In severe anaemias it seems to be clearly established that there is a rise in cardiac output, hoth in man at rest (Sharpey-Schafer, 1945; Brannon, Merrill, Warren and Stead, 1045) and in do^s (Blalock and Harrison, 1927). However, associated circulatory changes have heen less well defined. Thus, the results of determinations of mean right atrial pressures in anaemia are conflicting, Sharpey-Schafer (1945) reportinj:^ a marked rise in severe anaemias in man, while Brannon et al., in a comparable group of anaemic patients, could tind no such change. Similarly, a variety of changes have been reported in the blood volume in anaemias in man. Plesch (1922), Ilartwich andMay (1926), and Sjostrand (1949) reported an expansion of blood volume. Keith, Rowntree and Geraghty (1915) foimd little change, while others (Bennett, Dow, Lander and Samson Wright, 1938; Gihson, Harris and Swigert, 1939; McMiehael, SharpeySchafer, Mollison and Vaughan, 1943; Sjostrand, 1949) have found a reduction in hlood volume of varying degree. Probable factors accounting for these diverse results have been the multiple techniques used for determining the blood volume and the varied aetiology of the anaemias considered within many series.The experiments reported here deal with circulatory ehanges occurring in haemorrhagie anaemias in resting unanaesthetized rabbits. The relationships of right atrial pressure, cardiac output and blood volume to the degree of anaemia were investigated.
METHODS.Babbits, mostly albino, weighing 1-3 to 2-6 kg., were used for all experiments. For each group of oxperiments the moan body weights were approximately the same.Production of anaemia. The rabbits were bled 14 ml./kg. daily from the lateral ear vein. At no stage did thia haemorrhage seriously disturb the animal. Rabbits were uot blc'l more than four times, because after this red cell regeneration conipenaated for the daily losa and prevented a further fall in haemoglobin concentration. Cardiac outputs, right atrial pressures and bluod pressure estimations were made 24 to 72 hours after the last haemorrhage.'This work was earried out with the aid of a grant from the