Handgrip-induced airway dilation in asthmatic patients with bronchoconstriction induced by MCh inhalation.
We investigated the effects of static and rhythmic handgrip on the time course of recovery of airway resistance measured with the interrupter technique (Rint) following bronchoconstriction induced by methacholine (MCh) inhalation in 17 asthmatic patients. On three separate occasions, a 100 +/- 5% increase in baseline Rint was induced by MCh inhalation. Subsequently, patients either rested [control trials (CTs)] or performed 3-min bouts of static or rhythmic handgrip. Respiratory and cardiovascular variables were continuously monitored. Rint changes were assessed at 1-min intervals for 30 min after rest and both types of handgrip. Plasma catecholamine concentrations were also determined at scheduled intervals. Bronchoconstriction increased ventilation (P < 0.01) but did not affect cardiovascular variables and plasma catecholamine concentrations. Handgrip provoked an increase in cardiovascular variables (P < 0.01) and plasma norepinephrine concentrations (P < 0.05) but caused no additional changes in ventilation. Rint only partially recovered within 30 min after CTs, whereas it consistently decreased 1 min after both handgrip paradigms and remained lower than after CTs (P always <0.01) for the whole 30-min observation period. Sympathetic activation and withdrawal of cholinergic input to the airway smooth muscle reflexly induced by activation of skeletal muscle and carotid sinus receptors may be the primary events accounting for the bronchodilator response induced by handgrip. Mediators co-released in response to sympathetic activation may also have contributed.
Fontana
Giovanni A
GA
Dipartimento di Area Critica Medico Chirurgica, Università degli Studi di Firenze, I-50134 Florence, Italy. g.fontana@dac.unifi.it
Pantaleo
Tito
T
Lavorini
Federico
F
Bongianni
Fulvia
F
Mannelli
Massimo
M
Bridge
Peter D
PD
Pistolesi
Massimo
M
D000280:Administration, Inhalation; D000328:Adult; D000403:Airway Resistance; D001249:Asthma / Q000503:physiopathology*; D016084:Bronchoconstriction / Q000502:physiology*; D016085:Bronchoconstrictor Agents / Q000008:administration & dosage*; D002319:Cardiovascular System / Q000503:physiopathology; D035061:Control Groups; D005260:Female; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D008297:Male; D016210:Methacholine Chloride / Q000008:administration & dosage*; D009638:Norepinephrine / Q000097:blood; D010507:Periodicity; D020127:Recovery of Function; D012137:Respiratory System / Q000503:physiopathology*; D013997:Time Factors
D016085:Bronchoconstrictor Agents; D016210:Methacholine Chloride; D009638:Norepinephrine