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Experimental Anesthesia, Clinic of Anesthesiology and Operative Intensive Care Medicine, 13353 Berlin, Germany
Acute hypoxic pulmonary vasoconstriction (HPV)
may be mediated by vasoactive peptides. We studied eight conscious,
chronically tracheostomized dogs kept on a standardized dietary sodium
intake. Normoxia (40 min) was followed by hypoxia (40 min, breathing
10% oxygen, arterial oxygen pressures 36 ± 1 Torr) during both
control (Con) and losartan experiments (Los; iv infusion of 100 µg · min
1 · kg
1
losartan). During hypoxia, minute ventilation (by 0.9 l/min in Con, by
1.3 l/min in Los), cardiac output (by 0.36 l/min in Con, by 0.30 l/min
in Los), heart rate (by 11 beats/min in Con, by 30 beats/min in Los),
pulmonary artery pressure (by 9 mmHg in both protocols), and pulmonary
vascular resistance (by 280 and 254 dyn · s · cm
5
in Con and Los, respectively) increased. Mean arterial pressure and
systemic vascular resistance did not change. In Con, PRA decreased from
4.2 ± 0.7 to 2.5 ± 0.5 ng ANG
I · ml
1 · h
1,
and plasma ANG II decreased from 11.9 ± 3.0 to 8.2 ± 2.1 pg/ml. The renin-angiotensin system is inhibited during acute
hypoxia despite sympathetic activation. Under these conditions, ANG
II AT1-receptor
antagonism does not attenuate HPV.
angiotensin; hyperventilation; pulmonary artery pressure; pulmonary vascular resistance
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