THE NATURE OF THE RENAL CIRCULATORY CHANGES IN CHRONIC CONGESTIVE FAILURE AS REFLECTED BY RENAL TUBULAR MAXIMAL FUNCTIONS 12

Abstract
In a group of patients in congestive heart failure of rheumatic origin and uncomplicated by renal disease, the characteristically reduced glomerular filtration rates and renal plasma flows were accompanied by normal maximal tubular capacities for the excretion of para-amino-hippurate and the reabsorption of glucose. It was concluded that there is a diffuse reduction of blood flow throughout the kidneys, and that the possibility of significant intrarenal redistribution of blood is excluded. The relationship of these findings to the Na and water retention of congestive failure was discussed.