Kaczmarczyk G, Eigenheer F, Gatzka M, Kuhl U, Reinhardt H W
Pflugers Arch. 1978 Jan 31;373(1):49-58. doi: 10.1007/BF00581149.
Conscious dogs were used to study whether changes in total renal hemodynamics are responsible for diuresis and natriuresis during an experimental increase in left atrial pressure (LAP). To ensure a controlled dietary sodium intake, the dogs (n = 8) were chronically kept on a high or a low sodium intake diet (HSI; LSI). After the dogs had completely recovered from surgery (carotid loop, thoracotomy, flank incision), LAP was increased by about 10 cm H2O for 60 min by tightening a purse string around the mitral annulus (51 expts.). Mean urine volume (V) increased in both groups to a comparable degree. Mean sodium excretion increased somewhat more in HSI dogs, but remained elevated in LSI dogs after the LAP increase. Renal blood flow (electromagnetic flow transducer) and inulin clearance did not change. Renal vascular resistance (RVR) increased by about 20% (HSI) and 15% (LSI). --When the induced LAP INCREASE WAS TERMINATED, V decreased. RVR decreased in HSI dogs by about -11% and in LSI dogs by about -6% below control values. --It is concluded that volume regulatory mechanisms induced by an experimental LAP increase operate independently of changes in total renal blood flow.
使用清醒犬来研究在实验性增加左心房压力(LAP)期间,肾总血流动力学的变化是否是导致利尿和利钠的原因。为确保饮食中钠摄入量得到控制,将犬(n = 8)长期维持在高钠或低钠摄入饮食(HSI;LSI)状态。在犬从手术(颈动脉袢、开胸术、侧腹切口)完全恢复后,通过收紧二尖瓣环周围的荷包缝线使LAP增加约10 cm H2O,持续60分钟(51次实验)。两组的平均尿量(V)均有相似程度的增加。HSI组犬的平均钠排泄量增加幅度稍大,但在LAP增加后,LSI组犬的平均钠排泄量仍保持升高。肾血流量(电磁血流传感器)和菊粉清除率未发生变化。肾血管阻力(RVR)在HSI组增加约20%,在LSI组增加约15%。——当诱导的LAP增加终止时,V降低。HSI组犬的RVR比对照值降低约-11%,LSI组犬的RVR比对照值降低约-6%。——得出的结论是,实验性LAP增加所诱导的容量调节机制独立于肾总血流的变化而发挥作用。