The renin-angiotensin system and arterial wall behavior.
To assess the behavior of the arterial wall in hypertensive patients, we developed a noninvasive ultrasonic device. Simultaneous recordings of internal diameter and blood pressure over the whole cardiac cycle are used to establish compliance-pressure curves. Blood pressure, which is a co-determinant of compliance, is thus taken into account. This method allows one to compare arteries from patients with different blood pressures. Arterial compliance and distensibility were first investigated in healthy young volunteers administered either lisinopril (20 mg), atenolol (100 mg) or nitrendipine (20 mg) once a day. After 8 days of treatment, only lisinopril was found to increase arterial compliance. Subsequently, we compared arterial diameter- and distensibility-pressure curves from newly diagnosed and untreated hypertensive patients with those of matched normotensive control patients. Diameter-pressure curves did not differ significantly between the groups and distensibility was not reduced. Similar findings were later obtained in an animal model, when mechanical properties of carotid arteries were compared between spontaneously hypertensive rats and normotensive counterparts (Wistar-Kyoto rats). These results, although interesting by providing noninvasive information on the elastic response of the wall, call for further development of the technique to be able to measure arterial wall thickness. Stress-strain relationship could ultimately be established to thoroughly characterize physical properties of blood vessel walls.
Hayoz
D
D
Hypertension Division, University Hospital, Lausanne, Switzerland.
Nussberger
J
J
Waeber
B
B
Brunner
H R
HR
D000818:Animals; D000959:Antihypertensive Agents / Q000494:pharmacology; D001158:Arteries / Q000502:physiology* / Q000503:physiopathology; D001794:Blood Pressure; D003187:Compliance; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D051381:Rats; D011921:Rats, Inbred WKY; D012083:Renin / Q000502:physiology*; D012084:Renin-Angiotensin System / Q000502:physiology*; D012307:Risk Factors
D000959:Antihypertensive Agents; D012083:Renin