(Hypertension. 1998;31:139.)
© 1998 American Heart Association, Inc.
Scientific Contributions |
From the Department of Physiology and Pharmacology, University of South Dakota School of Medicine (Vermillion).
Correspondence to Douglas Martin, PhD, Department of Physiology and Pharmacology, USD School of Medicine, Vermillion, SD 57069-2390. E-mail dsmartin{at}sunflowr.usd.edu
| Abstract |
|---|
|
|
|---|
Key Words: veins blood pressure hypertension, spontaneous venous pressure
| Introduction |
|---|
|
|
|---|
The factors controlling CO are complex and include HR, cardiac contractility, preload, and afterload. However, under any given hemodynamic conditions at equilibrium, CO must equal venous return. The interdependence of CO and venous return has been clearly delineated.9 10 Venous return is governed by the resistance to and the pressure gradient for blood flow to the right atrium. All components of the cardiovascular system contribute to the control of venous return. However, because 60% to 75% of the total blood volume is contained in the veins, on a quantitative basis changes in venous capacitance play a major role in the control of venous return and CO.9 10 11 Recently, simultaneous determinations of cardiac function and venous return curves in dogs have shown that a maximal reflex change in venous capacitance could alter CO by up to 40%.12 Thus, changes in venous function have important implications for the control of CO and cardiovascular homeostasis. Accordingly, it is possible that changes in venous capacitance may contribute to the initial increases in CO observed during the development of hypertension.
A reduction in venous capacitance has been implicated in the etiology of hypertension. MCFP, an index of venous constrictor tone and blood volume, is elevated in dogs subjected to renal wrap and in the Goldblatt and SHR hypertensive models. No changes in blood volume were observed in these studies, suggesting that the elevated MCFP was due primarily to active venoconstriction.1 13 14 15 16 Decreases in both unstressed vascular volume and compliance have been recorded in these models.13 14 16 17 Venous compliance is also reduced in perinephritic hypertension in dogs18 and in essential hypertension in humans.19 20 In both animal and human hypertension, the decreases in venous capacitance occurred preferentially in the systemic veins and favored an increase in cardiopulmonary volume and CO.14 21 Thus, there is convincing evidence that venous tone is increased in various models of hypertension. However, these studies have primarily examined the established phase of hypertension. Accordingly, it is not clear whether elevations in venous tone participate in the development of hypertension or are compensatory responses to the cardiac hypertrophy and reduced diastolic cardiac distensibility associated with the established phase of hypertension.22 Recently, an increase in cardiothoracic volume has been reported in borderline hypertensive human23 consistent with the possibility that venous return is elevated in the developmental stages of hypertension. The present study was undertaken to test the hypothesis that neurogenically mediated increases in peripheral venous tone occur early in the development of hypertension in the SHR.
| Methods |
|---|
|
|
|---|
Surgeries
Two days before experimentation, the rats were
anesthetized with an intraperitoneal
injection of pentobarbital sodium (60 mg/kg) and atropine (0.4 mg/kg).
Cannulas were implanted into the left femoral artery (tygon 0.06-in OD
tipped with 28-gauge
polytetrafluoroethylene) and vein (tygon
0.06-in OD tipped with 0.04-in OD microrenathane) for the measurement
of mean arterial pressure and central venous
pressure, respectively. The venous catheter was advanced to
the thoracic portion of the inferior vena cava. A small
latex balloon was advanced into the right atrium through the right
jugular vein. Proper positioning of the balloon was determined
empirically at the time of surgery as the position at which balloon
inflation produced a rapid smooth decrease in arterial
pressure and a cessation of arterial pulsations. All
catheters were filled with heparinized saline (25 mU/mL) and
exteriorized to the nape of the neck. The rats were allowed to recover
for 48 hours during which time they were acclimatized to the
recording environment.
Measurement of MCFP
MCFP was used to estimate integrated venomotor tone. MCFP is a
reliable means of estimating the overall degree of venous tone that is
especially applicable to the conscious
animal.24 25 MCFP can be determined by
recording the final levels of FAP and FVP pressures during
brief interruptions of CO. FAP and FVP were recorded between the
fourth and fifth second after inflation of right atrial balloon (0.05
to 0.3 mL) for 5 seconds. MCFP was calculated using these FAP and FVP
values and the VAR. VAR values used in the present study were 76
for the WKY and 106 for the SHR.15 MCFP was
calculated as MCFP=FVP+(FAP-FVP)/VAR.
Protocol
Conscious rats were placed in loose-fitting Lucite cylinders.
These restrainers served only to limit the vertical movements of the
rats to reduce movement artifacts in the recording of venous
pressure. The rats were trained to the restrainers during the 48-hour
surgical recovery period. We have previously shown that use of the
restrainers does not affect measurement of MAP or
MCFP.26 The arterial and venous
catheters were connected to pressure transducers which led to an A/D
system (Biopac Systems) that interfaced with a Macintosh microcomputer
(Apple). Blood pressure signals were acquired at 50 Hz and recorded
to disk. MAP, HR, and central venous pressure were recorded
continuously. MCFP was estimated periodically by inflation of the right
atrial balloon. At least 15 minutes was allowed between
inflations, which was sufficient for blood pressures and HR
to return to preinflation values. Control measurements were taken until
MAP, HR, and MCFP remained stable (±5%). The rats were then treated
with a subcutaneous injection of chlorisondamine hydrochloride (10
mg/kg) to impair ganglionic transmission. Consistent readings
of MAP, HR, and MCFP were obtained after ganglionic blockade. The MAP,
HR, and MCFP responses to ganglionic blockade were calculated by
subtracting the postganglionic blockade values from the preganglionic
blockade values.
Data Analysis
Data are presented as mean±SEM. Absolute values for
MAP, HR, and MCFP were analyzed by two-way factorial ANOVA with
age and strain as grouping factors. The MAP, HR, and MCFP responses to
ganglionic blockade were analyzed with two-way factorial ANOVA
using age and strain as grouping factors. Bonferonnis inequality was
used as the post hoc test. Differences were considered significant at a
value of P<.05.
| Results |
|---|
|
|
|---|
|
MAP, HR, and MCFP at 8 to 10 Weeks of Age
The absolute values of MAP, HR, and MCFP for SHR and WKY at 8 to
10 weeks of age are illustrated in Fig 2.
In this age group, arterial blood pressure was 144±4
mm Hg in the SHR (n=11) and 102±3 mm Hg in the WKY (n=7). BVP
was not significantly different between SHR (0.4±0.4 mm Hg) and
WKY (-0.2±0.2 mm Hg). In contrast, MCFP averaged 7.7±0.3
mm Hg in the hypertensive rats and 6.0±0.2 mm Hg in the control
rats. HR was 379±12 bpm and 399±11 bpm in the WKY and SHR,
respectively. MAP and MCFP were significantly higher in the SHR,
whereas HR and BVP were not different between groups.
|
ANOVA indicated a significant effect of age on MAP and MCFP but not HR. In SHR, MAP and MCFP were significantly greater in 8- to 10-week-old rats compared with 4- to 6-week-old rats. In contrast, there were no age-related differences in MAP or MCFP in the normotensive WKY rats.
Effects of Autonomic Blockade
To assess the role of the autonomic nervous system in the
differences in MAP and MCFP between the SHR and WKY rats, the animals
were treated with a ganglion blocking agent, chlorisondamine
hydrochloride. In the 4- to 6-week-old rats, administration of
chlorisondamine led to a large decrease in MAP, HR, and MCFP in both
strains of rat. In the SHR, MAP decreased by 51±6 mm Hg, HR was
reduced by 106±19 bpm, and MCFP decreased by 2.7±0.4 mm Hg. In
the WKY animals, MAP decreased by 24±4 mm Hg, HR decreased by
28±15 bpm, and MCFP fell by 1.4±0.2 mm Hg. BVP fell
by -0.1±0.2 mm Hg and -0.3±0.1 mm Hg in SHR and WKY
rats, respectively. The decreases in MAP, HR, and
MCFP were significantly greater in the SHR compared with the WKY rats
(Fig 3).
|
Similarly, ganglionic blockade induced large decreases in MAP, HR, and MCFP in the 8- to 10-week-old rats (Fig 4). In this age group, MAP decreased by 54±6 mm Hg, HR was reduced by 43±14 bpm, BVP decreased by -0.3±0.3 mm Hg, and MCFP fell by 2.7±0.3 mm Hg in the SHR rats. In WKY rats, the MAP, HR, BVP, and MCFP responses to ganglionic blockade were -39±4 mm Hg, -50±16 bpm, -0.6±0.2 mm Hg, and -1.6±0.1 mm Hg, respectively. In this age group, the decrease in MCFP was significantly greater in the SHR compared with the WKY rats.
|
Autonomic blockade abolished most of the differences in MAP, HR, and MCFP between strains. In SHR of 4 to 6 weeks, MAP, HR, and MCFP averaged 79±7 mm Hg, 312±15 bpm, and 3.9±0.2 mm Hg, respectively, after ganglionic blockade. Postganglionic blockade values for MAP, HR, and MCFP in the 4- to 6-week-old WKY rats averaged 67±5 mm Hg, 351±9 bpm, and 4.0±0.3 mm Hg, respectively. These values were not significantly different statistically. After ganglionic blockade, SHR of 8 to 10 weeks of age had a MAP of 90±5 mm Hg. This value was significantly greater than the corresponding value of 63±3 mm Hg observed in age-matched WKY rats. In contrast, HR (SHR 357±8 versus WKY 329±16 bpm) and MCFP (SHR 5.0±0.3 versus WKY 4.3±0.3 mm Hg) were not different between strains after ganglionic blockade in rats of 8 to 10 weeks of age. As a whole, the results suggest that the elevated MCFP observed in the early stages of spontaneous hypertension is mediated primarily via neurogenic mechanisms.
| Discussion |
|---|
|
|
|---|
A variety of experimental evidence indicates that venous function is altered in hypertensive animals and humans. Mesenteric venules in the SHR are more depolarized than those in age-matched normotensive WKY rats.27 Venous pressure volume curves are shifted toward the pressure axis in genetic models of hypertension such as the New Zealand hypertensive rat and the SHR,28 indicating a decrease in venous compliance. Similar results have been obtained in human hypertensive subjects.19 21 Direct assessment of the integrated venomotor tone has shown that MCFP is elevated in Goldblatt hypertensive dogs29 and rats.30 Similarly, MCFP is increased in the renal wrap1 and reduced renal mass models of hypertension18 in the dog and in the SHR model of hypertension.15 16 Thus, it is clear that venous tone is elevated in hypertension. However, because most studies have examined animals in the established phase of hypertension, it is not clear whether the increased venous tone contributes to the development of high blood pressure or represents a compensatory response to maintain filling of a noncompliant heart.
The time course of venous changes associated with the development of hypertension has been examined in a few studies. In the DOCA-salt model of hypertension, MCFP was not elevated after 2 weeks of DOCA treatment but showed a trend to increase by the fifth and eighth week of treatment.31 These results suggest that elevated venous tone is not involved in the developmental stages of this form of hypertension but may play a role in the later stages of the disease. In contrast, rats subjected to one-kidney, one clip Goldblatt hypertension showed an elevation in MCFP after only 3 days of clipping. The elevated MCFP persisted for up to 28 days, suggesting that venoconstriction may be involved in both the initial and maintenance phases of hypertension.30
In the SHR, the most frequently used model of essential hypertension, MCFP is clearly elevated.15 16 However, these studies have been conducted on rats of 16 to 20 weeks of age, which represents the established phase of hypertension. To our knowledge, no previous studies have tested the hypothesis that venous tone is elevated early in the development of spontaneous hypertension. We observed that both MAP and MCFP were significantly elevated in SHR at 4 to 6 weeks of age compared with age-matched normotensive WKY rats. In addition, the differences in arterial pressure and venoconstrictor tone were exaggerated in rats of 8 to 10 weeks of age. Thus, the findings of the present study indicate that integrated venomotor tone is elevated early in the development of spontaneous hypertension.
MCFP was elevated by 1.2 mm Hg at 4 to 6 weeks of age and 1.7 mm Hg at 8 to 10 weeks of age. The magnitude of the venoconstrictor response observed in the present experiments is similar to that reported previously. MCFP was increased by 1.0 mm Hg at 16 weeks of age,16 whereas at 20 weeks of age MCFP was 1.4 mm Hg higher in the SHR compared with age-matched WKY rats.15 Indeed, the degree of venoconstriction reported to occur in hypertension is remarkably consistent across models. In perinephritic hypertensive dogs, MCFP was elevated by 1.5 mm Hg 15 days after renal wrapping, whereas at 10 months the elevation was approximately 1.7 mm Hg.1 In two-kidney, one clip Goldblatt hypertensive rats, MCFP was increased by 1.4 mm Hg compared with the sham-operated controls.13 In one-kidney, one clip hypertensive rats, MCFP was increased by 1.5 mm Hg 3 days after clipping and by 0.8 mm Hg 28 days after clipping.30 Thus, the magnitude of the MCFP elevation observed in the present studies is comparable to that reported previously in several models of hypertension. As a whole, these data suggest that an elevation in venous tone may be a common denominator in the hypertensive process.
In the present study, MCFP was calculated using venous to arterial compliance ratios of 76 and 106 for WKY and SHR, respectively. These values were reported by Samar and Coleman15 for rats of 20 weeks of age. It is possible that these values would be different in younger animals. However, it is unlikely that the use of these previously reported values significantly affected the outcome of these experiments. Samar and Coleman15 have argued convincingly that the correction factor which used the venous to arterial compliance ratio contributes relatively little to the final value of MCFP. Indeed, in the present study, the correction factor contributed approximately 0.2 mm Hg in SHR and 0.2 mm Hg in WKY to the MCFP values calculated for rats at 4 to 6 weeks of age. In the 8- to 10-week-old rats, the correction factor contributed 0.3 mm Hg and 0.3 mm Hg in SHR and WKY rats, respectively. Because these values were not significantly different and are considerably less than the differences in MCFP observed between groups, we feel that it is unlikely that the use of venous to arterial compliance ratios obtained from older rats significantly affected our observations.
It is generally accepted that venous function plays an important role in the control of venous return and CO. The elevated venous tone observed in hypertension may potentially serve two functions. It has been suggested that MCFP may increase in response to decreased cardiac compliance to maintain cardiac filling.21 However, the structural changes associated with ventricular hypertrophy and decreased ventricular compliance are not found in SHR of the age range used in the present studies.22 Alternatively, increased venous tone would increase the driving pressure for venous return and thereby increase CO. CO was not measured in the present study. However, it has been reported that CO is elevated in the early stages of spontaneous hypertension. Smith and Hutchins4 observed that cardiac index was increased by approximately 23% to 33% in the SHR between 35 and 40 days of age compared with age-matched WKY rats. Similarly, Lundin and Nordlander3 found that cardiac index was elevated at an early age in the SHR. In both these studies, TPR was not different between the two strains. Thus, the initial elevation in pressure in the SHR appeared to result from an increase in CO. Previous studies have suggested that elevations in MCFP of 2 to 3 mm Hg could potentially alter CO by up to 40%.12 Recently, in our laboratory, we have observed that interventions that raise MCFP by approximately 1 mm Hg are also associated with an increase in CO of approximately 10% to 15%.26 32 Thus, changes in MCFP can have a significant impact on CO. In the present study, we observed a difference in MCFP that ranged from 1.2 to 1.7 mm Hg, which is of sufficient magnitude to have significantly elevated CO. Collectively, these data suggest that this elevated MCFP could have contributed to the higher CO observed in the early stages of spontaneous hypertension. Thus, our findings are consistent with the hypothesis that venoconstriction plays a role in the development of spontaneous hypertension.
The mechanisms responsible for the increase in venous tone observed in
hypertension remain controversial. Neural,27
humoral,33 and structural
mechanisms19 28 have been advanced to explain the
differences in venous tone between hypertensive and normotensive
subjects. Relatively few studies have examined the role of the
autonomic nervous system in the altered venous function observed in
hypertensive subjects. Willems et al27 found that
the difference in resting membrane potential between SHR and WKY rats
was abolished by combined
-adrenergic and
ß-adrenergic blockade, a treatment that also reduced CO in
young SHR.3 Prazosin treatment partially reversed
the decreased venous compliance observed in human hypertensive
subjects.19 In the present study, we assessed
the role of neural mechanisms by treating the animals with the
ganglionic blocking agent chlorisondamine hydrochloride. In the 4- to
6-week age group the decrease in MCFP was 1.9 times as great (2.7±0.4
versus 1.4±0.2 mm Hg), whereas at 8 to 10 weeks, the decrease in
MCFP was 1.7 times that observed in the normotensive rats (2.7±0.3
versus 1.6±0.1 mm Hg). Thus, we found that impairment of
autonomic function via ganglionic blockade produced a significantly
greater fall in MCFP in the SHR compared with the normotensive WKY
rats. Moreover, the absolute values of MCFP were not significantly
different between SHR and WKY rats after ganglionic blockade. These
findings indicate that, at least in the early stages of spontaneous
hypertension, the elevated venomotor tone is mediated primarily via the
autonomic nervous system.
Ganglionic blockade with chlorisondamine also markedly affected the differences in MAP between the SHR and WKY rats. In the 4- to 6-week-old rats, MAP was slightly but not significantly elevated in the SHR compared with the WKY after ganglionic blockade. Thus, at this early stage it would seem that the elevated arterial pressures observed in the SHR are maintained primarily via increases in autonomic outflow and/or vascular responsiveness to autonomic effector systems. Moreover, because ganglionic blockade also normalized the differences in MCFP between SHR and WKY rats, this observation is consistent with the possibility that venous tone contributes significantly to the elevated arterial pressure. On the other hand, in 8- to 10-week-old rats, ganglionic blockade reduced but failed to abolish the difference in MAP between the SHR and WKY, despite abolishing the differences in MCFP between the strains. Thus, as hypertension progresses, factors other than autonomic outflow and venous tone are involved in maintaining the elevated arterial pressure.
MCFP is a function of both venous tone and blood volume. It could be argued that the elevated MCFP observed in the young SHR may be due to an increase in circulating blood volume. However, previous studies have found that blood volume is not significantly altered in SHR at this stage of development.3 Moreover, if blood volume was elevated in the SHR, MCFP should have remained significantly elevated compared with the WKY rats even after autonomic blockade. However, we observed that ganglionic blockade abolished the differences in MCFP between the SHR and WKY rats at both 4 to 6 and 8 to 10 weeks. Accordingly, it seems unlikely that the differences in MCFP were due to differences in circulating blood volumes.
In summary, the present study has demonstrated that MCFP, an index of integrated venomotor tone, is significantly elevated in SHR at 4 to 6 and 8 to 10 weeks of age compared with age-matched normotensive WKY rats. In addition, the differences in MCFP between groups are abolished by ganglionic blockade. Our findings indicate that venomotor tone increased because of increased autonomic outflow early in the development of spontaneous hypertension. This study supports the hypothesis that veins play an important role in the development of spontaneous hypertension.
| Selected Abbreviations and Acronyms |
|---|
|
| Acknowledgments |
|---|
Received April 30, 1997; first decision June 3, 1997; accepted August 12, 1997.
| References |
|---|
|
|
|---|
2. Ferrario CM, Carretero OA. Hemodynamics of experimental renal hypertension in dogs. Handbook of Hypertension: Experimental and Genetic Models of Hypertension. New York, NY: Elsevier; 1984:5480.
3. Lundin S, Nordlander M. Hemodynamics in the spontaneously hypertensive rat. Handbook of Hypertension. New York, NY: Elsevier; 1986:179198.
4. Smith T, Hutchins P. Central
hemodynamics in the developmental stage of spontaneous
hypertension in the unanesthetized rat.
Hypertension. 1979;1:508517.
5. Julius S, Egan B. Hemodynamics of hypertension. Handbook of Hypertension. New York, NY: Elsevier; 1986:153178.
6. Folkow B. Physiological aspects of
primary hypertension. Physiol Rev. 1982;62:347504.
7. Guyton AC. Dominant role of the kidneys and accessory role of whole body autoregulation in the pathogenesis of hypertension. Am J Hypertens. 1989;2:575585.[Medline] [Order article via Infotrieve]
8. Lombard JH, Hinojosa-Laborde C, Cowley AW.
Hemodynamics and microcirculatory alterations in
reduced renal mass hypertension. Hypertension. 1989;13:128138.
9. Greenway CV, Lautt WW. Blood volume, the venous system, preload, and cardiac output. Can J Physiol Pharmacol. 1986;64:383387.[Medline] [Order article via Infotrieve]
10. Guyton AC. Determination of cardiac output by equating
venous return curves with cardiac response curves. Physiol
Rev. 1955;35:123128.
11. Guyton A, Jones C, Coleman T. Circulatory Physiology: Cardiac Output and Its Regulation. Philadelphia, Pa: WB Saunders; 1973.
12. Greene AS, Shoukas AA. Changes in canine cardiac function and venous return curves by the carotid baroreflex. Am J Physiol. 1986;251:H288H296.[Medline] [Order article via Infotrieve]
13. Edmunds ME, Russell GI, Swales JD. Vascular capacitance and reversal of 2-kidney, 1 clip hypertension in rats. Am J Physiol. 1989;256:H502H507.[Medline] [Order article via Infotrieve]
14. Ricksten SE, Yao T, Thoren P. Peripheral and central vascular compliances in conscious normotensive and spontaneously hypertensive rats. Acta Physiol Scand. 1981;112:169177.[Medline] [Order article via Infotrieve]
15. Samar RE, Coleman TG. Mean circulatory filling pressure and vascular compliances in the spontaneously hypertensive rat. Am J Physiol. 1979;237:H584H589.[Medline] [Order article via Infotrieve]
16. Trippodo NC, Yamamoto J, Frolich ED. Whole-body venous
capacity and effective total tissue compliance in SHR.
Hypertension. 1981;3:104112.
17. Overbeck HW. Hemodynamics of early
experimental renal hypertension in dogs. Circ Res. 1972;31:653663.
18. Manning RD, Coleman TG, Guyton AC, Norman RA, McCaa RE. Essential role of mean circulatory filling pressure in salt induced hypertension. Am J Physiol. 1979;236:R40R47.[Medline] [Order article via Infotrieve]
19. Mark A. Structural changes in resistance and capacitance vessels in borderline hypertension. Hypertension. 1984;6:III-69-III-73.
20. Safar ME, London GM. Venous system in essential hypertension. Clin Sci. 1985;69:497504.[Medline] [Order article via Infotrieve]
21. Safar ME, London GM. Arterial and venous
compliance in sustained essential hypertension.
Hypertension. 1987;10:133139.
22. Honda M, Goto Y, Kuzuo H, Ishikawa S, Morioka S, Yamori Y, Moriyama K. Biochemical remodeling of collagen in the heart of spontaneously hypertensive rats: prominent increase in type V collagen. Jpn Circ J. 1993;57:434441.[Medline] [Order article via Infotrieve]
23. Schobel H, Schmieder R, Gatzka C, Messereli F. A centripetal shift in intravascular volume triggers the onset of early cardiac adaptation in hypertension. J. Hypertens. 1993;11:S94S95.
24. Samar RE, Coleman TG. Measurement of mean circulatory filling pressure and vascular capacitance in the rat. Am J Physiol. 1978;234:H94H100.[Medline] [Order article via Infotrieve]
25. Tripoddo NC. Total circulatory capacity in the rat.
Effects of epinephrine and vasopressin on compliance and
unstressed volume. Circ Res. 1981;49:923931.
26. Martin DS, Rodrigo MC, Egland MC, Barnes LU. Disinhibition of the hypothalamic paraventricular nucleus increases mean circulatory filling pressure in conscious rats. Brain Res. 1997;756:106113.[Medline] [Order article via Infotrieve]
27. Willems WJ, Harder DR, Contney SJ, McCubbin JW, Stekiel WJ. Sympathetic supraspinal control of venous membrane potential in spontaneous hypertension in vivo. Am J Physiol. 1982;243:C101C106.[Medline] [Order article via Infotrieve]
28. Simon G. Altered venous function in hypertensive rats.
Circ Res. 1976;38:412418.
29. Richardson T, Fermoso J, Guyton A. Increase in mean
circulatory pressure in Goldblatt hypertension. Am J
Physiol. 1964;207:751752.
30. Yamamoto J, Trippodo NC, MacPhee AA, Frolich ED. Decreased total venous capacity in Goldblatt hypertensive rats. Am J Physiol. 1981;240:H487H492.[Medline] [Order article via Infotrieve]
31. Yamamoto J, Goto Y, Nakai M, Ogino K, Ikeda M.
Circulatory pressure volume relationship and cardiac output in
DOCA-salt rats. Hypertension. 1983;5:507513.
32. Martin DS, Haywood JR. Hemodynamic responses to paraventricular nucleus disinhibition with bicuculline in the conscious rat. Am J Physiol. 1993;265:H1727H1733.[Medline] [Order article via Infotrieve]
33. Borghi C, Boschi S, Costa FV, Ambrosioni E. Pattern of peripheral venous response to volume expansion in borderline systemic hypertension. Am J Cardiol. 1990;66:597602.[Medline] [Order article via Infotrieve]
This article has been cited by other articles:
![]() |
R. Frithiof, R. Ramchandra, S. Hood, C. May, and M. Rundgren Hypothalamic paraventricular nucleus mediates sodium-induced changes in cardiovascular and renal function in conscious sheep Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2009; 297(1): R185 - R193. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. D. Fink Sympathetic Activity, Vascular Capacitance, and Long-Term Regulation of Arterial Pressure Hypertension, February 1, 2009; 53(2): 307 - 312. [Full Text] [PDF] |
||||
![]() |
E. P. Delaney, C. N. Young, A. DiSabatino, M. E. Stillabower, and W. B. Farquhar Limb venous tone and responsiveness in hypertensive humans J Appl Physiol, September 1, 2008; 105(3): 894 - 901. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Szasz, J. M. Thompson, and S. W. Watts A comparison of reactive oxygen species metabolism in the rat aorta and vena cava: focus on xanthine oxidase Am J Physiol Heart Circ Physiol, September 1, 2008; 295(3): H1341 - H1350. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Xu, G. D. Fink, and J. J. Galligan Increased sympathetic venoconstriction and reactivity to norepinephrine in mesenteric veins in anesthetized DOCA-salt hypertensive rats Am J Physiol Heart Circ Physiol, July 1, 2007; 293(1): H160 - H168. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Thakali, L. Davenport, G. D. Fink, and S. W. Watts Cyclooxygenase, p38 Mitogen-Activated Protein Kinase (MAPK), Extracellular Signal-Regulated Kinase MAPK, Rho Kinase, and Src Mediate Hydrogen Peroxide-Induced Contraction of Rat Thoracic Aorta and Vena Cava J. Pharmacol. Exp. Ther., January 1, 2007; 320(1): 236 - 243. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. J. King and G. D. Fink Chronic Low-Dose Angiotensin II Infusion Increases Venomotor Tone by Neurogenic Mechanisms Hypertension, November 1, 2006; 48(5): 927 - 933. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Thakali, L. Davenport, G. D. Fink, and S. W. Watts Pleiotropic Effects of Hydrogen Peroxide in Arteries and Veins From Normotensive and Hypertensive Rats Hypertension, March 1, 2006; 47(3): 482 - 487. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Dubroca, D. You, B. I. Levy, L. Loufrani, and D. Henrion Involvement of RhoA/Rho Kinase Pathway in Myogenic Tone in the Rabbit Facial Vein Hypertension, May 1, 2005; 45(5): 974 - 979. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. A. Perez-Rivera, G. D. Fink, and J. J. Galligan Increased Reactivity of Murine Mesenteric Veins to Adrenergic Agonists: Functional Evidence Supporting Increased {alpha}1-Adrenoceptor Reserve in Veins Compared with Arteries J. Pharmacol. Exp. Ther., January 1, 2004; 308(1): 350 - 357. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Li, S. W. Watts, A. K. Banes, J. J. Galligan, G. D. Fink, and A. F. Chen NADPH Oxidase-Derived Superoxide Augments Endothelin-1-Induced Venoconstriction in Mineralocorticoid Hypertension Hypertension, September 1, 2003; 42(3): 316 - 321. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. S. Martin, N. P. Breitkopf, K. M. Eyster, and J. L. Williams Dietary soy exerts an antihypertensive effect in spontaneously hypertensive female rats Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2001; 281(2): R553 - R560. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Varbiro, Z. Vajo, G. L. Nadasy, E. Monos, N. Acs, and B. Szekacs Hormone Replacement Reduces Elevated In Vivo Venous Tone in Hypertensive Ovariectomized Rats Reproductive Sciences, April 1, 2001; 8(2): 98 - 103. [Abstract] [PDF] |
||||
![]() |
G. D. Fink, R. J. Johnson, and J. J. Galligan Mechanisms of Increased Venous Smooth Muscle Tone in Desoxycorticosterone Acetate-Salt Hypertension Hypertension, January 1, 2000; 35(1): 464 - 469. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Hypertension Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search Copyright © 1998 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. |