The role of adrenal medullary catecholamine release in the response to a cold pressor test

We studied the effects of a cold pressor test on the plasma catecholamine levels of ten patients undergoing coronary angiography, to determine whether the pressor changes were related to adrenergic activity. To investigate the relative contribution of adrenal medullary catecholamine release, we subj...

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Veröffentlicht in:Cardiovascular research 1983-04, Vol.17 (4), p.189-191
Hauptverfasser: CUMMINGS, MARY F, STEELE, PETER M, MAHAR, LEO J M, FREWIN, DEREK B, RUSSELL, W JOHN
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container_end_page 191
container_issue 4
container_start_page 189
container_title Cardiovascular research
container_volume 17
creator CUMMINGS, MARY F
STEELE, PETER M
MAHAR, LEO J M
FREWIN, DEREK B
RUSSELL, W JOHN
description We studied the effects of a cold pressor test on the plasma catecholamine levels of ten patients undergoing coronary angiography, to determine whether the pressor changes were related to adrenergic activity. To investigate the relative contribution of adrenal medullary catecholamine release, we subjected two adrenalectomised volunteers to the same test. Arterial blood was assayed for dopamine (DA), adrenaline (A) and noradrenaline (NA). We found significant rises in the levels of all three catecholamines in the angiography patients, accompanied by a significant elevation in arterial blood pressure. In both the adrenalectomised patients a rise in blood pressure was seen but no significant rise in plasma catecholamines could be demonstrated. We postulate that although adrenal medullary catecholamine release occurs in response to the cold pressor test, the blood pressure elevation is independent of such adrenal activity. Sampling radial arterial blood may not reflect changes in plasma levels of peripherally released NA.
doi_str_mv 10.1093/cvr/17.4.189
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To investigate the relative contribution of adrenal medullary catecholamine release, we subjected two adrenalectomised volunteers to the same test. Arterial blood was assayed for dopamine (DA), adrenaline (A) and noradrenaline (NA). We found significant rises in the levels of all three catecholamines in the angiography patients, accompanied by a significant elevation in arterial blood pressure. In both the adrenalectomised patients a rise in blood pressure was seen but no significant rise in plasma catecholamines could be demonstrated. We postulate that although adrenal medullary catecholamine release occurs in response to the cold pressor test, the blood pressure elevation is independent of such adrenal activity. Sampling radial arterial blood may not reflect changes in plasma levels of peripherally released NA.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>6871908</pmid><doi>10.1093/cvr/17.4.189</doi><tpages>3</tpages></addata></record>
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subjects adrenal medulla
Adrenal Medulla - metabolism
Adrenalectomy
Adult
Aged
Blood Pressure
catecholamines
Catecholamines - blood
Catecholamines - metabolism
cold pressor test
Cold Temperature
Dopamine - blood
Dopamine - metabolism
Epinephrine - blood
Epinephrine - metabolism
Female
Humans
Male
Middle Aged
Norepinephrine - blood
Norepinephrine - metabolism
title The role of adrenal medullary catecholamine release in the response to a cold pressor test
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