Acetylcholine increases pulmonary blood flow in intact fetuses via endothelium-dependent vasodilation.

@article{Tiktinsky1992AcetylcholineIP,
  title={Acetylcholine increases pulmonary blood flow in intact fetuses via endothelium-dependent vasodilation.},
  author={M H Tiktinsky and James J Cummings and Frederick C. Morin},
  journal={The American journal of physiology},
  year={1992},
  volume={262 2 Pt 2},
  pages={
          H406-10
        },
  url={https://api.semanticscholar.org/CorpusID:44476862}
}
It is concluded that acetylcholine increases pulmonary blood flow in the fetal lamb via the release of EDRF derived from L-Arg, and it is speculated that endothelium-dependent vasodilation may play a role in the increase in pulmonaryBlood flow at birth.

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NO supports right ventricular flow dominance and whole body O(2) utilization in midgestation fetal lambs.

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Effect of long-term high-altitude hypoxia on fetal pulmonary vascular contractility.

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The cGMP phosphodiesterase inhibitor zaprinast enhances the effect of nitric oxide.

Zaprinast pretreatment significantly enhances the effect of sodium nitroprusside on isolated pulmonary arteries, as well as theeffect of inhaled NO at 6 ppm in newborn lambs with persistent pulmonary hypertension, indicating a true synergistic effect.

Nitric Oxide and the Perinatal Pulmonary Circulation

Since the postnatal survival of the fetus depends on a very rapid and appropriate establishment of pulmonary blood flow and alveolar ventilation, a remarkable adaptation of the pulmonary circulation must occur with the initiation of respiration, and the circulatory pattern must change toward the adult pattern.