SUMMARY Cardiac pumping ability was assessed during the natural development of left ventricular hypertrophy by elevating venous pressure by infusing Tyrode's solution intravenously to produce peak cardiac output. This experiment was performed on spontaneously hypertensive rats (SHR) of three age groups (11, 24, and 83 weeks). From 11 to 24 weeks, peak cardiac output of SHR increased in direct proportion to the abnormally increased ventricular mass; Thus peak cardiac output per gram of left ventricle (LV) remained stable. Similar results were obtained for two strains of normotensive rats at each of the same three age groups. Thus, in the normotensive animal peak cardiac output per gram of LV remained stable over a wide range of ages and varying left ventricular weights. However, with progressive elevation of arterial pressure in aging SHR (83 weeks), we observed severe ventricular hypertrophy (100% increases in left ventricular to body weight ratio). In this oldest SHR group, unlike age-matched normotensive rats, there was a marked reduction in the pumping ability per gram of LV. Thus, during the natural development of left ventricular hypertrophy SHR demonstrated both a stable stage of hypertrophy in which the increased left ventricular mass maintained its pumping ability, and a later stage of deterioration in which there was a loss of the normal relationship between ventricular mass and pumping ability.STUDIES ON the mechanical performance of models of pressure-induced ventricular hypertrophy have produced conflicting results. Thus, contractile function in experimental models of both right and left ventricular isometric hyperfunction has been reported as supranormal, 1 ' 3 normal,* and depressed.6 ' 8 These experiments have used the rat, 1 -' dog, 2 -3 and cat. 4 -6 The most common means for producing pressure-induced ventricular hypertrophy has been by the surgical production of outflow tract obstruction or banding, a method which rapidly increases ventricular mass while often depressing contractile performance.Meerson 7 described three stages in the development of ventricular hypertrophy. In the first stage, before myocardial mass increases, contractile function is impaired. Subsequently, during the second stage myocardial mass increases to maintain normal myocardial function; however, in Meerson's third stage there is a progressive deterioration of myocardial function, and eventually cardiac failure is believed to supervene. In contrast, the development of ventricular hypertrophy has been characterized by others as a progressive downhill course leading to overt failure. 8 In support of this latter observation, many experimental models of pressure-induced ventricular hypertrophy failed to demonstrate Meerson's second stage of stable ventricular hyperfunction.Williams and Potter 4 recently have reported that the contractile function of the hypertrophied right ventricle (from cats in which the pulmonary artery was banded) was reduced at six weeks but returned to normal levels after 24 weeks of banding. They sug...