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Departments of Physiology and Biophysics/Medicine, University of Calgary, Calgary, Alberta, Canada T2N 4N1
To investigate the
role of renal sympathetic nerves in modulating cardiovascular and
endocrine responses to hemorrhage early in life, we carried out three
experiments in conscious, chronically instrumented lambs with intact
renal nerves (intact; n = 8)
and with bilateral renal denervation (denervated;
n = 5). Measurements were made 1 h
before and 1 h after 0, 10, and 20% hemorrhage. Blood pressure
decreased transiently after 20% hemorrhage in intact lambs and
returned to control levels. In denervated lambs, however, blood
pressure remained decreased after 60 min. After 20% hemorrhage, heart
rate increased from 170 ± 16 to 207 ± 18 beats/min in intact lambs but not in denervated lambs, in which basal heart rates were
already elevated to 202 ± 21 beats/min. Despite an elevated plasma
renin activity (PRA) measured in denervated (12.0 ± 6.4 ng ANG
I · ml
1 · h
1)
compared with intact lambs (4.0 ± 1.1 ng ANG
I · ml
1 · h
1),
the increase in PRA in response to 20% hemorrhage was similar in both
groups. Plasma levels of arginine vasopressin increased from 11 ± 8 to 197 ± 246 pg/ml after 20% hemorrhage in intact lambs but
remained unaltered in denervated lambs from baseline levels of 15 ± 10 pg/ml. These observations provide evidence that in the newborn,
renal sympathetic nerves modulate cardiovascular and endocrine
responses to hemorrhage.
arginine vasopressin; plasma renin activity; blood pressure; heart rate; renal blood flow; renal vascular resistance; neonate; blood loss; blood volume
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