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Cleveland Clinic Journal of Medicine

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    Atrial natriuretic factor and catecholamine levels during exercise in patients with and without coronary artery disease
    Benjamin D. Robalino, MD, Richard W. Petrella, MD, Ernesto E. Salcedo, MD, Raymundo T. Go, MD and Emmanuel L. Bravo, MD
    Cleveland Clinic Journal of Medicine November 1991, 58 (6) 493-499;

    In coronary artery disease, exercise-induced myocardial ischemia does not produce further release of ANF, suggesting that the cause of ANF release is not ischemia itself, but left ventricular dysfunction leading to increases in intracardiac pressures.

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