Regulation of Arterial Pressure in the Anephric State

Author:

COLEMAN THOMAS G.1,BOWER JOHN D.1,LANGFORD HERBERT G.1,GUYTON ARTHUR C.1

Affiliation:

1. From the Department of Physiology and Biophysics and the Department of Medicine, University of Mississippi School of Medicine, Jackson, Mississippi.

Abstract

Three anephric patients were studied during sequential periods of normal hydration and overhydration. The increase in arterial pressure caused by the overhydration (+7% of body weight) was associated with an increase in peripheral resistance (+21.1%, P < 0.01). The elevation of peripheral resistance was preceded by an increased cardiac output (+22.3%, P < 0.02) which then fell part way to control levels (+13.2%, P < 0.05). Return to normal hydration resulted in return of all variables to control levels. The fall in peripheral resistance was preceded by a transient fall in cardiac output to below control levels (—5.6%, not significant). With both normal and elevated pressures, plasma renin activity levels were low, and sensitivity to angiotensin infusion was greater than normal. Long-term autoregulation of blood flow is suggested as an important factor in the observed sequence of events.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference12 articles.

1. A dye-dilution cardiac output technique for patients with chronically implanted A-V shunts;Clin Res,1969

2. Circulatory function during chronic hemodialysis;Trans Amer Soc Intern Organs,1969

3. The Effect of Angiotensin II on the Blood Pressure in Humans with Hypertensive Disease*

4. com.atypon.pdfplus.internal.model.plusxml.impl.AuthorGroup@69bbfd43 : Long-term regulation of the circulation: Interrelationships with body fluid volumes. In Physical Bases of Circulatory Transport: Regulation and Exchange edited by EB Reeve AC Guyton. Philadelphia W. B. Saunders Co 1967

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