scholarly journals STUDIES IN EDEMA

1909 ◽  
Vol 11 (5) ◽  
pp. 641-655 ◽  
Author(s):  
Moyer S. Fleisher ◽  
Leo Loeb

1. Direct measurements of the blood pressure carried out during the intravenous infusion of various solutions into rabbits show that although a relation between the height of blood pressure and secretion of urine may be noted, a direct relation docs not exist between blood pressure and peritoneal transudate and intestinal fluid. 2. Calcium chloride docs not increase the peritoneal transudate by a rise of blood pressure, nor does it decrease the intestinal fluid by a fall of blood pressure, since no such increase of peritoneal fluid nor decrease of intestinal fluid is noticeable in animals with myocarditic lesions which are infused with solutions of sodium chloride. 3. It can be proved that calcium chloride does not diminish the amount of urine as a result of its depressing action on the blood pressure. Our experiments make it probable that calcium chloride decreases the diuresis by a direct action on the renal epithelium.

1909 ◽  
Vol 11 (5) ◽  
pp. 627-640
Author(s):  
Moyer S. Fleisher ◽  
Leo Loeb

1. As a result of the intravenous infusion of a solution of sodium chloride a characteristic curve indicating the fluid retained in the vascular system is obtained. In the first period of the infusion the maximum of retention of fluid is noted. Then more fluid is removed from the blood vessels, so that for a short time a fall in the curve of dilution takes place, after which the dilution again slowly increases. 2. This curve is not materially changed by the addition of calcium chloride or of adrenalin to the infused solution, and under such conditions adrenalin does not lead to an increased pressing out of fluid from the vascular system, although is causes a constant and decided rise in blood pressure. Myocarditic lesions lead to an increased intravascular retention of fluid. Nephrectomy does not lead to an increased intravascular retention of fluid, but probably causes a diminution of the amount of fluid retained in the blood vessels.


1909 ◽  
Vol 11 (3) ◽  
pp. 470-479 ◽  
Author(s):  
Moyer S. Fleisher ◽  
Leo Loeb

1. In non-nephrectomized animals the addition of adrenalin to sodium chloride solutions or to mixtures of sodium chloride and calcium chloride solutions increases the amount of urine and of ascites, and diminishes the intestinal fluid (this diminution takes place only with mixtures of solutions of sodium chloride and calcium chloride, the quantity of intestinal fluid remaining approximately unchanged in the sodium chloride series). 2. In nephrectomized animals the addition of adrenalin to sodium chloride solutions or to mixtures of sodium chloride and calcium chloride solutions again increases the ascites and diminishes the amount of intestinal fluid in both sodium chloride and sodium chloride plus calcium chloride series. 3. We find, therefore, a summation of the action of calcium chloride and adrenalin in regard to their influence upon the formation of ascites, an antagonistic action in regard to the elimination of urine; here the influence of calcium chloride in diminishing the urine is more potent than is the action of adrenalin in increasing the amount of urine. The adrenalin decreases the elimination of fluid into the intestines and in this case we note a summation of the actions of calcium chloride and of adrenalin. 4. We see, therefore, that adrenalin and calcium chloride influence the amount of ascitic fluid and of intestinal fluid in the same direction. The amount of urine is, however, decreased by calcium chloride and increased by adrenalin. 5. If we increase the rapidity of inflow of the solutions and simultaneously decrease proportionately the time of the infusion, the amount of ascites and intestinal fluids in nephrectomized animals remains approximately unchanged, as compared with the amounts obtained at the usual rate of inflow.


1979 ◽  
Vol 57 (1) ◽  
pp. 71-81 ◽  
Author(s):  
B. G. Zimmerman

1. In the conscious normotensive and two-kidney Goldblatt hypertensive dog a transient agonist response to the intravenous infusion of saralasin (1 μg min−1 kg−1) was manifested by a small increase in blood pressure (6–12 mmHg) and 28–30% increase in renal vascular resistance. 2. These increases in blood pressure and renal vascular resistance were unaffected by administration of either phentolamine or guanethidine. 3. The agonist response in the conscious dog is most likely accounted for by a direct action of saralasin on vascular angiotensin receptors.


1909 ◽  
Vol 11 (3) ◽  
pp. 480-488
Author(s):  
Moyer S. Fleisher ◽  
Leo Loeb

1. Animals in which experimental myocarditis has been produced and winch are infused with sodium chloride solutions show a marked decrease in the amount of the secretion of urine. This decrease is even more pronounced than that produced when calcium chloride is added to sodium chloride solution. The intestinal fluid which is markedly decreased, and the peritoneal transudate which is increased by calcium chloride are, on the other hand, not markedly influenced by myocarditic lesions. We may, therefore, conclude that calcium chloride does not exert its specific effect on the quantity of peritoneal fluid through a lowering of blood pressure. 2. Each of the three factors, namely, calcium chloride, adrenalin and myocarditic lesions affects the elimination of fluid through the kidneys, through the mucosa of the small intestine and through the endothelial lining of the peritoneal cavity in a specific way. The conditions influencing the elimination of fluids through these three surfaces seem, therefore, to be different in each case and characteristic for the cells lining these surfaces.


1996 ◽  
Vol 270 (5) ◽  
pp. R1092-R1098 ◽  
Author(s):  
D. A. Fitts ◽  
R. L. Thunhorst

A role for the renal renin-angiotensin system in the direct stimulation of salt appetite in the rat remains controversial because attempts to elicit the behavior by intravenous administration of angiotensin II (ANG II) have been unconvincing. We recently demonstrated that depletion-induced salt appetite was attenuated by selective blockade of peripheral ANG II synthesis with an intravenous dose of converting enzyme inhibitor [captopril (Cap)] that does not block the synthesis of ANG II inside the blood brain barrier. We now show that intravenous ANG II at 30 ng/min rapidly reestablishes salt appetite in Cap-blocked rats. The mean arterial blood pressure (MAP) of unblocked, sodium-depleted rats was normal, but Cap-blocked, depleted rats had low MAP. An intravenous infusion of ANG II in Cap-blocked rats brought MAP into the normal range and elicited water and salt drinking within 90 min. Phenylephrine also normalized MAP but failed to elicit fluid intake in Cap-blocked, sodium-deficient rats. Sodium and water balances tended to be more positive during ANG II than during phenylephrine infusions. Thus circulating ANG II may stimulate both thirst and salt appetite by a direct action on the brain and not by causing natriuresis or by raising the blood pressure.


1910 ◽  
Vol 12 (3) ◽  
pp. 288-310 ◽  
Author(s):  
Moyer S. Fleisher ◽  
Leo Loeb

1. Adrenalin injected intraperitoneally increases the rapidity of absorption of fluid from the peritoneal cavity, independently of whether the solution to be absorbed is hypotonic or hypertonic or is approximately isotonic with the blood serum. The intravenous injection of adrenalin also increases the absorption of fluid, but not so markedly as does the intraperitoneal injection. 2. Adrenalin injected either intraperitoneally or intravenously increases the quantity of sodium chloride absorbed. The relative absorption of sodium chloride—the movement from the peritoneal cavity of sodium chloride, as compared with the movement of water—is slightly increased when 0.85 per cent. of sodium chloride solution and adrenalin are injected intraperitoneally; but it is diminished when adrenalin is injected intravenously, or when 1.5 per cent. sodium chloride solution and adrenalin are injected. When distilled water has been injected intraperitoneally, adrenalin decreases the relative amount of sodium chloride in the peritoneal fluid—a fact that is evidently related to the increased elimination of sodium chloride through the kidneys under the influence of adrenalin. 3. When 0.85 per cent. sodium chloride solution is injected into the peritoneal cavity, the blood becomes diluted after two hours and a half. When adrenalin is also injected, the dilution of the blood is less marked, in spite of the increased absorption under the influence of adrenalin. When distilled water is injected into the peritoneal cavity, the blood is diluted equally in control and adrenalin experiments. When 1.5 per cent. sodium chloride solution is injected, the dilution of the blood is very slight, and in adrenalin experiments it is the same as in control experiments or very slightly greater than in control experiments. 4. The increase of absorption from the peritoneal cavity caused by the injection of adrenalin is not due to the increased diuresis caused by the injection of this substance. 5. The injection of adrenalin causes a temporary increase in the osmotic pressure of the blood, which gradually returns to normal. Under certain conditions, after the injection of adrenalin, there is a tendency toward maintaining the higher osmotic pressure of the blood serum, even up to the end of the experiment. We have reason to believe that this increase in the osmotic pressure of the blood is the main factor in increasing the absorption of fluid from the peritoneal cavity. 6. In experiments in which 0.85 per cent. sodium chloride solution has been injected intraperitoneally, either with or without adrenalin, there exists a tendency of the peritoneal fluid to attain a greater osmotic pressure than the blood serum, in spite of the fact that the injected fluid is slightly hypotonic as compared with the blood serum. We note a similar condition in cases of general edema in man, in which the osmotic pressure of the ascitic fluid is greater than that of the other edematous fluids, or even that of the blood serum. There exists, therefore, a mechanism that causes the passage of osmotically active substances from the blood or from the tissues into the peritoneal cavity, and that causes the osmotic pressure of the peritoneal fluid to become higher than that of the blood. It follows from our experiments that this mechanism, which causes the ascites in edematous persons to have such a high osmotic pressure, is not dependent upon certain pathological changes in the lining membranes or upon other pathological conditions, but exists already in normal animals. 7. The addition of 1.22 per cent. calcium chloride solution to 0.83 per cent. sodium chloride solution, in such proportions as we used in our infusion experiments, in which we determined the transudation into the peritoneal cavity, delays the absorption of fluid from the peritoneal cavity but very slightly. Therefore, calcium chloride increases directly the transudation into the peritoneal cavity and does not cause an increase in the amount of fluid in the peritoneal cavity merely by inhibiting the absorption. 8. It follows that adrenalin does not increase the amount of peritoneal transudate found after the intravenous infusion of large quantities of sodium chloride solution, to which adrenalin has been added, by delaying the absorption from the peritoneal cavity. The increased amounts of peritoneal fluid must be due to increased transudation into the peritoneal cavity; and the adrenalin, in view of its marked effect on absorption from the peritoneal cavity, must increase the movement of fluid into the peritoneal cavity much more strongly than could be assumed from the figures obtained in the infusion experiments.


1909 ◽  
Vol 11 (2) ◽  
pp. 291-313 ◽  
Author(s):  
Moyer S. Fleisher ◽  
Daniel M. Hoyt ◽  
Leo Loeb

1. The secretion of urine and the elimination of fluid through the intestinal canal which are caused by the intravenous injection of solution of 0.85 per cent. sodium chloride are decreased by the addition of calcium chloride to the sodium chloride solution. The secretion of urine is more markedly inhibited than is the elimination of fluid through the intestines. 2. In contradistinction to the decreased elimination of fluid through the kidneys and intestines, addition of calcium chloride to the sodium chloride solution increases markedly the transudation of fluid into the peritoneal cavity. To a certain degree the urine and ascites may be said to increase in an inverse proportion. 3. Although calcium chloride inhibits both absorption from and secretion into the intestines it seems to decrease the secretion more markedly than the absorption. 4. The action of calcium chloride in increasing the ascitic fluid is a double one: first, by diminishing the amount of urine secreted: secondly, by increasing the ascites independently of its action on the kidneys. The latter may be a direct action on the endothelial cells of the peritoneal cavity: this, however, must be determined by further investigations. 5. Addition of calcium chloride to the infused fluids increases the tendency to the occurrence of edema of the lungs. 6. Infusion of large quantities of fluid into animals dilutes the blood, but this dilution seems to be carried only to a certain degree— about 30 per cent.—and to be independent of the chemical character of the solution and of the function of the kidneys. 7. The presence or absence of the kidneys has a marked influence on the intestinal and ascitic fluids. When the averages of ascitic and intestinal fluids per 1,000 c.c. of retained fluid in non-nephrectomized animals and these fluids per 1,000 c.c. of infused fluid in nephrectomized animals are compared, more fluid is found in the case of the nephrectomized animals. This fact can only be explained in part by the shorter time necessary for the same amount of fluid to be retained in the case of the nephrectomized animals. Nephrectomy causes an increase of the ascites and the intestinal fluids through a mechanism which will have to be investigated by means of further experiments.


2019 ◽  
Vol 23 (6) ◽  
pp. 92-99
Author(s):  
I. G. Kayukov ◽  
O. N. Beresneva ◽  
M. M. Parastaeva ◽  
G. T. Ivanova ◽  
A. N. Kulikov ◽  
...  

BACKGROUND. Increased salt intake is associated with a number of cardiovascular events, including increased blood pressure (BP) and the development of left ventricular hypertrophy (LVH). However, there is much evidence that a high content of sodium chloride in the diet does not always lead to an increase in BP, but almost inevitably causes cardiac remodeling, in particular, LVH. Many aspects of myocardial remodeling induced by high sodium content in the food have not been studied enough. THE AIM of the study was to trace the echocardiographic changes in Wistar rats fed the high salt ration and the high salt ration supplemented with soy proteins.MATERIAL AND METHODS. Echocardiography and BP measurements were performed on male Wistar rats, divided into three groups. The first (control; n = 8) included rats that received standard laboratory feed (20.16 % animal protein and 0.34 % NaCl); the second (n = 10) – animals that received standard feed and 8 % NaCl (high salt ration). The third group (n = 10) consisted of rats who consumed a low-protein diet containing 10 % soy protein isolate (SUPRO 760) and 8 % NaCl. The follow-up period was 2 and 4 months.THE RESULTS of the study showed that: (1) the intake of a large amount of salt with a diet does not necessarily lead to the formation of arterial hypertension; (2) despite the absence of a distinct increase in BP, under these conditions signs of cardiac remodeling, in particular, LVH, appear rather quickly; (3) supplementing a high-salt diet with soy isolates counteracts the development of LVH.CONCLUSION. High salt intake with food can cause heart remodeling, regardless of blood pressure, while soy proteins can counteract this process.


1941 ◽  
Vol 74 (1) ◽  
pp. 29-40 ◽  
Author(s):  
Philip D. McMaster

Advantage has been taken of the relative transparency of the claw of the mouse to devise a method, here described, to measure the blood pressure in the animal's leg. Direct measurements of the systolic blood pressure from the carotid arteries of anesthetized mice have also been made. Simultaneous blood pressure readings by both these methods applied to the same animal showed close agreement. The systolic pressure ranged from 60 to 126 mm. Hg, according to the conditions.


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