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Enhanced total peripheral vascular responsiveness in hypertension accords with the amplifier hypothesis

 

作者: Christine Wright,   James Angus,  

 

期刊: Journal of Hypertension  (OVID Available online 1999)
卷期: Volume 17, issue 12  

页码: 1687-1696

 

ISSN:0263-6352

 

年代: 1999

 

出版商: OVID

 

关键词: average radius;hypertension;total peripheral resistance;vascular amplifier

 

数据来源: OVID

 

摘要:

BackgroundIncreases in vascular resistance (or the reciprocal, vascular conductance) in response to constrictor drugs are amplified (or attenuated) in the hindquarter vascular bed of hypertensive rats and rabbits. However, such changes have not been observed for the total peripheral circulation.ObjectiveTo assess whether the vascular amplifier applies to the total peripheral circulation in conscious hypertensive rabbits.MethodsRabbits were implanted with a flow probe for measuring cardiac output, a left atrial catheter for infusing dilator (adenosine) and constrictor (methoxamine) drugs, and ear artery and vein catheters for measuring mean arterial pressure (MAP) and for giving ganglion blockade. Data from full dose-total peripheral resistance (TPR) or total peripheral conductance (TPC) response curves to adenosine and methoxamine were combined into a logistic function extending from near full dilatation to near maximum constriction.ResultsChanges in MAP induced by methoxamine and adenosine were markedly greater in the ‘wrap’ rabbits (those with renal cellophane wrapping) compared with the sham animals. In the ‘wrap’ rabbits, the slopes and ranges of the adenosine-TPR response curve and the methoxamine-TPC response curve were 200% and 60%, respectively, of sham values. These data show that TPR changes are amplified, and TPC changes attenuated, to dilator and constrictor stimuli. The relationship between dose-average vascular radius (&OV0401;; based on Poiseuille's law) over the full range of vascular tone showed that &OV0401; was narrower in hypertension, but, in contrast to TPR, the degree of narrowing was almost the same between maximum dilatation and constriction.ConclusionThe total peripheral circulation in experimental hypertension is a TPR amplifier, or TPC attenuator, in the rabbit, consistent with well-established data in the major vascular beds.

 

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