Influence of ANP on Sympathetic Nerve Activity and Chronotropic Regulation of the Heart

Physiological Effects of ANP. hypotension caused by atrial natriuretic peptide (ANP) is often not accompanied by the anticipated increases in beart rate or sympathetic nerve activity. the sympathetic inhibitory action of ANP occurs in cardiac and noncardiac sympathetic nerves, and has been demonstrated in conscious or anesthetized animals as well as in humans. The sympathetic inhibition by ANP occurs after atropinization but is abolisbed after va‐gotomy. Thus, ANP alters sympathetic nerve activity by influencing cardiopulmonary barore‐ceptors, wbich in turn is mediated by vagal afferents. In addition to the effects of ANP on cardiopulmonary baroreceptors, ANP affects arterial baroreceptors. ANP dilates the ascending aorta where some of the arterial baroreceptors are located, causing resetting of these arterial baroreceptors. When ANP is microinjected into the cerebroventricle or nucleus tractus soli‐tarii, it causes inhibition of sympathetic nerve activity. It has been shown tbat ANP inhibits sympathetic ganglionic transmission and augments cardiac parasympathetic effects on heart rate. Thus., ANP may play important roles in cardiovascular regulation by influencing sympathetic nerve activity and beart rate in addition to the direct vasodilating and renal effects.