Central blood volume in cirrhosis: measurement with radionuclide angiography

Hepatology. 1994 Feb;19(2):312-21.


In patients with cirrhosis a diminished effective central arterial blood volume associated with systemic arterial vasodilation has been proposed as the mechanism that initiates renal sodium retention. Furthermore, total central blood volume has recently been reported as reduced in cirrhosis, and the controversy over the stimulus for sodium retention in cirrhosis remains. The aim of this study was to assess the central blood volume with radionuclide angiography to determine whether there is effective arterial underfilling in cirrhosis. Twenty-nine patients (13 with and 16 without ascites) and 10 age- and sex-matched control subjects were studied under metabolic conditions. Radionuclide ventricular volume and total central blood volume were determined from gated images, taking into account the 99Tc count activity per milliliter of blood volume and attenuation. The pulmonary volumes were similarly derived.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aldosterone / blood
  • Ascites / complications
  • Ascites / diagnostic imaging
  • Ascites / physiopathology*
  • Atrial Natriuretic Factor / blood
  • Blood Pressure
  • Blood Volume Determination / methods
  • Blood Volume*
  • Cardiac Output
  • Coronary Circulation
  • Female
  • Gated Blood-Pool Imaging*
  • Heart Rate
  • Humans
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / diagnostic imaging
  • Liver Cirrhosis / physiopathology*
  • Male
  • Middle Aged
  • Norepinephrine / blood
  • Pulmonary Circulation
  • Renin / blood
  • Vascular Resistance


  • Aldosterone
  • Atrial Natriuretic Factor
  • Renin
  • Norepinephrine