Studies in patients with chronic anemia and in anesthetized animals rendered anemic have demonstrated that, within wide limits, cardiac output rises as the hematocrit falls (1-5). The fundamental importance of the autonomic nervous system in circulatory regulation in the intact organism (6) influenced us to determine its role in the profound hemodynamic changes that occur during the stress of acutely induced isovolemic anemia.The basic objective of this study was to compare the circulatory responses to acutely induced isovolemic anemia in normal dogs with the responses observed in animals in which the control exerted by the autonomic nervous system had been impaired, either by chronic total cardiac denervation or by reserpine. Most previous experiments on acutely induced anemia have been carried out on anesthetized animals (2-5), in which many compensator) reflex mechanisms must, of necessity, have been either obtunded or ablated. To obviate this problem, the present investigation was carried out on trained, unanesthetized dogs.
MethodsThe studies were performed on dogs weighing between 13.0 and 22.3 kg. With the dog under local anesthesia, catheters were introduced into the right atrium via the jugular vein and into the aorta through the femoral artery. Isovolemic anemia, to an average hematocrit of 13.6% ± 0.3%7o (standard error of the mean SEM), was produced by withdrawing blood from the aortic catheter and simultaneously replacing it with an equal volume of 6%o dextran 1 injected into the right atrium. This exchange required 10 to 15 minutes, and particular care was taken to ensure that no changes in blood volume occurred. Cardiac output was meas-* Submitted f~or publication April 13, 1964; accepted July 9, 1964. t Established Investigator, American Heart Association.1 Cutter Laboratories, Berkeley, Calif. ured during the control period and 15 minutes after the completion of the blood-for-dextran exchange by the indicator-dilution technique, with injection of indocyanine green into the right atrium and sampling from the aorta. Blood was drawn through a cuvette densitometer 2 at the rate of 37.5 ml per minute, while the dilution curves were inscribed on a linear chart recorder. The blood was returned to the animal immediately after withdrawal. All determinations of cardiac output were performed in duplicate, the paired values differing by an average of 12.3% ± 9.1% (SD) from one another. Separate dye calibration curves were constructed for the normal and for the anemic blood. Pressures were recorded from the right atrium and aorta immediately after each measurement of cardiac output. Arterial blood samples were collected during each period for measurement of hematocrit and for determination of 02 content and capacity and of C02 content by the method of Van Slyke and Neill (7). The hematocrit values were not corrected for trapped plasma. Arterial blood pH and Pco2 were determined with a glass electrodes Total systemic resistance (TSR) in dynes-sec-cm-5 was calculated as follows:[systemic arterial mean pre...