Abstract
Background: It has been suggested that a blunted sympathoinhibitory response to atrial natriuretic peptide (ANP) may contribute to the elevation of sympathetic activity seen in heart failure. Methods and Results: Experiments were performed in anesthetized rats 6 to 9 weeks after coronary ligation to induce heart failure. Responses to intravenous injections of ANP (4 μg/kg) did not differ between the sham-operated (n = 11) and heart- failure (n = 7) rats. Before sinoaortic denervation, ANP decreased mean arterial pressure (MAP) by 8 mm Hg in both the heart-failure and sham rats, renal sympathetic nerve activity (RSNA) by 9% to 10% in both groups, and heart rate (HR) by 12 to 13 beats/min in both groups. After baroreceptor denervation, ANP decreased MAP by approximately 22 mm Hg, RSNA by 14%, and HR by 16 beats/min in both the heart-failure and sham rats. After vagotomy, there was no longer a significant decrease in RSNA or HR in response to ANP. Conclusion: The sympathoinhibitory effects of ANP are maintained in heart failure. This suggests that the elevated sympathetic activity observed in heart failure cannot be attributed to a blunting of the response to ANP.
Original language | English (US) |
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Pages (from-to) | 316-323 |
Number of pages | 8 |
Journal | Journal of Cardiac Failure |
Volume | 5 |
Issue number | 4 |
DOIs | |
State | Published - Dec 1999 |
Keywords
- Atrial natriuretic peptide
- Heart failure
- Rat
- Renal sympathetic nerve activity
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine