Krieger E M, Brenes J R, Salgado H C, Assan C J, Salgado M C
Acta Physiol Lat Am. 1977;27(2):49-58.
Hemodynamic studies in unanesthetized rats with chronic one-kidney-Goldblatt hypertension showed a 25% increase in cardiac output and a 42% increase in peripheral resistance. Removal of renal artery constriction under either anesthesia and minor surgical trauma produced an immediate 20% drop in arterial pressure. At the end of the 6 observation period the pressure dropped 30% but still remained at a moderate hypertensive level. The hemodynamic measurement at that time suggested that the pressure drop was the result of a decrease in cardiac output. However, the data obtained 1 hour after removal of the constriction suggested that a vasodilating mechanism may also contribute to pressure normalization in the early phase of reversal of renal hypertension. In the sham-operated hypertensive rats the pressure remained unchanged, while the cardiac output dropped due to compensation by a proportional increase in peripheral resistance. In contrast, in the unclipped animals the same drop in cardiac output produced an equivalent fall in pressure because no change in peripheral resistance occurred. This was not due to an insufficiency of the baroreceptor reflex since bilateral splanchnicectomy performed at that time produced a striking hypotensive response, indicating an overactivity of the sympathetic system possibly due to the baroreceptor still reset to operate at a hypertensive level.
对患有慢性单肾- Goldblatt高血压的未麻醉大鼠进行的血流动力学研究表明,心输出量增加25%,外周阻力增加42%。在麻醉和轻微手术创伤下解除肾动脉狭窄会使动脉压立即下降20%。在6个观察期结束时,血压下降了30%,但仍维持在中度高血压水平。当时的血流动力学测量表明,血压下降是心输出量减少的结果。然而,解除狭窄1小时后获得的数据表明,血管舒张机制可能也有助于肾性高血压逆转早期的血压正常化。在假手术的高血压大鼠中,血压保持不变,而心输出量因外周阻力成比例增加的代偿作用而下降。相比之下,在未夹闭肾动脉的动物中,相同的心输出量下降导致血压同等程度下降,因为外周阻力没有变化。这并非由于压力感受器反射不足,因为此时进行双侧内脏神经切除术会产生显著的降压反应,表明交感神经系统活动过度,这可能是由于压力感受器仍重置为在高血压水平起作用。