Hypertension, Vol 24, 49-55, Copyright © 1994 by American Heart Association
JA Bednarik and CN May
The regional hemodynamic effects of 5 days of intravenous infusion of
corticotropin (ACTH) (5 micrograms/kg per day) were examined in conscious
sheep (n = 8). Mean arterial pressure increased from 81 +/- 2 to 93 +/- 3
mm Hg (P < .001) on day 2 of ACTH and remained at this level during the
infusion. Cardiac output increased from 5.13 +/- 0.19 to 6.06 +/- 0.33
L/min (P < .01) because of an increase in stroke volume from 65 +/- 4 to
79 +/- 8 mL per beat (P < .01); heart rate remained unchanged. ACTH did
not alter total peripheral conductance but had differential effects on
regional conductances. Mesenteric conductance fell from 5.8 +/- 0.2 to a
minimum of 4.9 +/- 0.3 (mL/min)/mm Hg (P < .05), and renal conductance
increased from 3.5 +/- 0.3 to 4.6 +/- 0.3 (mL/min)/mm Hg (P < .001).
There was a small increase in iliac conductance (P < .05) and no change
in coronary conductance. Mesenteric and iliac conductances fell
progressively over 24 to 48 hours, whereas renal conductance increased
rapidly after 3 hours of ACTH, reaching a maximum after 6 hours. Renal
blood flow was increased during ACTH infusion from 278 +/- 18 to 403 +/- 23
mL/min (P < .001); mesenteric blood flow was unchanged; there was a
small increase in iliac blood flow (P < .01); and coronary blood flow
increased (P < .05), paralleling the change in cardiac output.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
Differential regional hemodynamic effects of corticotropin in conscious sheep
Howard Florey Institute of Physiology and Medicine, University of Melbourne, Parkville, Australia.
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