PMID- 8572875 OWN - NLM STAT- MEDLINE DCOM- 19960304 LR - 20131121 IS - 0003-9683 (Print) IS - 0003-9683 (Linking) VI - 88 IP - 8 DP - 1995 Aug TI - [Absence of the effect of nitric oxide on pulmonary and systemic hypertension induced by sino-aortic denervation]. PG - 1209-12 AB - Inhaled nitric oxide, a selective pulmonary vasodilator, reverses hypoxic pulmonary vasoconstriction and is an effective treatment in some cases of human pulmonary hypertension. Localization of nitric oxide synthase had indicated a neural role for nitric oxide. Thus, we studied the interactions between inhaled nitric oxide and systemic and pulmonary vascular reactivity in acute neurogenic hypertension. In 6 male beagle dogs (mean weight: 15 +/- 1 kg), anesthetized by chloralose (8 cg/kg) and in spontaneous ventilation, the hemodynamic effects on systemic and pulmonary circulation of inhaled nitric oxide (12 ppm) were studied before and after acute sino-aortic denervation. The hemodynamic effects of intravenous propranolol (300 micrograms/kg) were studied after denervation. Mean arterial pressure (MAP), pulmonary capillary pressure (PCP), mean arterial pulmonary pressure (MAPP), cardiac input (CI) and oxygen venous saturation (SvO2) were measured. [table: see text] Sino-aortic denervation causes an acute and transitory pulmonary hypertension due to a double mechanism: a post-capillary hypertension (increase PCP) secondary to an increase left ventricular post-charge by systemic hypertension and a precapillary hypertension. In fact, vascular pulmonary resistances increase from 1.8 +/- 0.1 to 3.4 +/- 0.8 uW after denervation (p < 0.05). Change in pulmonary vascular reactivity induced by catecholamines is probably involved. Propranolol but not inhaled nitric oxide reverse pulmonary hypertension due to sino-aortic denervation. FAU - Galinier, M AU - Galinier M AD - Service de cardiologie et de chirurgie cardiovasculaire, Hopital Rangueil, Toulouse. FAU - Rouge, P AU - Rouge P FAU - Albenque, J P AU - Albenque JP FAU - Assoun, B AU - Assoun B FAU - Massabuau, P AU - Massabuau P FAU - Fauvel, J M AU - Fauvel JM FAU - Bounhoure, J P AU - Bounhoure JP FAU - Montastruc, J L AU - Montastruc JL FAU - Montastruc, P AU - Montastruc P LA - fre PT - Comparative Study PT - English Abstract PT - Journal Article TT - Absence d'effet du monoxyde d'azote sur l'hypertension arterielle pulmonaire et systemique induite par la defrenation sino-aortique. PL - France TA - Arch Mal Coeur Vaiss JT - Archives des maladies du coeur et des vaisseaux JID - 0406011 RN - 0 (Antihypertensive Agents) RN - 31C4KY9ESH (Nitric Oxide) RN - 9Y8NXQ24VQ (Propranolol) SB - IM MH - Administration, Inhalation MH - Animals MH - Antihypertensive Agents/pharmacology/therapeutic use MH - Carotid Sinus/physiopathology MH - Denervation MH - Dogs MH - Hemodynamics MH - Humans MH - Hypertension/drug therapy/*physiopathology MH - Male MH - Nitric Oxide/*physiology/therapeutic use MH - Propranolol/pharmacology/therapeutic use MH - Vagotomy EDAT- 1995/08/01 00:00 MHDA- 1995/08/01 00:01 CRDT- 1995/08/01 00:00 PHST- 1995/08/01 00:00 [pubmed] PHST- 1995/08/01 00:01 [medline] PHST- 1995/08/01 00:00 [entrez] PST - ppublish SO - Arch Mal Coeur Vaiss. 1995 Aug;88(8):1209-12.