Why the study?
Does reversal of renal hypertension restore normal baroreceptor heart rate reflex function in rabbits?
Does reversal of renal hypertension restore normal baroreceptor heart rate reflex function in rabbits?
Renal hypertension induces functional, completely reversible changes in the baroreceptor-heart rate reflex in a rabbit model.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating in a rabbit model; leaves open whether renal hypertension reversal restores baroreflex function in humans.
The baroreceptor heart rate reflex was studied in 26 renal hypertensive and 17 normotensive rabbits and in 13 rabbits after reversal of hypertension. Blood pressure and heart rate were varied by bolus injections of methoxamine or nitroglycerine in conscious rabbits, and a logistic sigmoid function was fitted to the pressure-heart rate data to estimate upper and lower heart rate plateaus, median blood pressure, and reflex sensitivity. In hypertensive rabbits, resetting of the blood pressure-heart rate curves to higher pressures was associated with reduced reflex sensitivity, increased lower heart rate plateau, and operating pressures significantly greater than the region of maximum reflex sensitivity, resulting in substantial attenuation of reflex bradycardia in response to hypertension. Reflex bradycardia after smoke inhalation was normal. Reversing the hypertension completely reversed the abnormalities in baroreflex control of heart rate. Renal hypertension in the rabbit produces functional changes that are completely reversible in the baroreceptor-heart rate reflex, probably in the afferent limb.
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P. Fletcher (1984) studied this question.
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