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Plasma glucagon levels in haemorrhagic shock
The British Journal of Surgery
|April 1, 1977
Summary
During hemorrhagic shock, elevated glucagon levels in dogs correlate with blood glucose and catecholamines. This suggests sympathetic stimulation drives glucagon release, contributing to hyperglycemia in shock.
Area of Science:
- Veterinary Physiology
- Endocrinology
- Cardiovascular Research
Background:
- Hemorrhagic shock significantly impacts cardiopulmonary function and metabolic regulation.
- Understanding hormonal responses during shock is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the relationship between glucagon, insulin, glucose, and catecholamine levels during hemorrhagic shock in dogs.
- To explore the role of glucagon in the hyperglycemic response to shock.
Main Methods:
- Eleven healthy dogs were subjected to 90 minutes of hemorrhagic shock followed by blood reinfusion.
- Cardiopulmonary function was monitored, and blood samples were collected for hormonal and glucose analysis.
- Catecholamine levels were measured in three dogs.
Main Results:
- Glucagon levels increased during hemorrhagic shock.
- A correlation was observed between plasma glucagon, blood glucose, and catecholamine levels.
- No direct relationship was found between glucagon rise and cardiorespiratory changes.
Conclusions:
- Sympathetic stimulation likely mediates glucagon release via alpha cells during hemorrhagic shock.
- Elevated glucagon contributes to hyperglycemia observed in shock conditions.