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March 1, 1968Canadian Journal of Physiology and Pharmacology39 citations

The role of afferents from the low-pressure system in the release of antidiuretic hormone during non-hypotensive hemorrhage

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JHJames P. HenryHuntington HospitalPGPURSHOTIM D. GUPTAUniversity of Southern CaliforniaJMJohn P. MeehanUniversity of California, Davis

Key Result

Acute non-hypotensive hemorrhage of 10-20% blood volume sharply reduced atrial stretch receptor firing and significantly increased blood ADH levels in conscious animals.

Key Points

  • To investigate whether afferent signals from low-pressure atrial stretch receptors mediate antidiuretic hormone release during non-hypotensive blood volume loss.
  • Assessed 11 conscious animals instrumented with femoral vessel catheters during acute moderate hemorrhage of 10% to 20% estimated blood volume.
  • Recorded afferent impulse traffic from systemic high-pressure and low-pressure atrial stretch receptors alongside plasma antidiuretic hormone levels.
  • Blood volume loss of 10% to 20% sharply decreased afferent impulse flow from low-pressure atrial stretch receptors while high-pressure systemic receptor firing remained unaffected.
  • Plasma antidiuretic hormone concentrations demonstrated significant increases in most animals following the reduction in atrial receptor signaling.
  • Decreased low-pressure receptor activity correlated with non-hypotensive tachycardia and altered renal function.

Structured PICO

Does non-hypotensive hemorrhage affect atrial stretch receptor firing and ADH release in conscious animals?

P
Population
11 conscious animals subjected to acute non-hypotensive blood volume loss to study cardiovascular and fluid volume regulation.
I
Intervention
Non-hypotensive hemorrhage (loss of 10-20% of estimated blood volume)
C
Comparator
Baseline (pre-hemorrhage state)
O
Outcome
Atrial stretch receptor firing and blood antidiuretic hormone (ADH) levelssurrogate

Non-hypotensive hemorrhage reduces atrial stretch receptor firing and increases ADH release, highlighting the role of the low-pressure system in fluid volume regulation.

Abstract

Moderate hemorrhage insufficient to reduce seriously the pulse pressure, had no effect on the total flow of afferent impulses per unit time from stretch receptors of the high-pressure system (systemic circulation). However, it sharply reduced the flow from the atrial receptors of the low-pressure system (lesser circulation). Thus acute non-hypotensive blood volume loss permits a differentiation between the effects of the stretch receptors in the two divisions of the cardiovascular system. Eleven conscious animals were trained to lie quietly with catheters in the femoral vessels. The loss of no more than 10–20% of the estimated blood volume led to a sharp drop in atrial stretch receptor firing. Measurements of blood ADH showed variable increases which in most cases were to significant levels. Other aspects of cardiovascular and fluid volume regulation were affected by changes in firing of stretch receptors in the low-pressure system. They include the tachycardia of non-hypotensive hemorrhage and changes in kidney function with atrial distension.

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Cite This Study

Henry et al. (1968) studied Non-hypotensive hemorrhage (n=11). Acute non-hypotensive hemorrhage was evaluated on Atrial stretch receptor firing and blood ADH levels. Acute non-hypotensive hemorrhage of 10-20% blood volume sharply reduced atrial stretch receptor firing and significantly increased blood ADH levels in conscious animals.

synapsesocial.com/papers/6a6562bc3c2ad2520439c00dhttps://doi.org/10.1139/y68-048
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