The variability of blood pressure due to small changes of hematocrit

Am J Physiol Heart Circ Physiol. 2010 Sep;299(3):H863-7. doi: 10.1152/ajpheart.00496.2010. Epub 2010 Jul 2.

Abstract

The hematocrit (Hct) of awake hamsters was lowered to 90% of baseline by isovolemic hemodilution using hamster plasma to determine the acute effect of small changes in Hct and blood viscosity on systemic hemodynamics. Mean arterial blood pressure increased, reaching a maximum of about 10% above baseline (8.6 +/- 5.5 mmHg) when Hct decreased 8.4 +/- 1.9% (P < 0.005). Cardiac output increased continuously with hemodilution. These conditions were reached at approximately 60 min after exchange transfusion and remained stationary for 1 h. Peripheral vascular resistance was approximately constant up to a decrease of Hct of about 10% and then fell continuously with lowering Hct. Vascular hindrance or vascular resistance independent of blood viscosity increased by about 20% and remained at this level up to an Hct decrease of 20%, indicating that the vasculature constricted with the lowered Hct. The results for the initial 2-h period are opposite but continuous with previous findings with small increases in Hct. In conclusion, limited acute anemic conditions increase mean arterial blood pressure during the initial period of 2 h, an effect that is quantitatively similar but opposite to the acute increase of Hct during the same period.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anemia / physiopathology*
  • Animals
  • Blood Pressure / physiology*
  • Blood Viscosity / physiology
  • Blood Volume / physiology
  • Cricetinae
  • Hematocrit*
  • Hemodilution*
  • Hemodynamics / physiology*
  • Mesocricetus