SUMMARY To evaluate cardiac performance in renal hypertension more precisely we determined cardiac function curves for 12 normotensive rats and 11 other rats with two-kidney Goldblatt hypertension. The hypertensive group (BP = 134 ± 8 mm Hg) showed significant cardiac hypertrophy (44 ± 1% increased ratio of heart weight to body weight, P < 0.01) and markedly increased left ventricular stroke work with a moderate but not significant increase in left ventricular end-diastolic pressure (LVEDP) (5.9 ± 0.8 vs. CARDIAC hypertrophy generally has been considered one of the principal long-term mechanisms of compensation for cardiac stress; 1 the increase in cardiac mass is believed to make the heart as strong a pump as it had been previously. It is known that the increase in contractile strength which follows hypertrophy is due to an increase in muscle mass and that the strength of individual muscle fibers remains unchanged or even may decrease slightly. 2 ' 7 The influence of myocardial hypertrophy on the performance of the hypertensive heart is of particular interest because cardii.c hypertrophy frequently accompanies arterial hypertension and it has been pointed out that early hypertension, in both man and animals, is associated with an increased cardiac output and signs of a hyperkinetic circulation. 8 " 11 The relationship of the increased cardiac output to the development of cardiac hypertrophy has yet to be investigated. Recent studies which show an increased cardiac contractility during the onset of renal hypertension 12 and the early development of cardiac hypertrophy in two forms of hypertension 13 -14 suggest a causal relationship between increased cardiac output and development of cardiac hypertrophy.With the advent of refinements in microtransducer technology it has become possible to accurately measure cardiac output and arterial and venous pressures in small mammals with and without arterial hypertension and thus evaluate cardiac performance in a precise manner. Further, correlation of hemodynamic alterations with biochemical changes which characterize the type of hypertrophy should open the way for a better understanding of cardiac mechanics. To our knowledge this has not been attempted before in hypertensive heart disease, nor is there direct information on the effects of cardiac hypertrophy on ventricular function curves (see Reference 15 for review). We therefore studied the functional link between the appearance of cardiac hypertrophy and the performance of the heart in rats with chronic renal hypertension.
MethodsWe performed experiments on 20 normal Wistar rats and on 14 rats with sustained renal hypertension (average duration, 9 weeks; range, 6-22 weeks). All data presented are expressed as mean ± SE, unless stated otherwise for a specific value.Hypertension was produced by placing a silver clip with a 0.20-mm gap around the left renal artery; the contralateral kidney was left untouched. The rats were 10 weeks old at the time of constriction and average weight was 244 ± 11 g. All rats were housed...