Hypertension, Vol 2, 326-332, Copyright © 1980 by American Heart Association
RJ Grekin, JM Terris and DF Bohr
Balances of sodium, potassium, and water were studied in the growing male
pig as hypertension developed in response to subcutaneous implantation of
deoxycorticosterone acetate (DOCA). Serum sodium, potassium,
deoxycorticosterone (DOC), aldosterone, and plasma renin activity (PRA)
were determined. These variables were observed in a total of 10
experimental and nine control pigs. All animals were uninephrectomized and
fed a diet of Purina Pig Chow and tap water ad libitum. No salt was added
to the food or water. Serum DOC levels rose dramatically on the day of the
implantation, then gradually declined but remained approximately 10 times
greater than control levels 40 days after implant. Plasma renin activity
was suppressed rapidly and completely, whereas aldosterone fell only slowly
to about half its control value. Sodium retention was maximum during the
first 24 hours. Therefore an "escape" process became operative, causing
sodium balance to return to normal after the third day, at which time the
major rise in arterial pressure occurred. A marked increase in water
turnover (intake and output) also began after the third day and persisted
throughout the experimental period. Water balance remained normal during
this period of increased turnover. Hypokalemia developed in the absence of
kaliuresis, suggesting that potassium moved into the cells. Except for the
potassium retention, these changes parallel the abnormalities seen in other
states of mineralocorticoid excess.
ARTICLES
Electrolyte and hormonal effects of deoxycorticosterone acetate in young pigs
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