Young D B, Murray R H, Bengis R G, Markov A K
Am J Physiol. 1980 Sep;239(3):H391-8. doi: 10.1152/ajpheart.1980.239.3.H391.
The mechanisms by which angiotensin II (AII) produces hypertension was studied in a group of 13 large dogs maintained on a Na intake of 200 meq/day. AII was infused at 10 ng x kg-1 x min-1 iv for 8 days. Arterial pressure increased from the control level of 98 +/- 3 to 160 +/- 7 mmHg and cardiac output fell significantly from the control value of 3.4 +/- 0.2 to 2.4 +/- 0.2 and 2.6 +/- 0.1 l/min on the 5th and 8th days of AII infusion. Mean circulatory filling pressure (MCFP) rose from the control mean of 9.5 +/- 0.5 to 11.6 +/- 0.9 (P < 0.05) and 12.6 +/- 0.6 mmHg (P ¿ 0.05) on the 5th and 8th day of infusion. On the 1st day of AII infusion, approximately 70 meq Na was retained; this retention persisted until the 4th day, when a marked natriuresis returned the dogs to Na balance. 22Na space increased slightly (P < 0.05) during the early part of the study, but fell back to the control level by the 5th day of infusion. Blood volume was unchanged throughout the study. The marked increase observed in MCFP with unchanged blood volume indicates that the unstressed volume or compliance of the circulatory system must have decreased. In this form of hypertension, the increase in arterial pressure was achieved without volume expansion and cardiac output elevation, but with large initial increases in arterial and venous vascular tone.
在一组每日钠摄入量为200毫当量的13只大型犬中,研究了血管紧张素II(AII)导致高血压的机制。以10纳克·千克⁻¹·分钟⁻¹的速度静脉输注AII,持续8天。动脉血压从98±3 mmHg的对照水平升至160±7 mmHg,在心输出量在AII输注的第5天和第8天从3.4±0.2升/分钟的对照值显著降至2.4±0.2升/分钟和2.6±0.1升/分钟。平均循环充盈压(MCFP)在输注的第5天和第8天从9.5±0.5 mmHg的对照平均值升至11.6±0.9 mmHg(P<0.05)和12.6±0.6 mmHg(P<0.05)。在AII输注的第1天,约70毫当量的钠被潴留;这种潴留一直持续到第4天,此时明显的利钠作用使犬恢复钠平衡。在研究早期,²²Na空间略有增加(P<0.05),但在输注第5天时回落至对照水平。在整个研究过程中血容量未变。在血容量不变的情况下观察到MCFP显著增加,这表明循环系统的无应激容量或顺应性必定降低。在这种高血压形式中,动脉血压升高是在没有容量扩张和心输出量升高的情况下实现的,但动脉和静脉血管张力最初大幅增加。