title: Right atrial pressure and ANP release during prolonged exercise in a hot environment.
abstract: To investigate the relationship between right atrial pressure (RAP) and atrial natriuretic peptide (ANP) release during prolonged exercise in a hot environment (30 degrees C, 20% relative humidity), we studied with a Swan-Ganz catheter five male volunteers exercising on a cycle ergometer at 60% of peak aerobic power for 50 min. The ANP level increased from 14 +/- 3 (SE) to 69 +/- 10 pg/ml (P < 0.001) during the first 10 min of exercise as RAP rose from 4.3 +/- 0.8 to 6.9 +/- 1.1 mmHg (P < 0.001). The 10-min ANP level was significantly correlated with RAP (r = 0.88, P < 0.05) but not with heart rate, pulmonary arterial blood temperature, plasma norepinephrine, or plasma epinephrine. The 10-min RAP value was inversely correlated with blood volume (r = -0.98, P < 0.01) and also with stroke volume (r = -0.96, P < 0.01). In the next 20 min of exercise, ANP continued to increase to 101 +/- 12 pg/ml (P < 0.02 vs. 10 min) and remained at this level until 50 min of exercise, whereas RAP decreased and reached a level not significantly different from baseline at 50 min (5.7 +/- 1.0 mmHg; P < 0.01 vs. 10 min). This dissociation of ANP and RAP may have been related to the significant increases from the 10-min values of heart rate, blood temperature, norepinephrine (all P < 0.01), and epinephrine (P < 0.02) during the same period. These results suggest that ANP release is primarily controlled by atrial distension at the onset of exercise but that other stimulators may be involved thereafter.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Department of Physiology, Prefectural University of Medicine, Kyoto, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Nose
authors.forename: A
authors.initials: A
authors.lastname: Takamata
authors.forename: G W
authors.initials: GW
authors.lastname: Mack
authors.forename: T
authors.initials: T
authors.lastname: Kawabata
authors.forename: Y
authors.initials: Y
authors.lastname: Oda
authors.forename: S
authors.initials: S
authors.lastname: Hashimoto
authors.forename: M
authors.initials: M
authors.lastname: Hirose
authors.forename: E
authors.initials: E
authors.lastname: Chihara
authors.forename: T
authors.initials: T
authors.lastname: Morimoto
mesh_terms: D000328:Adult; D016275:Atrial Function; D009320:Atrial Natriuretic Factor / Q000097:blood*; D001794:Blood Pressure / Q000502:physiology*; D001810:Blood Volume / Q000502:physiology; D001831:Body Temperature / Q000502:physiology; D002395:Catecholamines / Q000097:blood; D015444:Exercise / Q000502:physiology*; D006400:Hematocrit; D006454:Hemoglobins / Q000378:metabolism; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013318:Stroke Volume / Q000502:physiology
chemical_list: D002395:Catecholamines; D006454:Hemoglobins; D009320:Atrial Natriuretic Factor