Chronic central vascular expansion induces hypokalemia in conscious primates

Central vascular expansion maintained for four days in conscious squirrel monkeys reconciles the apparently conflicting short-term fluid and electrolyte responses to water immersion and atrial balloon distension, with those described for prolonged weightlessness during space flight. The monkeys are subjected to an increased lower body positive air pressure (LBPP) of 20 torr which produces a 3 cm water increase in the central venous pressure. Results show a marked increase in the urinary excretion of sodium, potassium, and water during the firxt six hours of LBPP, and the diuresis is maintained throughout the period of LBPP, although the levels of sodium and potassium excretion decline after 24 hours of exposure. Plasma aldosterone transiently drops within the first three hours of LBPP, and then regains normal levels within 24 hours, after which time these levels are maintained despite the continued LBPP stimulus. It is suggested that the normal plasma aldosterone levels observed in the experiments, as well as during space flight, might, epresent a relative hyposecretion in terms of volume homeostasis and a relative hypersecretion with respect to plasma potassium regulation. Thus, kaliuresis and marked natriuresis is confined primarly to the first 24 hours of central volume expansion, a period for which comparable data from space flights are lacking.