Effect of distension of the gallbladder on plasma renin activity in anesthetized pigs.

Abstract:

BACKGROUND:Gallbladder pathology has been associated with cardiovascular disease. Recently, we showed that gallbladder distension in anesthetized pigs reflexly increased heart rate, arterial pressure, and coronary and renal vascular resistance through efferent sympathetic mechanisms. Renin release is affected by sympathetic output, and angiotensin liberation may result in vasoconstriction. This study was undertaken to determine whether gallbladder distension primarily causes a reflex change in plasma renin activity (PRA) and to assess its influence on observed pressor and coronary responses as well as on regional vascular resistance. METHODS AND RESULTS:In 34 alpha-chloralose-anesthetized pigs, balloons positioned within the gallbladder were distended for 30 minutes with volumes of Ringer's solution equal to those of withdrawn bile. In 19 pigs, gallbladder distension at constant heart rate, arterial pressure, and renal flow increased PRA in the absence of changes in urinary sodium excretion. This increase was abolished by cervical vagotomy, section of renal nerves, or blockade of beta-adrenergic receptors. In another 15 pigs, blockade of angiotensin II receptors significantly attenuated the pressor and coronary, mesenteric, and iliac vasoconstriction responses to gallbladder distension. CONCLUSIONS:The present study showed that innocuous gallbladder distension primarily caused a reflex increase in PRA. This increase, which involved afferent vagal pathways and efferent sympathetic mechanisms related to beta-adrenergic receptors, contributed significantly to the pressor and coronary, mesenteric, and iliac vasoconstriction responses to gallbladder distension.

journal_name

Circulation

journal_title

Circulation

authors

Molinari C,Grossini E,Mary DA,Vacca G

doi

10.1161/01.cir.101.21.2539

subject

Has Abstract

pub_date

2000-05-30 00:00:00

pages

2539-45

issue

21

eissn

0009-7322

issn

1524-4539

journal_volume

101

pub_type

杂志文章
  • Coronary vasodilation induced by angiotensin-converting enzyme inhibition in vivo: differential contribution of nitric oxide and bradykinin in conductance and resistance arteries.

    abstract:BACKGROUND:We studied in coronary conductance and resistance arteries the coronary vasodilator effects of the angiotensin-converting enzyme inhibitor ramiprilat and the contribution of nitric oxide, bradykinin, and prostaglandins to this vasodilation. METHODS AND RESEARCH:In seven anesthetized dogs, a Doppler guidewir...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.9.1734

    authors: Sudhir K,Chou TM,Hutchison SJ,Chatterjee K

    更新日期:1996-05-01 00:00:00

  • Cerebral resuscitation after cardiac arrest: a review.

    abstract::Cerebral neurons can tolerate at least 20 min of normothermic ischemic anoxia. Cerebral recovery from more than 5 min of cardiac arrest is hampered by complex secondary derangements of multiple organ systems after reperfusion. There is increasing support of our hypothesis that this "postresuscitation syndrome" include...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Safar P

    更新日期:1986-12-01 00:00:00

  • Tight heart rate control reduces secondary adverse events in patients with type B acute aortic dissection.

    abstract:BACKGROUND:Although type B aortic dissection has been treated with beta blockers to lower the arterial blood pressure (BP), there has been little evidences about reduction in heart rate (HR). We assessed whether tight HR control improved the outcome of medical treatment in patients with aortic dissection. METHODS AND ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.755801

    authors: Kodama K,Nishigami K,Sakamoto T,Sawamura T,Hirayama T,Misumi H,Nakao K

    更新日期:2008-09-30 00:00:00

  • Sudden death after repair of double-outlet right ventricle.

    abstract::The outlook for patients with double-outlet right ventricle has improved since the development of corrective operations. Late arrhythmic deaths after successful procedures have been reported; however, the magnitude remains unknown. This study was undertaken to identify the magnitude of late sudden death and the signif...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.1.128

    authors: Shen WK,Holmes DR Jr,Porter CJ,McGoon DC,Ilstrup DM

    更新日期:1990-01-01 00:00:00

  • Viral illness and the postpericardiotomy syndrome. A prospective study in children.

    abstract::Postoperative fever and pericardial-pleural reaction, designated postpericardiotomy syndrome (PPS), is a common complication of cardiac surgery involving entry into the pericardium. To determine whether the etiology of PPS is viral or immunologic, we undertook a prospective, triple-blind study of consecutive long-term...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.62.6.1151

    authors: Engle MA,Zabriskie JB,Senterfit LB,Gay WA Jr,O'Loughlin JE Jr,Ehlers KH

    更新日期:1980-12-01 00:00:00

  • Delay in revascularization is associated with increased mortality rate in patients with severe left ventricular dysfunction and viable myocardium on fluorine 18-fluorodeoxyglucose positron emission tomography imaging.

    abstract:BACKGROUND:The identification of high-risk patients who require early revascularization has become increasingly important with the present emphasis on reducing health care resources. This is particularly relevant to health care systems with prolonged waiting times for interventions. Myocardial viability imaging with th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Beanlands RS,Hendry PJ,Masters RG,deKemp RA,Woodend K,Ruddy TD

    更新日期:1998-11-10 00:00:00

  • Inhibition of intimal hyperplasia after balloon injury by antibodies to intercellular adhesion molecule-1 and lymphocyte function-associated antigen-1.

    abstract:BACKGROUND:Although intercellular adhesion molecule-1 (ICAM-1) is known to be expressed in balloon-injured arteries, it remains unknown whether ICAM-1 plays a role in the progression of intimal hyperplasia (IH) induced by balloon injury. METHODS AND RESULTS:We examined the ICAM-1 expression in rat carotid arteries at ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.6.1515

    authors: Yasukawa H,Imaizumi T,Matsuoka H,Nakashima A,Morimatsu M

    更新日期:1997-03-18 00:00:00

  • Endothelin 1 type a receptor antagonism prevents vascular dysfunction and hypertension induced by 11beta-hydroxysteroid dehydrogenase inhibition: role of nitric oxide.

    abstract:BACKGROUND:The enzyme 11beta-hydroxysteroid dehydrogenase (11beta-HSD) prevents inappropriate activation of the nonselective mineralocorticoid receptors by glucocorticoids. Renal activity of 11beta-HSD is decreased in patients with apparent mineralocorticoid excess (SAME), licorice-induced hypertension, and essential h...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.25.3129

    authors: Ruschitzka F,Quaschning T,Noll G,deGottardi A,Rossier MF,Enseleit F,Hürlimann D,Lüscher TF,Shaw SG

    更新日期:2001-06-26 00:00:00

  • Effect of difficulty affording health care on health status after coronary revascularization.

    abstract:BACKGROUND:An objective of the United States' Healthy People 2010 Initiative is to eliminate disparities based on socioeconomic status. We assessed the effect of difficulty affording health care on the health status (symptoms, function, and quality of life) of patients treated with percutaneous coronary intervention or...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.474775

    authors: Spertus J,Decker C,Woodman C,House J,Jones P,O'Keefe J,Borkon AM

    更新日期:2005-05-24 00:00:00

  • Altered skeletal muscle metabolic response to exercise in chronic heart failure. Relation to skeletal muscle aerobic enzyme activity.

    abstract:BACKGROUND:Exertional fatigue, which frequently limits exercise in patients with chronic heart failure, is associated with early anaerobic metabolism in skeletal muscle. The present study was designed to examine the skeletal muscle metabolic response to exercise in this disorder and determine the relation of reduced mu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.4.1597

    authors: Sullivan MJ,Green HJ,Cobb FR

    更新日期:1991-10-01 00:00:00

  • BMP9 and BMP10 Act Directly on Vascular Smooth Muscle Cells for Generation and Maintenance of the Contractile State.

    abstract::Background: Vascular smooth muscle cells (VSMCs) show a remarkable phenotypic plasticity allowing acquisition of contractile or synthetic states but critical information is missing about the physiological signals, promoting formation and maintenance of contractile VSMCs in vivo. BMP9 and BMP10 are known to regulate en...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.047375

    authors: Wang L,Rice M,Swist S,Kubin T,Wu F,Wang S,Kraut S,Weissmann N,Böttger T,Wheeler M,Schneider A,Braun T

    更新日期:2020-12-18 00:00:00

  • Angiotensin-converting enzyme inhibition increases human vascular tissue-type plasminogen activator release through endogenous bradykinin.

    abstract:BACKGROUND:Angiotensin-converting enzyme (ACE) inhibition potentiates the tissue-type plasminogen activator (t-PA) response to exogenous bradykinin. This study tested the hypothesis that ACE inhibition increases endothelial t-PA release through endogenous bradykinin. METHODS AND RESULTS:We measured the effect of intra...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.0000046268.59922.a4

    authors: Pretorius M,Rosenbaum D,Vaughan DE,Brown NJ

    更新日期:2003-02-04 00:00:00

  • Long-term survival of xenografted neonatal cardiomyocytes by adenovirus-mediated CTLA4-Ig expression and CD40 blockade.

    abstract:BACKGROUND:Prolonged survival of xenografted neonatal cardiomyocytes was achieved by blocking the CD28/B7 costimulatory pathway via CTLA4-Ig gene transfer. We examined the long-term survival of xenografted neonatal cardiomyocytes by adenovirus-mediated CTLA4-Ig expression and transient CD40 blockade with anti-CD40L mon...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000091086.54107.49

    authors: Li TS,Ito H,Kajiwara K,Hamano K

    更新日期:2003-10-07 00:00:00

  • Increased carotid wall stress in vascular Ehlers-Danlos syndrome.

    abstract:BACKGROUND:Vascular Ehlers-Danlos syndrome (vEDS), also known as EDS type IV, an inherited disorder of connective tissue, results from mutations in the gene encoding type III procollagen (COL3A1). Affected patients are at risk for arterial dissection or rupture, the main cause of death. To understand the pathogenesis o...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000121741.50315.C2

    authors: Boutouyrie P,Germain DP,Fiessinger JN,Laloux B,Perdu J,Laurent S

    更新日期:2004-03-30 00:00:00

  • Efficacy of left cardiac sympathectomy in the treatment of patients with the long QT syndrome.

    abstract::Ten patients with the long QT syndrome and recurrent syncope and/or cardiac arrest caused by ventricular arrhythmias underwent left stellate (one patient) or left cervicothoracic sympathectomy (nine patients) after failing to respond to high-dose beta-blocker therapy. The syndrome was familial in four and idiopathic i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.6.1018

    authors: Bhandari AK,Scheinman MM,Morady F,Svinarich J,Mason J,Winkle R

    更新日期:1984-12-01 00:00:00

  • Chronic kidney disease, cardiovascular risk, and response to angiotensin-converting enzyme inhibition after myocardial infarction: the Survival And Ventricular Enlargement (SAVE) study.

    abstract:BACKGROUND:Persons with end-stage renal disease and those with lesser degrees of chronic kidney disease (CKD) have an increased risk of death after myocardial infarction (MI) that is not fully explained by associated comorbidities. Future cardiovascular event rates and the relative response to therapy in persons with m...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000149806.01354.BF

    authors: Tokmakova MP,Skali H,Kenchaiah S,Braunwald E,Rouleau JL,Packer M,Chertow GM,Moyé LA,Pfeffer MA,Solomon SD

    更新日期:2004-12-14 00:00:00

  • The risk of coronary bypass surgery for patients with postinfarction angina.

    abstract::Three hundred consecutive patients who developed unstable postinfarction angina requiring isolated coronary artery bypass from 1982 through 1987 were analyzed. Hospital mortality was 5%; 15 (5.5%) additional late deaths occurred during the 69-month follow-up period (mean follow-up, 23.3 months). Significant independen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Gardner TJ,Stuart RS,Greene PS,Baumgartner WA

    更新日期:1989-06-01 00:00:00

  • Retrograde cerebral perfusion results in flow distribution abnormalities and neuronal damage. A magnetic resonance imaging and histopathological study in pigs.

    abstract:BACKGROUND:In the past few years, although significant efforts have been made to assess flow distribution during retrograde cerebral perfusion with microspheres, dye, or hydrogen clearance, flow distribution in real time is still undefined. We used MR perfusion imaging to monitor flow distribution in the brain during a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Ye J,Ryner LN,Kozlowski P,Yang L,Del Bigio MR,Sun J,Donnelly M,Summers R,Salerno TA,Somorjai RL,Saunders JK,Deslauriers R

    更新日期:1998-11-10 00:00:00

  • Exercise pulmonary hypertension in asymptomatic degenerative mitral regurgitation.

    abstract:BACKGROUND:Current guidelines recommend mitral valve surgery for asymptomatic patients with severe degenerative mitral regurgitation and preserved left ventricular systolic function when exercise pulmonary hypertension (PHT) is present. However, the determinants of exercise PHT have not been evaluated. The aim of this ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.938241

    authors: Magne J,Lancellotti P,Piérard LA

    更新日期:2010-07-06 00:00:00

  • Why patients with congestive heart failure die: arrhythmias and sudden cardiac death.

    abstract::Patients with congestive heart failure have a high incidence of sudden cardiac death that is attributed to ventricular arrhythmias. The mortality rate in a group of patients with class III and IV heart failure is about 40% per year, and half of the deaths are sudden. Half of the patients with New York Heart Associatio...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Bigger JT Jr

    更新日期:1987-05-01 00:00:00

  • Sustained inhibition of epsilon protein kinase C inhibits vascular restenosis after balloon injury and stenting.

    abstract:BACKGROUND:ε protein kinase C (εPKC) is involved in vascular smooth muscle cell (VSMC) activation, but little is known about its function in vascular pathology. We aimed at assessing the role of εPKC in the development of restenosis. METHODS AND RESULTS:Rat models of aortic balloon injury with or without subsequent st...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.927640

    authors: Deuse T,Koyanagi T,Erben RG,Hua X,Velden J,Ikeno F,Reichenspurner H,Robbins RC,Mochly-Rosen D,Schrepfer S

    更新日期:2010-09-14 00:00:00

  • Endothelial beta3-adrenoreceptors mediate nitric oxide-dependent vasorelaxation of coronary microvessels in response to the third-generation beta-blocker nebivolol.

    abstract:BACKGROUND:The therapeutic effects of nonspecific beta-blockers are limited by vasoconstriction, thus justifying the interest in molecules with ancillary vasodilating properties. Nebivolol is a selective beta1-adrenoreceptor antagonist that releases nitric oxide (NO) through incompletely characterized mechanisms. We id...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.532960

    authors: Dessy C,Saliez J,Ghisdal P,Daneau G,Lobysheva II,Frérart F,Belge C,Jnaoui K,Noirhomme P,Feron O,Balligand JL

    更新日期:2005-08-23 00:00:00

  • Medical Therapy for Systemic Right Ventricles: A Systematic Review (Part 1) for the 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on

    abstract::Patients with systemic morphological right ventricles (RVs), including congenitally corrected transposition of the great arteries and dextro-transposition of the great arteries with a Mustard or Senning atrial baffle repair, have a high likelihood of developing systemic ventricular dysfunction. Unfortunately, there ar...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/CIR.0000000000000604

    authors: Zaragoza-Macias E,Zaidi AN,Dendukuri N,Marelli A

    更新日期:2019-04-02 00:00:00

  • Knowledge Gaps in Cardiovascular Care of the Older Adult Population: A Scientific Statement From the American Heart Association, American College of Cardiology, and American Geriatrics Society.

    abstract::The incidence and prevalence of most cardiovascular disorders increase with age, and cardiovascular disease is the leading cause of death and major disability in adults ≥75 years of age; however, despite the large impact of cardiovascular disease on quality of life, morbidity, and mortality in older adults, patients a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000380

    authors: Rich MW,Chyun DA,Skolnick AH,Alexander KP,Forman DE,Kitzman DW,Maurer MS,McClurken JB,Resnick BM,Shen WK,Tirschwell DL,American Heart Association Older Populations Committee of the Council on Clinical Cardiology, Council on Cardiov

    更新日期:2016-05-24 00:00:00

  • Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.

    abstract:BACKGROUND:The impact of misinterpretation of the ECG in patients with acute myocardial infarction (AMI) in the emergency department (ED) setting is not well known. Our goal was to assess the prevalence of the failure to identify high-risk ECG findings in ED patients with AMI and to determine whether this failure is as...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.106.623652

    authors: Masoudi FA,Magid DJ,Vinson DR,Tricomi AJ,Lyons EE,Crounse L,Ho PM,Peterson PN,Rumsfeld JS,Emergency Department Quality in Myocardial Infarction Study Investigators.

    更新日期:2006-10-10 00:00:00

  • Mechanism of acceleration of functional reentry in the ventricle: effects of ATP-sensitive potassium channel opener.

    abstract:BACKGROUND:The effect of effective refractory period (ERP) shortening on the vulnerability and characteristics of induced functional reentry in the ventricle remain poorly defined. We hypothesized that ERP shortening increases ventricular vulnerability to reentry and accelerates its rate, as is the case in the atrium. ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.5.704

    authors: Uchida T,Yashima M,Gotoh M,Qu Z,Garfinkel A,Weiss JN,Fishbein MC,Mandel WJ,Chen PS,Karagueuzian HS

    更新日期:1999-02-09 00:00:00

  • Epidemiologic study of candidates for coronary artery bypass surgery.

    abstract::Simplified estimates of the potential patients eligible for coronary artery bypass surgery are presented. Various means of identification are discussed, as well as effects of two levels of stenosis. Although ultimate operability is not directly considered, the results demonstrate a substantial and growing pool of elig...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Cutter GR,Oberman A,Kouchoukos N,Rogers W

    更新日期:1982-11-01 00:00:00

  • Metabolic Predictors of Incident Coronary Heart Disease in Women.

    abstract:BACKGROUND:Although metabolomic profiling offers promise for the prediction of coronary heart disease (CHD), and metabolic risk factors are more strongly associated with CHD in women than men, limited data are available for women. METHODS:We applied a liquid chromatography-tandem mass spectrometry metabolomics platfor...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.117.029468

    authors: Paynter NP,Balasubramanian R,Giulianini F,Wang DD,Tinker LF,Gopal S,Deik AA,Bullock K,Pierce KA,Scott J,Martínez-González MA,Estruch R,Manson JE,Cook NR,Albert CM,Clish CB,Rexrode KM

    更新日期:2018-02-20 00:00:00

  • Predictors of long-term survival after coronary artery bypass grafting surgery: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database (the ASCERT study).

    abstract:BACKGROUND:Most survival prediction models for coronary artery bypass grafting surgery are limited to in-hospital or 30-day end points. We estimate a long-term survival model using data from the Society of Thoracic Surgeons Adult Cardiac Surgery Database and Centers for Medicare and Medicaid Services. METHODS AND RESU...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.066902

    authors: Shahian DM,O'Brien SM,Sheng S,Grover FL,Mayer JE,Jacobs JP,Weiss JM,Delong ER,Peterson ED,Weintraub WS,Grau-Sepulveda MV,Klein LW,Shaw RE,Garratt KN,Moussa ID,Shewan CM,Dangas GD,Edwards FH

    更新日期:2012-03-27 00:00:00

  • Soluble CXCL16 predicts long-term mortality in acute coronary syndromes.

    abstract:BACKGROUND:CXCL16/SR-PSOX is an interferon-gamma-regulated chemokine and scavenger receptor for oxidized low-density lipoprotein that is expressed in atherosclerotic lesions. Proteolytic cleavage of membrane-bound CXCL16 releases soluble CXCL16, which may promote migration of effector T cells and augment a proatherogen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.806877

    authors: Jansson AM,Aukrust P,Ueland T,Smith C,Omland T,Hartford M,Caidahl K

    更新日期:2009-06-30 00:00:00