Effect of Changes in Blood Volume Distribution on Circulatory Variables and Plasma Renin Activity in Man

Abstract

In 8 healthy subjects the pressure around the lower body was changed to 40 mmHg above (LBPP) and below (LBNP) atmospheric, thereby altering the amount of blood pooled in the lower body. Heart rate, intraarterial blood pressure, central venous pressure, cardiac output (dye dilution technique) and forearm blood flow (venous occlusion plethysmography) were measured. Plasma renin activity was determined with a radioimmunological method. Subjects (6) maintained a relative circulatory steady state during LBNP, LBNP caused significant decreases in central venous pressure (CVP), stroke volume and cardiac output (.ovrhdot.Q) with an unchanged mean arterial pressure (MAP). Heart rate (HR) increased significantly. Calculated total peripheral vascular resistance (TPVR) and regional vascular resistance (RVR) in the forearm were significantly increased when measured 5-9 min after the onset of LBNP, whereas plasma renin activity (PRA) showed a definite increase only after 19 min of LBNP stimulation. No correlation was found between the changes in PRA and TPVR or RVR. Increasing the pressure around the lower body (LBPP) resulted in a slight but significant increase in MAP as well as a significant but transient increase in CVP. No significant changes were found in HR, .ovrhdot.Q or TPVR. In the forearm a decrease in RVR was demonstrated. PRA was not significantly changed. Peripheral vascular resistance and PRA are both influenced by changes in blood volume distribution, possibly elicited via intrathoracic receptors sensitive to changes in central blood volume and/or CVP. PRA does not play any significant part in the vasoconstriction during LBNP stimulation.