STUDIES OF EXPERIMENTAL CERVICAL SPINAL-CORD TRANSECTION .1. HEMODYNAMIC CHANGES AFTER ACUTE CERVICAL SPINAL-CORD TRANSECTION

Two distinct and sequential patterns of hemodynamic alteration were observed after acute cervical spinal cord transection in anesthetized dogs. Interruption of the cord initially caused a 45% increase in mean arterial pressure (p<0.01), a 34% increase in systemic vascular resistance (p<0.05), and a 92% increase in left ventricular dp/dt (p<0.01), reflecting a generalized sympathetic response to trauma. Concomitant bradycardia and escape arrhythmias suggested relative parasympathetic hyperactivity. Resolution of the brief pressor response was followed by a second, more prolonged, period characterized by a fall in arterial pressure to 71% of control levels (p<0.05), a 16% decrease in systemic vascular resistance, and a 58.5% decrease in left ventricular dp/dt (p<0.01). These latter hemodynamic changes are consistent with sympathetic denervation and failure of regulatory mechanisms mediated by both alpha- and beta-adrenergic peripheral vascular and myocardial receptors.