The present study was designed first to investigate the pulmonary hypertensive effects of chronic hypoxia in spontaneously hypertensive rats and second to compare the cardiovascular effects of atrial natriuretic factor on rats exposed to hypoxia and on control rats kept at sea level. Catheters were placed in the femora] and pulmonary arteries for measurement of mean systemic arterial pressure and mean pulmonary arterial pressure. The cardiac output was measured by thermodilution method. It was found that 4 weeks of simulated 18,000-foot hypoxia led to polycythemia, right ventricular hypertrophy, and pulmonary hypertension, which resulted from an increased pulmonary vascular resistance. However, systemic arterial pressure was not significantly different between the two groups of rats. Atrial natriuretic factor administration decreased systemic arterial pressure and pulmonary arterial pressure to a lesser extent in the hypoxic group compared with the sea level control group. It is concluded that these animals snowed an impaired response to atrial natriuretic factor after long-term exposure to hypoxia. (Hypertension 1991;18u355-359) A trial natriuretic factor (ANF) possesses potent vasorelaxant properties in blood vessels and natriuretic and diuretic effects in the kidney after exogenous administration as well as endogenous release.1 Changes in plasma ANF concentration or the sensitivity to ANF have been shown to be associated with alterations of body fluid 2 "4 and with diseases such as nephrotic syndrome, 56 experimental cirrhosis, 7 bile duct ligation, 8 and especially hypertension. Tikkanen et al 9 showed that NaCl and deoxycorticosterone acetate-NaCI loading increased plasma ANF levels and that elevated blood pressure did not stimulate ANF release further. Sonnenberg et al 10 reported a decreased atrial content of ANF in the spontaneously hypertensive rat (SHR), but Pettersson et al 4 showed that basal plasma ANF levels were similar in the SHR and Wistar-Kyoto rats. Nevertheless, most reports agreed that the increase in plasma ANF was attenuated during acute volume expansion in SHR rats.2 -4 The sensitivity of blood pressure drop after exogenously administered ANF in the normotensive and hypertensive rats is also controversial.3 ' 1112 ANF may play an important role Received October 15, 1990, accepted in revised form April 29, 1991. in the pulmonary hypertension induced by hypoxia.
13Acute hypoxia stimulates the release of ANF from isolated hearts 14 and increases plasma ANF in anesthetized rabbits 15 and pigs. 16 In the chronic hypoxia of widespread lung disease or high altitude residents or animals pulmonary hypertension, ventricular hypertrophy, and polycythemia may develop. 17 In rats exposed to 21 days of hypoxia, the left atrial ANF content was significantly increased, whereas right atrial ANF content was significantly reduced, and plasma ANF concentration was elevated compared with air control animals.
18ANF has a direct effect on the pulmonary vasculature, causing relaxation of isolated segments of...