title: Cardiopulmonary baroreflex control of forearm vascular resistance after acute blood volume expansion.
abstract: We report the stimulus-response characteristics of cardiopulmonary (CP) baroreflex control of forearm vascular resistance (FVR) in young adult male volunteers before and after: 1) blood volume expansion (8 ml/kg infusion of 5% human serum albumin solution, n = 5) and 2) a redistribution of blood volume toward the heart (6 degrees head-down tilt (HDT), n = 6). We assessed the relationship between reflex stimulus (i.e., changes in central venous pressure (CVP] and response (i.e., FVR) during unloading of CP mechanoreceptors with lower body negative pressure (0 to -20 mm Hg). Changes in CVP were estimated from changes in venous pressure of a large peripheral vein of the dependent arm with the subject in the right lateral decubitus position. In all conditions, reflex forearm vasoconstriction occurred in response to a reduction in estimated CVP. The absolute change in FVR per unit of CVP was reduced from -4.24 +/- 1.68 to -2.15 +/- 1.16 units/mm Hg (p less than 0.05) following blood volume expansion but was similar before (-3.34 +/- 0.89 units/mm Hg) and during 6 degrees HDT (-3.30 +/- 0.92 units/mm Hg). The reduced sensitivity of the CP baroreflex following volume expansion was manifested primarily as a smaller FVR response to LBNP (p less than 0.05). Blood volume expansion and 6 degrees HDT increased resting estimated CVP by 1.5 and 0.9 mm Hg, respectively (p less than 0.05) and resting levels of FVR decreased slightly.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: John B. Pierce Laboratory, Yale University School of Medicine, New Haven, CT 06519.
authors.forename: G W
authors.initials: GW
authors.lastname: Mack
authors.forename: B M
authors.initials: BM
authors.lastname: Quigley
authors.forename: T
authors.initials: T
authors.lastname: Nishiyasu
authors.forename: X
authors.initials: X
authors.lastname: Shi
authors.forename: E R
authors.initials: ER
authors.lastname: Nadel
mesh_terms: D000328:Adult; D001810:Blood Volume / Q000502:physiology*; D002496:Central Venous Pressure / Q000502:physiology; D015444:Exercise / Q000502:physiology; D005542:Forearm / Q000098:blood supply*; D006801:Humans; D008150:Lower Body Negative Pressure; D008297:Male; D011311:Pressoreceptors / Q000502:physiology*; D013026:Space Flight; D014655:Vascular Resistance / Q000502:physiology*