Response of supraoptic neurosecretory cells to changes in left atrial distension

1979 ◽  
Vol 236 (5) ◽  
pp. R261-R267
Author(s):  
R. P. Menninger

Acute studies were conducted in cats to determine the effects of small changes in left atrial pressure (LAP) on the activity of antidromically identified neurons in the supraoptic nucleus (SON). Inflation of left atrial balloons reproducibly altered the frequency of 15% of the SON neurons. More than half of these increased frequency, probably due to a simultaneous increase in arterial pressure. In a second series, the firing rates of 20% of the SON neurons tested were inversely related to changes in LAP produced by pumping blood into or out of the left atrium. A third series of experiments were conducted in which the left atrium was directly stretched by pulling on a suture placed in the atrial wall in addition to one of the above methods of changing LAP. Directly stretching the left atrium inhibited over 70% of the SON neurons; this included all the neurons that responded to changes in LAP. The results suggest that these SON neurons have differential sensitivities to inputs from left atrial receptors.

1976 ◽  
Vol 231 (3) ◽  
pp. 692-699 ◽  
Author(s):  
AJ Baertschi ◽  
DG Ward ◽  
DS Gann

Sinusoidal volume changes (+/- 1 ml) were applied at 1 Hz to the right or left atrium of 25 anesthetized cats. Changes in firing rates of single vagal fibers and in plasma ACTH and cortisol were observed in response to start and stop of atrial pulsation. Decreased activity of right atrial and/or septal B-receptors was associated with increased ACTH. Changes in left atrial B-receptor activity were associated with a change in ACTH only if right atrial/septal receptors or baroreceptors also changed their activity in the same direction. The activity of atrial A-receptors did not change in response to atrial pulsation. A quantitative analysis suggested strongly that right atrial and/or septal B-receptors dominate in the response of ACTH to hemodynamic stimuli. Arterial receptors appear less effective, and left atrial B-receptors appear least effective in the hemodynamic control of ACTH.


2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Krystle Leacock ◽  
Andre J. Duerinckx ◽  
Bonnie Davis

Massive left atrial wall calcification, or porcelain atrium, is very rare. We describe a case of an unusual pattern of cardiac calcification demonstrated on routine preoperative chest X-ray for cataract surgery in a 71-year-old Nigerian woman. Past medical history was significant for mitral stenosis and atrial fibrillation. Radiographic imaging revealed curvilinear high density areas of calcification outlining the left atrium on the chest X-ray. Noncontrast CT scan of the thorax confirmed the left atrial distribution of calcification and, thus, the diagnosis of porcelain left atrium.


1988 ◽  
Vol 255 (2) ◽  
pp. R259-R267 ◽  
Author(s):  
K. L. Goetz ◽  
B. C. Wang ◽  
P. Bie ◽  
R. J. Leadley ◽  
P. G. Geer

In the conscious dog, left atrial distension elicits a composite response that modulates both cardiovascular and renal function. The response to atrial distension may be mediated by the combined effects of neural reflexes and the release of atriopeptin. To assess the relative contributions of atrial reflex mechanisms and circulating atriopeptin to the renal response elicited by atrial distension, alpha-human atrial natriuretic peptide (alpha-hANP) was infused into conscious dogs at 50 ng.kg-1.min-1 for 60 min. Then the infusion was stopped abruptly, and left atrial pressure was increased 8 mmHg by inflating a balloon positioned above the mitral valve. Plasma atriopeptin decreased during the 40-min period of atrial distension, but urine flow and sodium excretion increased during this time. In another series of experiments, volume expansion was substituted for atrial distension. Saline (24 ml/kg) was infused intravenously for 5 min immediately after the 60-min period of alpha-hANP infusion. Urine flow and sodium excretion increased after administration of saline even though plasma atriopeptin decreased substantially during the same time period. These results provide evidence that circulating levels of atriopeptin do not play a dominant role in influencing sodium excretion either during atrial distension or in response to saline infusion.


1981 ◽  
Vol 241 (1) ◽  
pp. R44-R49
Author(s):  
R. P. Menninger

It is generally held that left atrial stretch (LAS) but not right atrial stretch (RAS) reflexly inhibits vasopressin release and results in a diuresis. To reexamine the influence of RAS on the release of vasopressin and on the behavior of antidromically identified supraoptic neurosecretory neurons, RAS and LAS were applied in pentobarbital-anesthetized cats. Weighted 20 or 30 g sutures were placed in the left atrium pulmonary vein junction and at the base of the right atrial appendage. Antidromically identified supraoptic nucleus neurons were inhibited by both RAS and LAS applied independently and together, although fewer neurons were responsive to RAS alone. Simultaneous stretch of both atria resulted in greater inhibition of these neurons than did stretch of either atrium alone. Stretch of the right atrium alone also resulted in a significant decrease in plasma arginine vasopressin measured by radioimmunoassay. Differences between these results and other reports may stem from differences in the method of RAS or the specific right atrial receptors affected.


2015 ◽  
Vol 24 (1) ◽  
pp. 113-116 ◽  
Author(s):  
Daniel A. Cristian ◽  
Alin S. Constantin ◽  
Mariana Barbu ◽  
Dan Spătaru ◽  
Traean Burcoș ◽  
...  

We present the case of a patient with a giant paraesophageal hernia associated with paroxysmal postprandial atrial fibrillation that was suppressed after surgery. The imaging investigations showed the intrathoracic displacement of a large part of the stomach, which pushed the left atrial wall causing atrial fibrillation. The laparoscopic surgical repair acted as sole treatment for this condition.


1979 ◽  
Vol 237 (1) ◽  
pp. R63-R67 ◽  
Author(s):  
R. P. Menninger

Acute experiments were performed on pentobarbital-anesthetized cats to determine whether atrial and carotid baroreceptors affected the same neurosecretory neurons in the supraoptic nucleus (SON) of the hypothalamus. The osmosensitivity of these neurons was also determined. Eighty-two SON neurons were antidromically identified and 63 of these increased their firing rates during complete occlusion of the right carotid artery. Further testing of these 63 neurons demonstrated that 56 were inhibited by directly stretching the left atrium and 61 were excited by intracarotid injection of hypertonic saline. Left atrial stretch greatly reduced the neuronal response to carotid occlusion. These results show that the activity of the majority of the antidromically identified SON neurons is altered by left atrial and carotid artery receptors as well as changes in plasma osmolality. Results are consistent with the known influence of these receptors on plasma vasopressin.


1977 ◽  
Vol 196 (1125) ◽  
pp. 367-384 ◽  

Antidromically identified neurosecretory cells of the paraventricular (p. v.) and supraoptic (s. o.) nuclei of the hypothalamus were recorded in lactating rats under urethane anaesthesia during reflex milk ejection (m. e.) and haemorrhage. Eighty one p. v. and s. o. neurones were studied. Their background firing rates ranged from < 0.1 to 6.3 spikes/s and three distinct patterns of activity were encountered: slow irregular (73%), fast continuous (10%) and phasic (17%). Forty units (49%) displayed a brief (2-4 s) high-frequency discharge (30-60 spikes/s) correlated with suckling-induced m. e., and these were classified as m. e. (oxytocin-secreting) neurones. The remainder of the cells showed no activation at this time and were classified as non-m. e. neurones. Ten m. e. neurones tested through haemorrhage (5 ml of blood) showed a gradual acceleration of firing rates, reaching a maximum of 3.7 ± 0.7 spikes/s (mean + s. e.) about 20 min after blood withdrawal. The firing pattern of the m. e. neurones therefore changed from a slow irregular to a fast continuous type. By contrast, 11 non-m. e. neurones tested with the same procedure showed a rapid activation reaching a maximum of 6.4 ±0.6 spikes/s by the fourth minute. Non-m. e. neurones which were initially of the slow irregular type, first became fast continuous and later evolved into a highly characteristic phasic pattern of activity which was never induced in the m. e. neurones. After the blood was replaced, all the cells returned to their original firing pattern. In a parallel series of experiments, plasma samples taken 5 and 25 min after haemorrhage showed a ten-fold elevation in antidiuretic activity. A slight but non-significant increase in m. e. activity was also observed. Thus p. v. and s. o. neurosecretory cells may be electrophysically differentiated into two functionally distinct populations: (1) oxytocin releasing neurones which show a high-frequency discharge before m. e. induced by suckling, and (2) vasopressin-releasing neurones which adopt a phasic pattern of firing during vasopressin release induced by haemorrhage. We suggest that the rate of vasopressin secretion into the circulation largely depends on the proportion of vasopressin neurones firing phasically, their firing rates within the phases and the duration and degree of synchronization of the phases.


2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Kohei Kotani ◽  
Joji Kawabe ◽  
Shigeaki Higashiyama ◽  
Atsushi Yoshida ◽  
Susumu Shiomi

Gallium-67 scintigraphy is useful for detecting active inflammation. We show a 66-year-old female patient with atrial fibrillation and diffuse thickening of the left atrial wall due to acute myocarditis, who presented diffuse abnormal accumulation of gallium-67 in the left atrium on single photon emission computed tomography/computed tomography (SPECT/CT) fusion images. In the second gallium-67 scan 2 months after the first scintigraphy, the abnormal accumulation in the heart was no longer visible. Gallium-67 SPECT/CT images helped understanding the disease condition that temporary inflammation in the left atrium caused atrial fibrillation.


1975 ◽  
Vol 55 (2) ◽  
pp. 157-205 ◽  
Author(s):  
K. L. Goetz ◽  
G. C. Bond ◽  
D. D. Bloxham

The hypothesis that receptors in the heart or pulmonary vasculature initiate a reflex that influences urine flow was derived from experiments designed to evaluate the effect of mechanical ventilation on renal function. These experiments indicated that urine flow usually decreases during positive-pressure breathing and usually increases during negative-pressure breathing. It was surmised that impulses from certain cardiopulmonary receptors affect the secretion of ADH, which in turn influences urine flow. A subsequent investigation appeared to localize the pertinent receptors to the left atrium, but the results of this particular investigation were influenced by several complication factors that have not been widely appreciated. The apparent localization of volume-regulating recpetors to the left atrium and the accumulating evidence that atrial receptors do respond to changes in atrial pressure or atrial volume triggered a myriad of further studies on the function of left receptors. Nearly all these studies employed indirect techniques that produced changes in systemic and pulmonary hemodynamics in addition to changes in left atrial pressure. Nevertheless, it often was assumed that if changes in left pressure were produced, any concomitant changes in circulating ADH or in urine flow were attributable to a reflex elicited from atrial receptors. Mush of the data obtained were interpreted as being compatible with the elft atrial volume-receptor hypothesis, but very liggle of the data pertained to left atrial receptors specifically.


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