Hypertension, Vol 7, 380-385, Copyright © 1985 by American Heart Association
DR Knight, DA Kirby and SF Vatner
The effects of nitrendipine, 8 micrograms/kg/minute, were evaluated in six
conscious dogs through measurements of arterial pressure and blood flow in
the ascending aorta (cardiac output), mesenteric, renal, and iliac arteries
before and after induction of chronic perinephritic hypertension. Before
hypertension was induced, nitrendipine reduced mean arterial pressure 19
+/- 2.3% (from 95 +/- 3.2 mm Hg), decreased total peripheral resistance (60
+/- 2.6%), and increased cardiac output (108 +/- 10.5%). These values
returned to baseline within 15 to 30 minutes. Nitrendipine caused the
greatest increase in blood flow in the iliac bed (98 +/- 9.9%), an
intermediate increase in the mesenteric bed (37 +/- 3.7%), and the least
increase in the renal bed (7 +/- 2.2%). Two to six weeks after induction of
hypertension, administration of nitrendipine elicited significant (p less
than 0.01) decreases in mean arterial pressure (32 +/- 2.5% from 151 +/-
4.8 mm Hg) and total peripheral resistance (67 +/- 1.3%) compared with its
administration in normotensive dogs, while the increase in cardiac output
was not significantly changed (111 +/- 10.9%). These changes in arterial
pressure and vascular resistances also were prolonged (i.e., hemodynamics
returned to baseline after 75-90 minutes). The increase in iliac (99 +/-
16.8%) and renal (9 +/- 6.1%) blood flows after nitrendipine administration
in hypertensive dogs was similar to that found in the normotensive dogs,
but mesenteric blood flow doubled (84 +/- 8.4%). Thus, in conscious,
hypertensive dogs, nitrendipine administration appears to markedly decrease
arterial pressure and total peripheral and regional resistances, which also
require more time to return to baseline, but appears to increase blood flow
by a greater amount only in the mesenteric bed.
ARTICLES
Effects of a calcium channel blocker on cardiac output distribution in conscious hypertensive dogs
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