RESUMO
BACKGROUND: Several studies have demonstrated an adverse effect of bubbles on endothelial function. The degree of dysfunction appears to be related to the number of bubbles present. The aim of the study was to determine whether decompression without bubble formation visible by ultrasound had any effect on arterial endothelial function. METHODS: We decompressed 21 Sprague-Dawley rats weighing 215-260 g from 700 kPa (approximately 6.9 ATA) in a dry hyperbaric chamber followed by a 1-h observation period and measured aortic endothelial-dependent relaxation to acetylcholine. Later, we determined the specific weight of the brain as a measure of edema formation and vascular bubbles in the arterial circulation. RESULTS: No bubbles were seen in the pulmonary arteries of seven rats. We found a significant lower vasodilatory response to acetylcholine in the decompressed rats (44% +/- 14%) compared to the control rats (58% +/- 12%) as a sign of endothelial dysfunction. There was no significant difference between the two groups in the specific gravity of the brain. CONCLUSION: We conclude that measurable arterial dysfunction in the aorta can occur even if no visible venous bubble formation is seen. There are no results in this study suggesting that these rats had damaged blood-brain barriers or brain edema.
