Atrial volume receptors. Demonstration of an effective "threshold" of left atrial distension by an inflated balloon to induce increased diuresis in the anesthetized dog. 1981

A G Atta, and R L Maringoni
Departamento de Ciências Fisiológicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Brasil.

1. The intraatrial balloon technique was used to study the effect of distension of the left atrium on the urinary flow of anesthetized dogs. The balloon was inflated with 0.3, 0.4 or 0.5 ml saline/kg body weight, respectively, in three experimental groups, each containing 10 mongrel dogs. Intraatrial pressure, arterial blood pressure, ECG and respiratory excursions were continuously monitored in all experiments. Urine flow, inulin and p-aminohippuric acid clearance, urine osmolarity, total sodium and total potassium excretion were measured during the control period, after inflation of the balloon and 30 min after deflation. 2. Left atrial distension with 0.3 ml/kg caused essentially no increase in diuresis. Inflation with 0.4 ml/kg induced a 60% increase of mean urinary flow with respect to the control period. Inflation with 0.5 ml/kg elicited a mean increase in diuresis of 110%. 3. When it occurred, increased diuresis was accompanied by a decrease of urine osmolarity that was compatible with a decrease of antidiuretic hormone activity, and by an increase in total sodium excretion. There were no statistically significant changes in glomerular filtration rate and effective renal plasma flow. 4. The demonstration of a "threshold" for the distension of the left atrium that is capable of inducing diuresis in the anesthetized dog and of overcoming strong opposing hemodynamic effects provides additional indirect evidence for the role of the left atrial stretch receptors in the regulation of body fluid volume.

UI MeSH Term Description Entries
D008297 Male Males
D009318 Natriuresis Sodium excretion by URINATION. Natriureses
D011188 Potassium An element in the alkali group of metals with an atomic symbol K, atomic number 19, and atomic weight 39.10. It is the chief cation in the intracellular fluid of muscle and other cells. Potassium ion is a strong electrolyte that plays a significant role in the regulation of fluid volume and maintenance of the WATER-ELECTROLYTE BALANCE.
D011311 Pressoreceptors Receptors in the vascular system, particularly the aorta and carotid sinus, which are sensitive to stretch of the vessel walls. Baroreceptors,Receptors, Stretch, Arterial,Receptors, Stretch, Vascular,Stretch Receptors, Arterial,Stretch Receptors, Vascular,Arterial Stretch Receptor,Arterial Stretch Receptors,Baroreceptor,Pressoreceptor,Receptor, Arterial Stretch,Receptor, Vascular Stretch,Receptors, Arterial Stretch,Receptors, Vascular Stretch,Stretch Receptor, Arterial,Stretch Receptor, Vascular,Vascular Stretch Receptor,Vascular Stretch Receptors
D012079 Renal Circulation The circulation of the BLOOD through the vessels of the KIDNEY. Kidney Circulation,Renal Blood Flow,Circulation, Kidney,Circulation, Renal,Blood Flow, Renal,Flow, Renal Blood
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D001810 Blood Volume Volume of circulating BLOOD. It is the sum of the PLASMA VOLUME and ERYTHROCYTE VOLUME. Blood Volumes,Volume, Blood,Volumes, Blood
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D004108 Dilatation, Pathologic The condition of an anatomical structure's being dilated beyond normal dimensions. Ectasia,Dilatation, Pathological,Dilatations, Pathologic,Dilatations, Pathological,Pathologic Dilatation,Pathologic Dilatations,Pathological Dilatation,Pathological Dilatations
D004231 Diuresis An increase in the excretion of URINE. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Diureses

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