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Published on: October 26, 2020
Experimental intrarenal reflux and blood pressure
British Journal of Experimental Pathology
|December 1, 1977
Summary
Experimental vesico-ureteric reflux in rats causes transient blood pressure changes due to pyelovenous backflow. This effect was confirmed by dye tracing and pelvic rupture pressure measurements.
Area of Science:
- Nephrology
- Urology
- Physiology
Background:
- Vesico-ureteric reflux (VUR) can impact renal function and systemic hemodynamics.
- Understanding the immediate physiological effects of VUR is crucial for clinical management.
Purpose of the Study:
- To investigate the acute effects of experimental vesico-ureteric reflux on systemic blood pressure in rats.
- To elucidate the mechanism behind observed blood pressure changes during reflux.
Main Methods:
- Inducing experimental vesico-ureteric reflux in adult female Wistar rats using saline and distilled water.
- Measuring systemic blood pressure changes before, during, and after reflux.
- Utilizing lissamine green dye to trace pyelovenous backflow and assessing pelvic rupture pressure.
Main Results:
- Reflux with saline or distilled water caused transient increases and subsequent decreases in blood pressure.
- Dividing ureters prevented the initial blood pressure rise, suggesting a role for backflow.
- Lissamine green dye rapidly appeared in peripheral capillaries, confirming pyelovenous backflow.
- Pelvic epithelium rupture occurred at a mean pressure of 99 mmHg.
Conclusions:
- Blood pressure fluctuations during vesico-ureteric reflux are primarily caused by pyelovenous backflow.
- The findings provide direct evidence for the hemodynamic consequences of VUR.
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