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March 1, 1989Journal of Hypertension

Histometric assessment of renal arterioles during DOCA and post-DOCA hypertension and hydralazine treatment in rats

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Key result

Hydralazine prevents DOCA-induced hypertension and vascular remodeling, offsetting a ~45% rise in blood pressure.

Why the study?

Structural changes in resistance vessels contribute to long-term maintenance of hypertension, but the time course of these changes during DOCA hypertension and after cessation was not fully characterized.

Does hydralazine prevent structural changes in renal arterioles in a rat model of DOCA-induced hypertension?

Population

Wistar rats undergoing DOCA treatment and post-DOCA period

Comparison

DOCA treatment vs control and DOCA plus hydralazine vs control

Design

Histometric assessment of renal arterioles in a preclinical study

Follow-up

Up to 10 weeks treatment plus 10 weeks post-DOCA

Authors

JVJH VialUniversity of TasmaniaGBGraham W. BoydUniversity of Tasmania

Discussion

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Implication

Animal data on resistance vessel remodeling in DOCA hypertension remain hypothesis-generating; human studies needed before clinical relevance.

Structured PICO

Does hydralazine prevent structural changes in renal arterioles in a rat model of DOCA-induced hypertension?

P
Population
Wistar rats subjected to DOCA hypertension and hydralazine treatment for up to 10 weeks.
I
Intervention
Deoxycorticosterone acetate (DOCA) treatment for 10 weeks, followed by cessation for 5-10 weeks, or DOCA + hydralazine
C
Comparator
Control rats
O
Outcome
Blood pressure and structural changes in renal arterioles (medial area to internal elastic lamina radius ratio, wall to lumen ratio, intimal area to IEL radius ratio)surrogate

Main Result

Absolute Event Rate: 192% vs 132%

Prevention of hypertension with hydralazine in DOCA-treated rats largely prevents structural changes in renal arterioles, supporting the role of blood pressure in driving these vascular changes.

Cite This Study

Vial et al. (1989) studied Hypertension. Deoxycorticosterone acetate (DOCA) and hydralazine vs. Controls was evaluated on Blood pressure. DOCA treatment in Wistar rats increased blood pressure to 192 mmHg compared with 132 mmHg in controls at 10 weeks, while hydralazine prevented both hypertension and structural changes.

synapsesocial.com/papers/6ab8b45f4700c8bce95bf06bhttps://doi.org/10.1097/00004872-198903000-00006

Topics

Hypertension management
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Also Consider

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

  1. 1Afferent arteriolar diameter in DOCA-salt and two-kidney one-clip hypertensive rats1983 · 20 citations
  2. 2Vascular Reactivity in Post-Deoxycorticosterone Hypertension in Rats and its Relation to ‘Irreversible’ Hypertension in Man1972 · 17 citations
  3. 3Respective role of humoral factors and blood pressure in aortic remodeling of DOCA hypertensive rats1996 · 20 citations
  4. 4Effect of Antihypertensive Therapy on Renal Artery Structure in Type 2 Diabetic Rats With Hypertension2001 · 13 citations
  5. 5Arterial pressure-urinary output relationship in DOCA-saline hypertensive rats1983 · 16 citations