | Term |
|---|---|
| D004435 | Eating |
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
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| D003244 | Consciousness Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004068 | Digestive System Physiological Phenomena |
| D055688 | Digestive System and Oral Physiological Phenomena |