PMID- 10233012 OWN - NLM STAT- MEDLINE DCOM- 19990603 LR - 20190124 IS - 0002-9513 (Print) IS - 0002-9513 (Linking) VI - 276 IP - 5 DP - 1999 May TI - Mechanism of biphasic response of renal nerve activity during acute cardiac tamponade in conscious rabbits. PG - R1232-40 LID - 10.1152/ajpregu.1999.276.5.R1232 [doi] AB - Renal sympathetic nerve activity (RSNA) responses to acute cardiac tamponade were studied in conscious rabbits with all reflexes intact (Int) or after either surgical sinoaortic denervation (SAD) or administration of intrapericardial procaine (ip-Pro) or intravenous procaine (iv-Pro). In Int rabbits, the mean arterial pressure (MAP) remained relatively constant until the pericardial volume reached 7. 7 ml, whereas the RSNA increased to 226% [compensated cardiac tamponade (CCT)], then, at a pericardial volume of 9.3 ml, the MAP fell sharply and RSNA decreased to 34% [decompensated cardiac tamponade (DCT)]; 1 min after cessation of pericardial infusion, an intravenous injection of naloxone resulted in increases in both MAP and RSNA. In SAD rabbits, RSNA did not alter throughout CCT and DCT, but increased on injection of naloxone. In ip-Pro rabbits, RSNA increased during CCT but did not decrease during DCT, whereas, in iv-Pro rabbits, the RSNA response was similar to that in Int rabbits. These results indicate that RSNA responses to cardiac tamponade are biphasic, with an increase during CCT and a decrease during DCT. Sinoaortic baroreceptors are involved in mediating the increase in RSNA, whereas cardiac receptors may be involved in mediating the decrease in RSNA. An endogenous opioid may be responsible for the decrease in RSNA seen during DCT. FAU - Hagiike, M AU - Hagiike M AD - Department of Surgery, Kagawa Medical University School of Medicine, Kagawa 761-0793, Japan. FAU - Maeta, H AU - Maeta H FAU - Murakami, H AU - Murakami H FAU - Okada, K AU - Okada K FAU - Morita, H AU - Morita H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Physiol JT - The American journal of physiology JID - 0370511 RN - 0 (Anesthetics, Local) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) RN - 4Z8Y51M438 (Procaine) SB - IM MH - Acute Disease MH - Anesthetics, Local/pharmacology MH - Animals MH - Blood Pressure/physiology MH - Cardiac Tamponade/*physiopathology MH - Consciousness MH - Denervation MH - Heart/innervation MH - Heart Rate/physiology MH - Kidney/*innervation MH - Male MH - Naloxone/pharmacology MH - Narcotic Antagonists/pharmacology MH - Procaine/pharmacology MH - Rabbits MH - Reflex/physiology MH - Sympathetic Nervous System/drug effects/*physiopathology EDAT- 1999/05/08 00:00 MHDA- 1999/05/08 00:01 CRDT- 1999/05/08 00:00 PHST- 1999/05/08 00:00 [pubmed] PHST- 1999/05/08 00:01 [medline] PHST- 1999/05/08 00:00 [entrez] AID - 10.1152/ajpregu.1999.276.5.R1232 [doi] PST - ppublish SO - Am J Physiol. 1999 May;276(5):R1232-40. doi: 10.1152/ajpregu.1999.276.5.R1232.