Cardiovascular Changes in Awake Dogs Caused by Suddenly Induced Aortic Hypertension

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Abstract
Cardiovascular adaptation to the sudden inflation of a balloon in the descending aorta was investigated in intact awake, standing dogs. The balloon inflation raised pressure in the arterial bed proximal from the balloon. Initially, it lowered heart rate and cardiac output. After 4 s, heart rate and cardiac output began increasing again and within the next 14 s, these functions returned almost to the control values. The restoration of cardiac output was associated with a further rise in aortic pressure. The prime circulatory adaptation to a hindrance to arterial flow is probably restoration of blood flow even though this requires a further elevation of arterial pressure. The demands of the tissues for an adequate supply of blood appear to override the inhibitory baroreceptor reflexes. The circulatory changes observed under conditions of attenuated parasympathetic inhibition and under conditions of attenuated .beta.-adrenergic stimulation were consistent with this interpretation. Arterial hypertension may involve a comparable adaptation of cardiac output in patients whose blood flow is hindered by pathologically narrowed arterioles.