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June 1, 1982AJP Heart and Circulatory Physiology

Effects of left atrial stretch in cardiac-denervated and intact conscious dogs

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Why the study?

Does left atrial stretch or volume expansion elicit different cardiovascular and renal responses in cardiac-denervated dogs compared to intact dogs?

Population

Conscious dogs with surgically denervated hearts and sham-operated control dogs

Comparison

1) Inflation of a balloon in the left atrium and… vs Sham-operated control dogs undergoing identical…

Design

Preclinical

Authors

DFDennis C. FaterUniversity of Florida
Harold D. Schultz
Harold D. SchultzHeart Failure & Transplant
WSW. D. SundetSt. Luke's-Roosevelt Hospital Center

Discussion

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Implication

Atrial stretch diuresis requires intact cardiac nerves in dogs; hypothesis-generating for human cardiorenal reflexes.

Structured PICO

Does left atrial stretch or volume expansion elicit different cardiovascular and renal responses in cardiac-denervated dogs compared to intact dogs?

P
Population
Conscious dogs with surgically denervated hearts and sham-operated control dogs
I
Intervention
1) Inflation of a balloon in the left atrium and 2) intravascular volume expansion (infusion of 6% dextran in isotonic saline, 16% of estimated blood volume)
C
Comparator
Sham-operated control dogs undergoing identical experiments
O
Outcome
Cardiovascular and renal function (left atrial pressure, heart rate, urine flow, sodium excretion, central venous pressure)surrogate

Left atrial stretch-induced diuresis and natriuresis depend on intact cardiac neural pathways, whereas volume expansion-induced responses do not.

Cite This Study

Fater et al. (1982) studied this question.

synapsesocial.com/papers/6a855e0f7fcf0fdb395e1b22https://doi.org/10.1152/ajpheart.1982.242.6.h1056
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac-renal-neural reflex plays a major role in natriuresis induced by left atrial distension1993 · 26 citations
  2. 2Reflexes elicited by acute stretch of atrial vs. pulmonary receptors in conscious dogs1982 · 29 citations
  3. 3Responses of renal hemodynamics and function to acute volume expansion in the conscious dog.1984 · 13 citations
  4. 4Renal effects of left atrial distension in dogs with chronic congestive heart failure1979 · 54 citations
  5. 5Atrial stretch increases sodium excretion independently of release of atrial peptides1986 · 124 citations