SUMMARY A group of dogs was trained on a free-operant avoidance-conditioning task that evoked acute increases in arterial pressure and heart rate during each of three daily 30-minute sessions. After 15 days of exposure to this procedure under conditions of normal sodium intake, 24-hour mean levels of arterial pressure remained unchanged. Another group of dogs received continuous intrarterial infusion of isotonlc saline at a constant rate of 185 mEq/24 hrs for 15 days, but no avoidance sessions. Again, 24-hour mean levels of arterial pressure did not change significantly. However, 24-hour mean levels of systolic (19.5 ± 6.2 mm Hg) and diastolic (13.7 ± 2.9 mm Hg) pressure rose progressively over a 15-day period in a third group of dogs exposed concurrently to the avoidance schedule and saline infusion procedure. The progressive hypertension was accompanied by no consistent changes in heart rate. These experiments indicate that behavioral stress can potentiate sodium hypertension and provide a new method for the study of physiological and behavioral factors in long-term blood pressure control. (Hypertension 5:286-291, 1983) KEY WORDS • arterial pressure * avoidance conditioning • dogs * heart rate • hypertension • sodium D EVELOPMENT of a model of chronic experimental hypertension in large animals with intact renal functions has remained a formidable experimental challenge. Attempts to produce a "neurogenic" hypertension in primates by exposure to avoidance conditioning over periods of months have been successful on occasion, 1 -2 but other studies 3 -4 have been unable to replicate these results and have concluded that long-term elevations in blood pressure do not result from intermittent evocation of cardiovascular "defense" reflexes alone. Similarly, long-term increases in salt intake can produce sustained hypertension in rodents, 5 but the preponderance of evidence indicates that hypertension is very difficult to produce in larger animals by salt loading procedures.
6Over the past several years, studies in our laboratory have led to the hypothesis that a combination of avoid- ance conditioning and saline infusion could generate a reliable model of chronic experimental hypertension. These studies and others 7 " 1 ' have shown that free-operant avoidance conditioning procedures are associated with characteristic cardiovascular changes in chronically-instrumented dogs during intervals of hours immediately preceding, as well as during avoidance-performance sessions. The pre-avoidance response consists of a progressive rise in arterial pressure mediated solely by increases in total peripheral resistance, while heart rate and cardiac output remain stable or decrease. This response appears to be a peripheral concomitant of attention to the environment, since it occurs only in well-trained dogs who have learned to quietly await the onset of the avoidance session, and then initiate avoidance behavior promptly following the onset of the stimulus. By contrast, the avoidance performance session is associated with a ...