Figure 20-21
Baroreflex-induced arginine vasopressin (AVP) depletion
in dogs. A, Section of the posterior pituitary gland
(neurohypophysis) from a normal dog. The macrovesicles are stained with antivasopressin
serum, a reaction indicative of replete stores of vasopressin. B,
Section of the neurohypophysis from a dog after severe hemorrhagic hypotension (mean
arterial pressure, <40 mm Hg) for 1 hour. The minimal staining with antivasopressin
serum is indicative of profound baroreflex-induced depletion of AVP stores. (Reprinted,
by permission, from Landry DW, Oliver JA: The pathogenesis of vasodilatory shock.
N Engl J Med 345:588–595, 2001.)