THE RELATIVE IMPORTANCE OF DIETARY SODIUM CHLORIDE AND WATER INTAKE IN CARDIAC EDEMA
Authors: L W GORHAM, D E LESTER
Journal: Annals of Internal Medicine (1947)

Article1 October 1947THE RELATIVE IMPORTANCE OF DIETARY SODIUM CHLORIDE AND WATER INTAKE IN CARDIAC EDEMAL. W. GORHAM, M.D., D. E. LESTER, M.D., A. V. WOLF, Ph.D., H. H. SHULTZ, M.D.L. W. GORHAM, M.D.Search for more papers by this author, D. E. LESTER, M.D.Search for more papers by this author, A. V. WOLF, Ph.D.Search for more papers by this author, H. H. SHULTZ, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-27-4-575 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe restriction of sodium chloride intake has been recognized for many years as essential in the treatment of cardiac edema. A diminished renal excretion of sodium and water is the primary factor in the production of edema according to Warren and Stead,1rather than increased venous pressure. Karrell's2once popular regimen of 800 c.c. of milk with no other food or fluid contained approximately 1.0 gm. of sodium chloride. In many hospitals at the present time, the "cardiac general" diet restricts the sodium chloride intake to a minimum of 3.0 gm. and customarily fluids are limited to 1500 c.c. daily....Bibliography1. WARRENSTEAD JVEA: Fluid dynamics in chronic congestive heart failure, Arch. Int. Med., 1944, lxxiii, 138-147. CrossrefGoogle Scholar2. KARRELL P: De la cure de lait, Arch. gen. de med., 1866, Vol. 128, O. S., Series 6, Vol. 8, 513-533. Google Scholar3. SCHROEDER HA: Studies on congestive heart failure. I. The importance of restriction of salt as compared to water, Am. Heart Jr., 1941, xxii, 141-153. CrossrefGoogle Scholar4. SCHEMM FR: A high fluid intake in the management of edema, especially cardiac edema. I. The details and basis of the regime, Ann. Int. Med., 1942, xvii, 952-969. LinkGoogle Scholar5. 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MACKAYBUTLER EMAM: Studies of sodium and potassium metabolism. The effect of potassium on the sodium and water balances in normal subjects and patients with Bright's disease, Jr. Clin. Invest., 1935, xiv, 923. CrossrefGoogle Scholar12. FUTCHERSCHROEDER PHHA: Studies on congestive heart failure. II. Impaired renal excretion of sodium chloride, Am. Jr. Med. Sci., 1942, cciv, 52. CrossrefGoogle Scholar13. WOLF AV: The dehydrating effect of continuously administered water, Am. Jr. Physiol., 1945, cxliii, 567. CrossrefGoogle Scholar14. WOLF AV: The retention and excretion of continuously administered salt solutions, ibid., cxliii, 572. Google Scholar15. WOLF AV: Renal regulation of water and some electrolytes in man, with special reference to their relative retention and excretion, ibid., cxlviii, 54. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Albany, New York*Presented in abstract form at the Atlantic City meeting of the Association of American Physicians May 7, 1947.From the Departments of Medicine and Physiology, Albany Medical College, Union University, Albany, N. Y.This study was aided by a grant from the Winthrop Chemical Co., Rensselaer, N. Y.*The use of salt-free bread is essential; two analyses of ordinary bread showed 4.9 m.eq. of sodium per slice. Neo-curtesal (Winthrop Chemical Co.) has in some cases been helpful as a salt substitute after patients left the hospital. This product contains no sodium. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHerzinsuffizienzOn the neglected role of water and potassium in cardiovascular therapyTherapie der HerzinsuffizienzBody fluid alterations during the development of and recovery from hyponatremia in heart failureElectrolyte and Fluid Disturbances in Congestive Heart FailurePresent Day Treatment of Congestive Heart FailureSome Applications of Ion exchange Resins to Medical Problems†Congestive heart failure of renal originWater Balance in Heart and Kidney Disease as Related to Edema and OliguriaDietary Management in Heart Disease with Particular Reference to Congestive Cardiac FailureLow salt diets and arterial hypertension 1 October 1947Volume 27, Issue 4Page: 575-583KeywordsBreadChemical analysisDietEdemaExcretionFoodMilkSaltsSodiumSodium chloride Issue Published: 1 October 1947 PDF downloadLoading ...