QRS duration and dispersion for predicting ventricular arrhythmias in early stage of acute myocardial infraction. / Duración y dispersión del QRS para predecir arritmias ventriculares en las fases iniciales del infarto agudo de miocardio.

OBJECTIVE: To determine the relationship between QRS duration and dispersion and the occurrence of ventricular arrhythmias in early stages of acute myocardial infarction (AMI). DESIGN: A retrospective, longitudinal descriptive study was carried out. SETTING: Hospital General Universitario "Camilo Cienfuegos", Sancti Spíritus, Cuba. Secondary health care. PATIENTS OR PARTICIPANTS: A total of 209 patients diagnosed with ST-segment elevation AMI from January 2012 to June 2014. MAIN VARIABLES OF INTEREST: The duration and dispersion of the QT interval, corrected QT interval, and QRS complex were measured in the first electrocardiogram performed at the hospital. The presence of ventricular tachycardia/fibrillation was assessed during follow-up (length of hospital stay). RESULTS: Arrhythmias were found in 46 patients (22%); in 25 of them (15.9%), arrhythmias originated in ventricles, and were more common in those subjects with extensive anterior wall AMI, which was responsible for 81.8% of the ventricular fibrillations and more than half (57.1%) of the ventricular tachycardias. The widest QRS complexes (77.3±13.3 vs. 71.5±6.4ms; P=.029) and their greatest dispersion (24.1±16.2 vs. 16.5±4.8ms; P=.019) were found on those leads that explore the regions affected by ischemia. The highest values of all measurements were found in extensive anterior wall AMI, with significant differences: QRS 92.3±18.8ms, QRS dispersion 37.9±23.9ms, corrected QT 518.5±72.2ms, and corrected QT interval dispersion 94.9±26.8ms. Patients with higher QRS dispersion values were more likely to have ventricular arrhythmias, with cutoff points at 23.5ms and 24.5ms for tachycardia and ventricular fibrillation, respectively. CONCLUSIONS: Increased QRS duration and dispersion implied a greater likelihood of ventricular arrhythmias in early stages of AMI than increased duration and dispersion of the corrected QT interval.

Enfermedad de McArdle o glucogenosis tipo V: ¿influye en el manejo anestésico? / McArdle disease or glycogen storage disease type V: should it affect anaesthetic management?

La enfermedad de McArdle es una miopatía metabólica que puede implicar graves complicaciones durante el acto anestésico. Exponemos el caso de una paciente sometida a mastectomía, diagnosticada previamente de enfermedad de McArdle. El conocimiento de la fisiopatología y la aplicación de medidas de prevención puede evitar complicaciones de posible desenlace fatal. Se describen las posibles complicaciones y las medidas de prevención y tratamiento (AU)

McArdle disease is a metabolic myopathy that can may lead to severe perioperative problems. A case is reported of a woman with a history of McArdle disease, who was scheduled for a mastectomy. An understanding of the physiology and pathology, and the application of appropriate preventive measures can avoid complications. A overview of the complications and the management are described (AU)

[McArdle disease or glycogen storage disease type v: Should it affect anaesthetic management?]. / Enfermedad de McArdle o glucogenosis tipo v: ¿influye en el manejo anestésico?

McArdle disease is a metabolic myopathy that can may lead to severe perioperative problems. A case is reported of a woman with a history of McArdle disease, who was scheduled for a mastectomy. An understanding of the physiology and pathology, and the application of appropriate preventive measures can avoid complications. A overview of the complications and the management are described.

First report of anthelmintic resistance in gastrointestinal nematodes of sheep from costa rica.

As the prevalence and severity of anthelmintic resistance continue to rise, nematode infections in sheep correspondingly reduce the profitability of the sheep industry. In Costa Rica, sheep production systems are increasing in both number and importance. A field trial study was carried out to detect the level of anthelmintic resistance to albendazole and ivermectin in gastrointestinal nematodes (GIN) of sheep from seven farms in Costa Rica. Resistance was determined using the fecal egg count reduction test (FECRT). Three treatment groups were assessed on each farm: control, albendazole, and ivermectin. Haemonchus spp. (71%), Strongyloides sp. (57%), and Trichostrongylus spp. (43%) presented resistance levels to albendazole, whereas Strongyloides sp. (43%), Haemonchus spp. (29%), and Trichostrongylus spp. (29%) were resistant to ivermectin. Haemonchus spp., Strongyloides sp., and Trichostrongylus spp. were the most resistant GIN to both products. This study suggests that frequency of treatment, exclusive chemical control, and visual estimation of animal weight to calculate dosage may contribute to the high levels of anthelmintic resistance that were observed on the farms analyzed herein.

A cross-sectional survey of gastrointestinal parasites with dispersal stages in feces from Costa Rican dairy calves.

A cross-sectional study was carried out to determine the prevalence of gastrointestinal parasites and lungworm nematodes in dairy calves from five different ecoclimatic areas of Costa Rica. Also intensity of infection of nematodes was determined. In order to describe management practices and anthelmintic control, a questionnaire was applied in 73 farms. The influence of area, farm, host (breed, age) and ecological factors (low and high rainfall period) upon eggs per gram feces (epg) of gastrointestinal nematodes (GIN) and first larval stage counts (L1) of Dictyocaulus viviparus were investigated. Furthermore, association of host, ecological and management risk factors to the prevalence of gastrointestinal parasites and D. viviparus were analyzed. The most prevalent GIN, cestodes and protozoan identified in dairy farms were similar in all areas studied. Strongylidae was the most prevalent parasite group detected, represented mainly by Haemonchus spp. and Cooperia spp., whereas Ostertagia spp. and Mecistocirrus digitatus were barely found. The most prevalent protozoan was Eimeria spp. The questionnaire applied to producers revealed the following management practices: weaning age of calves 1-4 months (52.1%), semi-confinement of calves upon 5-8 months of age (41.1%), number of paddocks used for calves <10 (57.5%), first deworming of calves at ages ≥15 days (74.70%) and deworming of calves at intervals >60 days (52.1%). Anthelmintic products were changed in 56.1% of the farms at intervals between 13 and 24 months. Although 91.8% of the farms had veterinary assistance, the majority performed parasite control regimes according to the criteria of the producers (66.7%). Common practices were the dispersion of animal feces on the pastures (64.4%) and use of disinfectant in the milking room (63.4%). The analyses of variance showed significant influence (p<0.05) of age, rainfall period, interaction of rainfall period on area (rainfall period×area) and nested effect of farm within area [farm (area)] on epg of Strongylidae; age, area, rainfall period×area and [farm (area)] on epg of Strongyloides papillosus; age, rainfall period and farm (area) on epg of Trichuris spp.; rainfall period, rainfall period×area and [farm (area)] on L1 of D. viviparus. The logistic regression analyses determined area, semi-confinement, management of feces, use of disinfectant in the milking room as risk factors for the presence of Strongylidae, S. papillosus and Trichuris spp; rainfall, age, paddock numbers for D. viviparus; and area, age, veterinary assistance, deworming program, age at first deworming and use of disinfectant in the milking room for Eimeria spp. and Buxtonella sulcata.

Dictyocaulus viviparus seroprevalence and epidemiology in Costa Rican dairy cattle.

A cross-sectional serological survey of Dictyocaulus viviparus was carried out to determine the prevalence of lungworm infections in 28 dairy cattle farms distributed in five selected areas from Costa Rica. The influence of area, farm, host (breed, age and lactation number) and ecological factors (altitude and life zones) on the presence of lungworm infection was analyzed. A sub-sample of 924 sera collected between September 1998 and July 1999 was processed by ELISA (Ceditest). A total of 162 (17.5%) animals from 26 (93.0%) farms showed antibodies against D. viviparus. The overall seroprevalence detected among areas was Poás 25.0%, Cartago 24.3%, Tilarán 22.0%, Alfaro Ruiz 12.0% and San Carlos 12.1%. Using analysis of variance no significant influence of area and host factors on D. viviparus infections was determined, whereas the variable farm within area was highly significant (p<0.001). However, altitude and life zones showed significant association to seropositive animals, when a Chi-square test was applied. In altitudes of 1000-2000 m (p<0.001) and life zones of Lower Montane moist forest and Montane moist forest (p<0.001) D. viviparus infections in bovines were significantly higher. The results obtained in this study indicate a high D. viviparus seroprevalence in the analyzed farms and that the factors farm, altitude and life zones were significantly related to lungworm infections.

Fecal and serological survey of Neospora caninum in farm dogs in Costa Rica.

To detect oocysts of Neospora caninum in dog feces and to determine the excretion pattern in dogs from specialized dairy farms in Costa Rica, a total of 265 fecal samples from 34 dogs were collected at intervals from February to August 2005. Fecal samples were examined for N. caninum-like oocysts microscopically, by DNA detection using the polymerase chain reaction (PCR), and by bioassay. N. caninum DNA was detected by PCR in four fecal samples, twice from one dog, but oocysts were not detected microscopically in these dogs. Sera of 31 of 34 dogs were tested for antibodies to N. caninum by a competitive-inhibition ELISA (VMRD). Fifteen (48.4%) of 31 dogs had antibodies to N. caninum by ELISA. Seroconversion was not found in 28 dogs that were bled twice, 4 months apart (March and July 2005). Only one dog tested positive to N. caninum by both ELISA and PCR. This is the first report of finding N. caninum DNA in feces of naturally infected dogs in Costa Rican dairy farms.

Dynamics of infections with gastrointestinal parasites and Dictyocaulus viviparus in dairy and beef cattle from Costa Rica.

A longitudinal survey was carried out to determine and describe the prevalence and intensity of gastrointestinal parasite infections and Dictyocaulus viviparus in a dairy and a beef cattle farm of two different ecological zones in Costa Rica. The influence of anthelmintic treatment, age and meteorological factors (rainfall, minimum and maximum temperatures) on gastrointestinal nematodes and D. viviparus counts was determined. Calves were subjected to monthly sampling of feces and blood between April 2002 and March 2003. Coprological techniques were used to detect gastrointestinal helminthes, protozoan and D. viviparus. Blood samples were analyzed for antibodies to D. viviparus by ELISA. The most prevalent gastrointestinal parasites detected on both farms (dairy cattle, A; beef cattle, B) were Eimeria spp. (94.7%, 93.7%), Strongylidae (75.0%, 81.4%), Buxtonella sulcata (38.0%, 21.6%) and Strongyloides papillosus (29.8%, 31.7%), whereas Moniezia benedeni (4.8%, 9.1%), Trichuris spp. (7.3%, 13.2%), Toxocara vitulorum (0.0%, 1.8%) and Entamoeba bovis (2.5%, 1.1%) were less prevalent. Mean fecal egg counts (FEC) showed highest values of Strongylidae in April, May and July (>335.3 eggs/g feces) on farm A, and April, May and August (>304.3 eggs/g feces) on farm B. S. papillosus presented low FEC throughout the year on farm A, on farm B the highest values were obtained in April (303.0 eggs/g feces). Trichuris spp. presented maximum FEC values in May (328.6 eggs/g feces) on farm A and in June (157.5 eggs/g feces) on farm B. Treatment and age had significant influence on infection intensity of Strongylidae (farms A and B), S. papillosus (farms A and B) and Trichuris spp. (farm A). Rainfall had significant effect on S. papillosus (farms A and B) and Trichuris spp. (farm B). Maximum temperature showed significant effect on S. papillosus (farm A) and Trichuris spp. (farms A and B). Minimum temperature had significant influence on Strongylidae (farm A), S. papillosus (farms A and B) and Trichuris spp. (farm B). Haemonchus spp. (57%, 66%) and Cooperia spp. (30.0%, 30.7%) were the most prevalent genera identified by coproculture on both farms, in contrast, Trichostrongylus spp. and Oesophagostomum spp. were less frequent. Patent lungworm infections were low on both farms (10.8%, 1.8%). On farm A, high prevalence of antibodies against D. viviparus was determined only at the beginning of the study, in contrast, on farm B the seroprevalence fluctuated throughout the year. Treatment, age and maximum temperature had significant effect on D. viviparus counts on farm A, but not on farm B.

[Are the tools recommended by ASPEN and ESPEN comparable for assessing the nutritional status?]. / Son las herramientas recomendadas por la ASPEN y la ESPEN equiparables en la valoración del estado nutricional?

INTRODUCTION: [corrected] There is no "gold standard" for identification of malnutrition. The ASPEN board of directors (2002) suggest the subjective global assessment (SGA) and ESPEN (2002) recommend the nutritional risk screening-2002 (NRS-2002) to detect the prevalence of malnutrition. AIMS: This cross-sectional study aims (1) to assess the prevalence of malnutrition on admission and (2) to know association between two tools used to evaluate nutritional risk. MATERIAL AND METHODS: 135 patients (42.2% women and 58.8% men, 62.1 +/- 14.4 years) are studied at admission. Different parameters are assessed to evaluate nutritional state. Patient's energy requirements (Harris Benedict x Long's factor) and energy intake, calculated as 24 h-recall, are compared. The prevalence of malnutrition is assessed with two screening tools: SGA and NRS-2002. RESULTS: 42.2% of the patients had lost more than 5% body weight and 39.3% had an intake lower than required at admission. The prevalence of malnutrition is 40.7 and 45.1/100 patients admitted at hospital, if SGA or NRS-2002 are used, respectivility. There is strong agreement between results of two nutritional assessment methods (p = 0.000). Serum albumin and protein concentrations and linfocytes count are less in the malnourished patients. CONCLUSIONS: The prevalence of malnutrition is elevated. In clinical practice, both methods could be used to identify patients at nutritional risk, but the NRS-2002 is a less subjective method.

Dietary chloride does not correlate with urinary thromboxane in deoxycorticosterone acetate-treated rats.

Renal vascular resistance in deoxycorticosterone acetate (DOCA) salt-treated uninephrectomized rats is increased by high dietary chloride. Because DOCA salt-hypertensive rats exhibit an increased urinary excretion of thromboxane B2 (TXB2), a metabolite of thromboxane A2 (TXA2), the increased TXB2 excretion by DOCA salt-treated rats could relate to elevated dietary chloride, increased blood pressure, and/or the presence of intact renal tubules. We hypothesized that high NaCl intake, resulting in an elevated tubular chloride excretion, stimulates TXA2 production. A result of that production could be renal vasoconstriction. Baseline blood pressures were measured for 10 days, and then the rats were treated with DOCA (30 mg/kg) and fed (1) normal NaCl, (2) normal sodium with high chloride, or (3) high sodium chloride (NaCl) for 4.5 weeks. Next, the rats were uninephrectomized (1K) or unihydronephrectomized (1KHK) to yield one kidney without an intact tubular system and therefore no macula densa. Two and a half weeks later, urinary excretion of TXB2 was determined. DOCA-high NaCl-fed 1KHK or 1K rats had significant increases in systemic blood pressure to 172 +/- 12 and 190 +/- 5 mm Hg, respectively, compared with no significant increase in blood pressure among the other groups. Urinary TXB2 excretion was increased to 29 +/- 4 pg per 24 hours per gram of body weight in all DOCA-treated 1KHK and 1K animals regardless of diet compared with DOCA-treated animals with two intact kidneys (13 +/- 2 pg per 24 hours per gram of body weight). DOCA treatment in rats with one functional kidney results in the excretion of high levels of urinary TXB2 unrelated to dietary chloride load, blood pressure, or intact renal tubules.

Temporal and spatial variation of phlebotomine (Diptera: Psychodidae) community diversity in a cutaneous leishmaniasis endemic area of Costa Rica.

Phlebotomine sand fly species composition and diversity were studied in Acosta, an area of Costa Rica endemic for cutaneous leishmaniasis. Two CDC miniature light traps per house were set overnight in 72 houses distributed in 6 localities, once a month, during the rainy seasons of 1994 and 1995. Of the 22 species collected, the most common were Lutzomyia serrana (Damasceno & Arouck), L. youngi Feliciangelli & Murillo, L. ylephiletor (Fairchild & Hertig), L. shannoni (Dyar), L. cruciata (Coquillett), L. gomezi (Nitzulescu), L. sanguinaria (Fairchild & Hertig), and Warileya rotundipennis (Fairchild & Hertig). The Czekanowsky index and the Sorensen index as modified by Bray and Curtis to consider abundance were used to compare species composition and beta-diversity. Comparisons were made among localities within years, between years, and localities each year. The data strongly indicated that phlebotomine species composition is more stable than diversity or abundance.

Survey of small rodents and hematophagous flies in three sentinel farms in a Costa Rican vesicular stomatitis endemic region.

A survey of rodents and hematophagous flies was conducted on three farms located in an area endemic for vesicular stomatitis to determine the species composition of each zoological group occurring in these areas. Eleven species of small rodents were collected and identified. Individuals from forty-nine species of hematophagous flies of the families Ceratopogonidae, Culicidae, and Phlebotominae were captured and identified. The species compositions in each group were compared between farms. Rodents were tested for antibodies to vesicular stomatitis, New Jersey and Indiana serotypes. Seven species had antibody titers greater than 1:10. Attempts to isolate the virus produced negative results for all the species tested.

Serological survey of small mammals in a vesicular stomatitis virus enzootic area.

Small mammals were captured in a Costa Rican dairy farm located in a vesicular stomatitis virus (VSV) enzootic focus, in order to determine which species were naturally infected by this virus. Monthly captures were performed from March 1989 to February 1990. Eighty-four individuals belonging to the orders Rodentia (n = 52), Insectivora (n = 31) and Marsupialia (n = 1) were captured. Only Sigmodon hispidus had neutralizing antibodies to VSV; among 21 animals, six had antibodies to Indiana, one to New Jersey, and two to both serotypes. In addition, groups of 40 sentinel mice (Mus musculus, strain C3H) were placed in cages distributed throughout the farm. Each group was exposed for 1 mo over a period of 1 yr. None of 312 sentinel mice developed antibodies against either VSV serotype. Based on these results, we believe that S. hispidus might be part of the natural cycle of VSV in this enzootic focus. Caged Mus musculus do not seem appropriate for monitoring VSV activity in this area.

Effect of human chorionic gonadotropin on reproductive organ blood flow in cycling rats.

Recent characterization of luteinizing hormone++ (LH)/human chorionic gonadotropin (hCG) receptors in uterine vascular tissue, evidence that expression of these receptors is cyclic in nature, and demonstration of a correlation between hCG level and uterine vascular resistance lead us to investigate the effect of hCG administration on blood flow in reproductive organs of cycling and ovariectomized Sprague-Dawley rats. Blood flow (ml/min/g dry wt/cardiac output +/- SEM) was determined by microsphere spectroscopy (57Co, 113Sn, 95Nb, 141Ce). Baseline uterine (0.5842 +/- 0.1037) and cervical (0.7785 +/- 0.1199) blood flows were greater in diestrus-2 rats than in every other group. Diestrus-2 (0.4530 +/- 0.0584) and estrus (0.4692 +/- 0.0848) rats had greater baseline ovarian blood flow than proestrus rats (0.2521 +/- 0.0279). A single intraperitoneal injection of 50 IU hCG on each day of the 4-day estrus cycle decreased uterine flow by more than 30% within 20 min (P<0.05), but did not alter uterine flow in ovariectomized rats. This dose of hCG also decreased ovarian flow in diestrus-2 rats (0.5219 +/- 0.0857 to 0.4207 +/- 0.0753), decreased liver flow in diestrus-2 (0.0282 +/- 0.0060 to 0.0231 +/- 0.0051) and estrus (0.0301 +/- 0.0029 to 0.0203 +/- 0.0038 rats, and increased liver flow in ovariectomized rats (0.0279 +/- 0.0054 to 0.0325 +/- 0.0050). Injection of 0.10 IU hCG did not alter blood flow to reproductive organs in any group, but decreased liver flow in estrus rats (0.0469 +/- 0.0121 to 0.0326 +/- 0.0088). Neither dose of hCG altered cervical, kidney, or skeletal muscle flow in any group. Our results indicate an organ specific, dose-dependent blood flow response to hCG in cycling rats, which appears, in the case of uterine flow, to be attenuated by removal of the ovaries. The present findings suggest high doses of hCG given clinically may decrease uterine flow and potentially lead to implantation failure.

Phlebotomines (Diptera: Psychodidae) collected at a Costa Rican dairy farm in a vesicular stomatitis endemic area.

This study determined the species composition of sand flies in a vesicular stomatitis endemic area, at Carrizal, Alajuela, Costa Rica. Eight species were collected as follows: Lutzomyia volcanensis (Fairchild & Hertig), L. shannoni (Dyar), Lu. pia (Fairchild & Hertig), L. sanguinaria (Fairchild & Hertig), L. youngi Feliciangeli & Murillo, L. longipalpis (Lutz & Neiva), L. serrana (Damasceno & Arouck), and L. gomezi (Nitzulescu).

Chloride alters renal blood flow autoregulation in deoxycorticosterone-treated rats.

Renal blood flow autoregulation was studied in deoxycorticosterone acetate (DOCA)-treated rats. DOCA pellets (75 mg) were implanted in uninephrectomized rats, and the animals were then fed one of four diets: (1) normal sodium chloride level, (2) high in NaCl, (3) high in chloride, or (4) high in sodium. After 40 to 45 days of the DOCA-diet treatment, animals were subjected to renal blood flow autoregulation experiments; an inflatable aortic occluder was placed proximal to the renal artery, and renal blood flow (electromagnetic flow probe) was measured while renal perfusion pressure was reduced from normal (in that animal) to 20 mm Hg, in 10 mm Hg decrements to determine the lower threshold of autoregulation. Directly measured arterial blood pressure was higher in the DOCA-high NaCl group compared with the DOCA-normal NaCl group (127 +/- 3 mm Hg vs 103 +/- 4 mm Hg) during anesthesia. Significant elevation of lower autoregulatory thresholds were demonstrated in both the DOCA-high NaCl (98 +/- 7 mm Hg) and high chloride groups (94 +/- 3 mm Hg) compared with the DOCA-normal NaCl (77 +/- 4 mm Hg) and the DOCA-high sodium (76 +/- 5 mm Hg). Pressure-flow curves of the DOCA-high chloride groups were shifted significantly downward (reduced renal blood flow at all pressures) and rightward (elevated lower threshold) compared with the DOCA-normal NaCl and -high sodium groups. These data indicate that DOCA-treated rats consuming a diet high in chloride have altered renal blood flow autoregulatory mechanisms.

Renal vasodilation with acetylcholine but not secretin increases nonnutrient blood flow.

To investigate the fact that, despite its renal vasodilator properties, acetylcholine (ACh) provides no protection against acute renal failure, we measured nutrient (NBF) and nonnutrient renal blood flow (NNBF) during ACh infusion. The effect of ACh and secretin on NBF in the outer and inner cortex and outer medulla using 133Xenon (133Xe) washout with freeze dissection analysis was determined. We then calculated NNBF as the difference between NBF in the entire cortex and outer medulla (133Xe washout) and total renal blood flow (TRBF) measured by electromagnetic flow probe. NNBF was also assessed from the 86Rubidium (86Rb) recovery after administration into the renal artery. ACh increased TRBF without increasing NBF, resulting in an increased calculated NNBF. ACh, but not secretin, increased NNBF in the kidney as measured with 86Rb. Thus we conclude that ACh selectively induces a large increase in NNBF in the kidney.

Effectiveness of dual cyclooxygense and leukotriene blockade with ibuprofen and LY203647 during canine endotoxic shock.

Ibuprofen and the leukotriene antagonist, LY203647, were used to evaluate the effectiveness of LY203647 in the dual blockade of cyclooxygenase and leukotriene to maintain hemodynamic parameters in endotoxemia. Ibuprofen pretreatment alone or dual blockade (ibuprofen plus LY203647) protected blood pressure and renal blood flow at 1 and 3 hr after endotoxin infusion. Cardiac output at 1 hr after endotoxin in dogs treated with ibuprofen was slightly but significantly decreased. Dual pretreatment prevented this decrease at 1 hr; however, cardiac output was similar in both groups by 3 hr. Dual blockade administered after endotoxin induced increases in blood pressure and cardiac output at 3 hr. LY203647 pretreatment alone did not prevent the postendotoxemic declines in any measured parameters. The increased plasma SGOT and lactate of endotoxemia were exacerbated by LY203647 and blunted by ibuprofen treatment. We conclude that the addition of LY203647 to ibuprofen treatment offers no additional significant protection of hemodynamic parameters.

Atrioventricular septal defect: quantitative anatomy of the right ventricle.

In 19 human fetal and newborn hearts with atrioventricular septal defect (AVSD), not associated with other anomalies, the two ventricles were studied morphometrically. A total of 17 different parameters were studied: nine in the right ventricle and eight in the left. In the right ventricle we analyzed ventricular wall thickness, length of right ventricular inflow and outflow tracts, and volume of right ventricular inflow and outflow tracts. The data for these parameters were compared with the patterns of normality published previously, and the volumetric data were compared with patterns of normality published previously by us. The ventricular inflow tract was shorter than the outflow tract, the difference being especially significant in the left ventricle. The length of the diaphragmatic wall of the heart in both the right and left ventricle was equal to the sum of the length of the inflow tract and the thickness of the ventricular wall at the apex.

Effect of chloride on renal blood flow in angiotensin II induced hypertension.

The effect of selective dietary sodium and (or) chloride loading on blood pressure and renal blood flow (RBF) in the rat angiotensin II (AII) model of hypertension was determined. AII (200 ng/min) or saline was infused intraperitoneally. Diets were provided with either high or low concentrations of sodium, chloride or both ions for 22 days. The blood pressure of saline-treated animals was not increased by the high sodium chloride diet. Animals on a high sodium, high chloride diet had a significantly greater increase of blood pressure at 8, 15, 18, and 22 days of AII infusion compared with AII-treated animals on a low sodium, low chloride diet (p less than 0.05). Selective dietary loading of either high sodium or chloride in AII-treated rats produced no greater elevation of blood pressure than AII with the low sodium, low chloride diet. Selective high dietary chloride was associated with a lower RBF in AII- and vehicle-treated rats compared with low dietary chloride. The chloride effect on RBF was greater in AII-treated animals. In conclusion, both sodium chloride are necessary to produce the maximum increase of blood pressure in AII animals. AII enhances the decreased RBF induced by dietary chloride.