(Hypertension. 1997;29:1199-1203.)
© 1997 American Heart Association, Inc.
Articles |
From the Division of Hypertension, University Hospital, Lausanne, Switzerland.
Correspondence to Daniel Hayoz, Division of Hypertension, CHUV, CH-1011 Lausanne, Switzerland. E-mail daniel.hayoz{at}chuv.hospvd.ch
Abstract Distensibility of the carotid artery is not altered 2 weeks after renal artery clipping despite adaptive vascular hypertrophy related to hypertension. The purpose of this study was to assess arterial wall behavior with hypertension persisting for a longer period. Male Wistar rats were examined 1, 5, 9, and 24 weeks after renal artery clipping (two-kidney, one clip renal hypertension; n=40) or after sham operation (n=39). Mean blood pressure increased significantly to 132±4, 143±4, 153±4, and 144±4 versus 98±2, 107±2, 115±3, and 108±3 mm Hg, respectively, in 1-, 5-, 9-, and 24-week hypertensive rats and age-matched controls. Cardiac and vascular hypertrophy increased in parallel and were correlated to mean blood pressure. Wall stress at mean blood pressure did not differ between the hypertensive and normotensive groups (3.79±0.24, 4.60±0.34, 4.49±0.27, and 4.14±0.28 versus 3.15±0.12, 4.14±0.25, 4.80±0.28, and 4.69±0.32 103 dyne/cm2, respectively, in 1-, 5-, 9-, and 24-week hypertensive rats and age-matched controls). Distensibility-pressure data from the two groups fell on a common curve for all study periods. The intrinsic properties of the wall constituents were similar in controls and hypertensive rats at 1 and 5 weeks. However, the arteries became stiffer in the 9- and 24-week hypertensive rats, as illustrated by a shift to higher levels of the incremental elastic modulusstress curve. Wall stress remains constant at mean blood pressure as a result of the increase in wall tissue mass. With time, even though the distensibility-pressure curve is not shifted downward, the thickened wall becomes stiffer in the hypertensive rats, which may predispose them to accelerated alterations of the wall material.
Key Words: hypertrophy hypertension, renovascular ultrasonography
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