Key result
Angiotensin II keeps CVP lower than PVP in rats, indicating CVP incompletely reflects total venous tone.
Mean circulatory filling pressure measured via CVP may not accurately reflect total body venous tone in anesthetized, surgically stressed subjects.
CVP may underestimate total venous tone in anesthetized models; leaves open its reliability for mean circulatory filling pressure assessment in other states.
The mean circulatory filling pressure technique has been used to assess total body venous tone. It involves measuring central venous pressure (CVP) at 5-8 s following circulatory arrest. This study examines if CVP and portal venous pressure (PVP) equilibrate when circulation is stopped by inflating a balloon implanted in the right atrium. CVP and PVP were measured in the control condition and after intravenous bolus injections of norepinephrine (NE, 1.6 microgram/kg), angiotensin II (ANG II, 1.3 microgram/kg), and isoproterenol (Iso, 0.5 microgram/kg) in conscious and pentobarbital-anesthetized rats. In conscious rats, CVP was similar to PVP after circulatory arrest under conditions of normal, elevated, or reduced vascular tone. In anesthetized rats, CVP was similar to PVP in the control condition and after intravenous bolus injection of NE and Iso but was less than PVP after the administration of ANG II. Therefore, mean circulatory filling pressure may not fully reflect total body venous tone in anesthetized, surgically stressed rats.
No takes yet. Share an insight, caveat, or question.
Tabrizchi et al. (1993) studied this question. Circulatory arrest via right atrial balloon inflation with vasoactive drugs vs. Control condition was evaluated on Equilibration of central venous pressure (CVP) and portal venous pressure (PVP). In anesthetized rats, central venous pressure was less than portal venous pressure after angiotensin II administration during circulatory arrest, indicating it may not fully reflect total venous tone.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: