Physiological unloading of cardiopulmonary mechanoreceptors by posture change does not influence the pressor response to isometric exercise in healthy humans.
In recent studies in humans the role of cardiopulmonary baroreflexes in modulating the cardiovascular responses to isometric exercise (somatic pressor reflex) has been investigated by performing static handgrip exercise during deactivation of cardiopulmonary receptors produced by low levels of lower body negative pressure; however, findings from these studies have not been consistent. The purpose of this study was to investigate whether a more physiological unloading stimulus of cardiopulmonary baroreceptors, obtained by sequentially changing posture, could influence the pressor response to somatic afferent stimulation induced by isometric exercise. To accomplish this, ten healthy subjects performed a 2-min isometric handgrip (IHG) at 30% maximal voluntary contraction after 10 min of supine rest and, in rapid sequence, after 10 min of sitting and 10 min of standing, at the time when, owing to their transitory nature, the cardiovascular effects, due to arterial baroreceptor intervention should have been minimal. During IHG arterial pressure (BPa) was continuously and noninvasively measured to quantify accurately the blood pressure response to IHG both in magnitude and time course. Results showed that the pressor response to IHG was not significantly influenced by change in posture, either in magnitude or in time course. The mean arterial pressure increased by 17.4 (SEM 2.5), 18.6 (SEM 1.2) and 17.0 (SEM 1.3) mmHg in supine, sitting and standing [2.3 (SEM 0.3), 2.5 (SEM 0.2) and 2.3 (SEM 0.2) kPa] positions, respectively. Also the heart rate response to IHG was unaffected by change in posture.(ABSTRACT TRUNCATED AT 250 WORDS)
Iellamo
F
F
Dipartimento di Medicina Interna, Facoltà di Medicina e Chirurgia, Università di Roma, Tor Vergata, Italy.
Legramante
J M
JM
Castrucci
F
F
Massaro
M
M
Raimondi
G
G
Peruzzi
G
G
Tallarida
G
G
D000328:Adult; D001794:Blood Pressure / Q000502:physiology*; D015444:Exercise / Q000502:physiology*; D006321:Heart / Q000502:physiology*; D006801:Humans; D008168:Lung / Q000502:physiology*; D008297:Male; D008465:Mechanoreceptors / Q000502:physiology*; D011187:Posture; D011311:Pressoreceptors / Q000502:physiology; D012018:Reflex / Q000502:physiology; D016683:Supine Position; D014630:Vagus Nerve / Q000502:physiology