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Am J Physiol Heart Circ Physiol 290: H1503-H1509, 2006. First published November 18, 2005; doi:10.1152/ajpheart.00970.2005
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Myocardial fibrosis, impaired coronary hemodynamics, and biventricular dysfunction in salt-loaded SHR

Jasmina Varagic,1 Edward D. Frohlich,1 Javier Díez,2,3 Dinko Susic,1 Jwari Ahn,1 Arantxa González,2 and Begoña López2

1Hypertension Research Laboratory, Ochsner Clinic Foundation, New Orleans, Louisiana; and 2Division of Cardiovascular Pathophysiology, Centre for Applied Medical Research, and 3Department of Cardiology and Cardiovascular Surgery, School of Medicine, University of Navarra, Pamplona, Spain

Submitted 12 September 2005 ; accepted in final form 14 November 2005

Arterial pressure in most experimental and clinical hypertensions is exacerbated by salt. The effects of salt excess on right and left ventricular (RV and LV, respectively) functions and their respective coronary vasodilatory responses have been less explored. We therefore examined the effects of 8 wk of NaCl excess (8% in food) on arterial pressure, RV and LV functions (maximal rate of increase and decrease of ventricular pressure; dP/dtmax and dP/dtmin), coronary hemodynamics (microspheres), and collagen content (hydroxyproline assay and collagen volume fraction) in young adult normotensive Wistar-Kyoto (WKY) and spontaneously hypertensive rats (SHR), aged 16 wk by the end of the study. Prolonged salt excess in WKY and SHR elevated pressure only modestly, but it markedly increased LV mass, especially in SHR. Moreover, salt excess significantly impaired RV and LV diastolic function in SHR but only LV diastolic function in WKY rats. However, salt loading affected neither RV nor LV contractile function in both strains. Interstitial and perivascular collagen deposition was increased, whereas coronary vasodilatory responses to dipyridamole diminished in both ventricles in the salt-loaded SHR but not in WKY rats. Therefore, accumulation of ventricular collagen as well as altered myocardial perfusion importantly contributed to the development of salt-related RV and LV dysfunctions in this model of naturally occurring hypertension. The unique effects of salt loading on both ventricles in SHR, but not WKY rats, strongly suggest that nonhemodynamic mechanisms in hypertensive disease participate pathophysiologically with salt-loading hypertension. These findings point to the conclusion that the concept of "salt sensitivity" in hypertension is far more complex than simply its effects on arterial pressure or the LV.

sodium excess; left and right ventricular function; spontaneously hypertensive rats; Wistar-Kyoto rats



Address for reprint requests and other correspondence: J. Varagic, Hypertension Research Group, Div. of Research, Ochsner Clinic Foundation, 1514 Jefferson Hwy., New Orleans, LA 70121 (e-mail: jvaragic{at}ochsner.org)




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