Hypertension, Vol 8, 990-996, Copyright © 1986 by American Heart Association
SL Linas and R Marzec-Calvert
The hemodynamic effect of moderate K+ depletion in hypertension is unknown.
Since severe K+ depletion reduces systemic vascular resistance in
normotensive rats, we determined the effect of K+ depletion on the natural
history of hypertension in spontaneously hypertensive rats (SHR).
Wistar-Kyoto rats (WKY) and SHR were fed a K+-replete, a moderately
K+-depleted, or a severely K+-depleted diet. After 6 weeks, systemic
vascular resistance was reduced by 25% in WKY on the severely K+-depleted
diet while mean arterial pressure and systemic vascular resistance were
comparable in WKY on the other two diets. In SHR on the severely
K+-depleted diet for 6 weeks, muscle K+ was reduced by 23% and growth rate
by 65%. In SHR on the moderately K+-depleted diet, growth rate was reduced
by 23% after 3 weeks. By 6 weeks, however, muscle K+ was reduced by 5 to 6%
and growth rate was comparable to that in SHR receiving the K+-replete
diet. The administration of either K+-depleted diet prevented the
development of hypertension (systolic blood pressure: severely depleted,
116 +/- 4; moderately depleted, 122 +/- 3; K+-replete, 155 +/- 5 mm Hg; p
less than 0.001 compared with both K+- depleted groups) and reversed
established hypertension (systolic blood pressure: severely depleted, 116
+/- 4; moderately depleted, 128 +/- 3; K+-replete, 171 +/- 5 mm Hg; p less
than 0.001 compared with both K+- depleted groups). The protective effect
of K+ depletion was mediated by a 40% reduction in systemic vascular
resistance. These results suggest that K+ depletion has a potent
antihypertensive effect in SHR.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Potassium depletion ameliorates hypertension in spontaneously hypertensive rats
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