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April 1992

Angiotensin and Adrenoceptors in the Hemodynamic Response to Aortic Cross-clamping

Author Affiliations

From the Department of Anesthesiology, The University of Alabama at Birmingham.

Arch Surg. 1992;127(4):438-441. doi:10.1001/archsurg.1992.01420040084014

• This study was designed to test the hypothesis that activation of adrenoceptors and/or the renin-angiotensin system plays an important role in the overall hemodynamic response to aortic cross-clamping. The experiments were performed on anesthetized rats pretreated with either saline (control group), an angiotensin-converting enzyme inhibitor (enalapril maleate, 2 mg/kg), an α1-adrenergic antagonist (prazosin hydrochloride, 0.5 mg/kg), a β-adrenergic antagonist (propranolol hydrochloride, 5 mg/kg), or an α2-adrenergic antagonist (atipamezole, 5 mg/kg). Cross-clamping of the thoracic aorta was associated with an expected increase in mean arterial pressure and systemic vascular resistance in all animals. During the period of cross-clamping, cardiac output gradually decreased in all groups. Animals pretreated with the α1-adrenergic antagonist or the angiotensin-converting enzyme inhibitor developed hypertension of a lesser degree than the control animals, while rats pretreated with the β-adrenergic or α2-adrenergic antagonist demonstrated a greater arterial hypertension than the control animals. The possible mechanisms underlying the observed differences are discussed. In conclusion, the present study confirms the posed hypothesis that the renin-angiotensin and sympathetic nervous systems play an important role in hemodynamic response to cross-clamping of the thoracic aorta.

(Arch Surg. 1992;127:438-441)