Red Cell Volume, Plasma Volume, and the Body Hematocrit/Venous Hematocrit Ratio in Chronic Cor Pulmonale

Author(s):  
Klaus P. Sch�ren ◽  
Ulrich H�ttemann
Blood ◽  
1961 ◽  
Vol 17 (1) ◽  
pp. 71-82 ◽  
Author(s):  
HUGH FUDENBERG ◽  
MARIO BALDINI ◽  
JOHN P. MAHONEY ◽  
WILLIAM DAMESHEK

Abstract 1. Red cell volume and plasma volume were measured by the radioactive sodium chromate and the chromic chloride method respectively in 37 patients. 2. The body hematocrit/venous hematocrit (BH/VH) ratio was found to be constant in normal subjects and in patients in whom there was neither splenomegaly nor edema. The ratio was 0.896 ± 0.039. 3. In splenectomized patients the BH/VH ratio was normal indicating that in man, in normal conditions, the spleen does not have the function of a significant blood reservoir with raised cell/plasma ratio. 4. In patients with splenomegaly the BH/VH ratio was found to be significantly increased in direct proportion to the degree of splenic enlargement, indicating an increased concentration of erythrocytes in the enlarged spleen. 5. In the presence of extravascular fluid retention caused by prolonged prednisone treatment the BH/VH ratio was lower than normal. 6. It was concluded that in patients with splenomegaly or edema measurement of either red cell volume or plasma volume alone in conjunction with the "corrected" venous hematocrit does not permit valid assessment of the non-measured parameter nor of the total blood volume.


1985 ◽  
Vol 14 (6) ◽  
pp. 345-356
Author(s):  
Michael G. Garner ◽  
Andrew F. Phippard ◽  
John S. Horvath ◽  
Geoffrey G. Duggin ◽  
David J. Tiller

1979 ◽  
Vol 47 (5) ◽  
pp. 1031-1038 ◽  
Author(s):  
J. E. Greenleaf ◽  
V. A. Convertino ◽  
G. R. Mangseth

Our purpose was 1) to test the hypothesis that in man there is a range of plasma osmolality within which the red cell volume (RCV) and mean corpuscular volume (MCV) remain essentially constant and 2) to determine the upper limit of this range. During a variety of stresses--submaximal and maximal exercise, heat and altitude exposure, +Gz acceleration, and tilting--changes in plasma osmolality between -1 and +13 mosmol/kg resulted in essentially no change in the regression of percent change in plasma volume (PV) calculated from a change in hematocrit (Hct) on that calculated from a change in Hct + hemoglobin (Hb), i.e., the RCV and MCV were constant. Factors that do not influence RCV are the level of metabolism, heat exposure at rest, and short-term orthostasis (heat-to-foot acceleration). Factors that may influence RCV are exposure to high altitude and long-term orthostasis (head-up tilting). Factors that definitely influence RCV are prior dehydration and extended (greater than 2 h) periods of stress. Thus, either the Hct or the Hct + Hb equations can be used to calculate percent changes in PV under short-term (less than 2 h) periods of stress when the change in plasma osmolality is less than 13 mosmol/kg.


1968 ◽  
Vol 19 (1) ◽  
pp. 145 ◽  
Author(s):  
PH Springell

Twenty-four steers, comprising British (Herefords and Hereford x Shorthorn crosses), Zebu (Africander), and Zebu cross (British x Brahman or Africander) breeds, were maintained either on pasture or yarded, and fed on diets of a low and a high nutritional value. Blood volumes were determined on five occasions at intervals of 3 months by the 51Cr labelling technique, plasma and red cell volumes being then derived from the venous haematocrit. The blood plasma, and red cell volumes are all very significantly, correlated with, and represent respectively 4.97, 3.27, and 1.70% of, the fasting body weight. To avoid the confounding effect of body weight, the parameters are expressed as "contents", i.e, in terms of volume per kilogram fasting body weight. In the grazing group breed differences were generally absent. This may in part be due to the fact that the Zebu crossbreds belonged mostly to the F2 and partly to the F3 generation. In the yarded group, where F1 crossbreds were compared with British steers, breed differences were more frequent. British steers tended to have higher plasma contents, but lower red cell contents and haematocrits. Nutrition had no effect on plasma contents, but good nutrition was generally associated with higher haematocrits, as well as with elevated blood and red cell contents. Seasonal differences were in evidence, and all parameters generally reached minimal values in winter or spring. The significance of these findings in relation to adaptation to a tropical environment is discussed. The haematocrit does not necessarily reflect changes in the red cell volume. There is also some indication that the water and plasma contents may be related. The possible usefulness of the red cell volume for predicting the body composition is discussed.


1959 ◽  
Vol 196 (2) ◽  
pp. 420-422 ◽  
Author(s):  
Julius J. Friedman

The circulating and tissue hematocrits of normal unanesthetized mice were determined by means of independent red cell and plasma volume measurements. The red cell volume-indicator which was used in this study was radioiron (Fe59) tagged red cells. The plasma volume data were derived by means of radioiodine (I131) labeled serum albumin and were reported earlier (Friedman, Proc. Soc. Exper. Biol. & Med. 88: 323, 1955). The hematocrits of the various tissues were found to be: for spleen 51.3, lung 47.9, muscle 49.9, liver 38.9, intestine, 32.2, skin 29.2 and kidney 24.0%. The total body hematocrit was 35.4% as compared to 48.4 for venous blood. All tissues, with the exception of spleen and lung, contained hematocrits which were lower than that of venous blood suggesting the presence of some mechanism within the various tissues which is capable of effectively separating plasma from red cells.


1956 ◽  
Vol 186 (1) ◽  
pp. 92-96 ◽  
Author(s):  
R. A. Huggins ◽  
E. L. Smith ◽  
R. A. Seibert

On the basis of the amount of blood transfused in cubic centimeters per kilogram the dogs were arranged into five groups: group I, 0.0–49.0 cc/kg, group II, 50.0–99.0 cc/kg, group III, 100.0–149.0 cc/kg, group IV, 150.0– 199.0 cc/kg and group V, 200.0–249.0 cc/kg. The determinations made in each group were plasma volume, plasma proteins, hematocrit and hemoglobin. Plasma including protein escaped rapidly from the vascular system even with the smallest transfusion and in the last two groups the plasma lost exceeded that infused. Thus, any method of determining blood volume based on measurement of plasma volume must be in error. The loss of plasma protein became progressively greater as the amount of transfusion increased. The apparent increase in measured red cell volume over the expected in groups I, II and III was probably the result of loss of dye from the circulation, giving an overestimate of plasma and red cell volume. There was no evidence that cells leave the circulation until the transfusion volume became very large ( groups IV, V) and hemorrhage supervened.


1985 ◽  
Vol 248 (3) ◽  
pp. R293-R301 ◽  
Author(s):  
J. P. Hannon ◽  
C. A. Bossone ◽  
W. G. Rodkey

When estimated by the dilution of 51Cr-labeled red blood cells under nearly basal conditions, immature splenectomized pigs (n = 20) had a circulating red cell volume of 17.8 +/- 1.64 (SD) ml/kg. At an assumed body-to-large vessel hematocrit (BH:LH) ratio of 0.9, plasma volume was 49.6 +/- 3.12 ml/kg and blood volume 67.3 +/- 3.67 ml/kg. Sham-operated pigs (n = 20) had a circulating red cell volume of 16.2 +/- 1.39 ml/kg, a plasma volume of 51.1 +/- 3.42 ml/kg, and blood volume of 67.2 +/- 4.12 ml/kg. Kinetic analysis of early 51Cr loss from the circulating blood of the sham-operated pigs indicated a splenic red cell sequestration of 4.5 +/- 0.89 ml/kg and a t1/2 of 9.76 +/- 1.93 min for splenic red cell turnover. Epinephrine injection (n = 6) and physical restraint (n = 8) caused rapid mobilization of splenic red blood cells in sham-operated pigs. Volume estimates in splenectomized pigs (n = 7) based on simultaneous dilutions of 51Cr-labeled red blood cells and 125I-labeled bovine albumin gave circulating red cell, plasma, and blood volumes of 18.4 +/- 2.46, 60.7 +/- 4.01, and 79.0 +/- 3.51 ml/kg, respectively, and a BH:LH ratio of 0.756 +/- 0.029. The latter value may have reflected an overestimation of plasma volume by the 125I-labeled albumin procedure.


Blood ◽  
1977 ◽  
Vol 49 (2) ◽  
pp. 301-307 ◽  
Author(s):  
R Alexanian

Abstract The plasma volume, red cell volume, or both were measured in 170 normal, anemic, or polycythemic subjects. For anemic subjects without a serum protein abnormality or splenomegaly, the relationship between hematocrit and red cell volume was linear and predictable. In patients with a serum monoclonal globulin on electrophoresis, the plasma voluem was significantly increased for the hematocrit in 30%, and the total blood volume was increased in 45%. The frequency of an elevated plasma volume was higher in patients with a markedly increased level of monoclonal protein. Reductions of abnormal proteins with chemotherapy were associated with declines in plasma volume. For a specific concentration, the serum viscosity was highest in patients with IgM proteins and lowest in patients with IgG globulins. Marked elevations in viscosity were noted only in sera with macroglobulinemia or with more than 5 g/dl of IgG or IgA globulins.


1956 ◽  
Vol 185 (3) ◽  
pp. 441-445 ◽  
Author(s):  
Kee-Chang Huang ◽  
James H. Bondurant

A method for simultaneous estimation of plasma volume, red cell volume and thiocyanate space in unanesthetized rats utilizing a polyethylene catheter in the common carotid artery with T-1824, P32-tagged red cells, and NaSCN was perfected and determinations were performed on 77 male albino rats. Determinations of plasma volume using T-1824 or I131-serum albumin in the same animal gave essentially identical results. Total blood volume was calculated as the sum of P32-red cell volume and T-1824-plasma volume and was found to be 5.75 ml/100 gm body weight in normal rats and 5.61 ml/100 gm in splenectomized rats. There was a wide variation in the Fcell values of normal rats but little in splenectomized rats. This difference was highly significant and was attributed to the presence of the spleen. The average thiocyanate space was found to be 33.0 ml and 35.8 ml/100 gm in normal and splenectomized rats, respectively.


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