title: Heat stress attenuates the increase in arterial blood pressure during the cold pressor test.
abstract: The mechanisms by which heat stress impairs the control of blood pressure leading to compromised orthostatic tolerance are not thoroughly understood. A possible mechanism may be an attenuated blood pressure response to a given increase in sympathetic activity. This study tested the hypothesis that whole body heating attenuates the blood pressure response to a non-baroreflex-mediated sympathoexcitatory stimulus. Ten healthy subjects were instrumented for the measurement of integrated muscle sympathetic nerve activity (MSNA), mean arterial blood pressure (MAP), heart rate, sweat rate, and forearm skin blood flow. Subjects were exposed to a cold pressor test (CPT) by immersing a hand in an ice water slurry for 3 min while otherwise normothermic and while heat stressed (i.e., increase core temperature ~0.7°C via water-perfused suit). Mean responses from the final minute of the CPT were evaluated. In both thermal conditions CPT induced significant increases in MSNA and MAP without altering heart rate. Although the increase in MSNA to the CPT was similar between thermal conditions (normothermia: Δ14.0 ± 2.6; heat stress: Δ19.1 ± 2.6 bursts/min; P = 0.09), the accompanying increase in MAP was attenuated when subjects were heat stressed (normothermia: Δ25.6 ± 2.3, heat stress: Δ13.4 ± 3.0 mmHg; P < 0.001). The results demonstrate that heat stress can attenuate the pressor response to a sympathoexcitatory stimulus.
authors.affiliation: Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, TX 75231, USA.
authors.forename: Jian
authors.initials: J
authors.lastname: Cui
authors.forename: Manabu
authors.initials: M
authors.lastname: Shibasaki
authors.forename: David A
authors.initials: DA
authors.lastname: Low
authors.forename: David M
authors.initials: DM
authors.lastname: Keller
authors.forename: Scott L
authors.initials: SL
authors.lastname: Davis
authors.forename: Craig G
authors.initials: CG
authors.lastname: Crandall
mesh_terms: D000328:Adult; D001158:Arteries / Q000503:physiopathology; D001783:Blood Flow Velocity; D001794:Blood Pressure; D003080:Cold Temperature; D005260:Female; D005542:Forearm; D006339:Heart Rate; D018882:Heat Stress Disorders / Q000503:physiopathology*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000294:innervation; D012039:Regional Blood Flow; D015656:Respiratory Mechanics; D012867:Skin / Q000098:blood supply*; D013546:Sweating; D013564:Sympathetic Nervous System / Q000503:physiopathology; D013997:Time Factors; D014655:Vascular Resistance; D014661:Vasoconstriction
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