Contribution of perfusion pressure to vascular resistance response during head-up tilt
1 Division of Pulmonary, Allergy, and Critical Care and 2 Division of Cardiology, The Milton S. Hershey Medical Center, The Pennsylvania State University College of Medicine, Hershey, 17033; and 3 Lebanon Veterans Affairs Medical Center, Lebanon, Pennsylvania 17042 We measured brachial and femora...
Saved in:
Published in | American journal of physiology. Heart and circulatory physiology Vol. 281; no. 1; pp. H371 - H375 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Legacy CDMS
01.07.2001
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | 1 Division of Pulmonary, Allergy, and Critical Care and
2 Division of Cardiology, The Milton S. Hershey Medical Center,
The Pennsylvania State University College of Medicine, Hershey, 17033;
and 3 Lebanon Veterans Affairs Medical Center, Lebanon,
Pennsylvania 17042
We measured brachial and femoral artery
flow velocity in eight subjects and peroneal and median muscle
sympathetic nerve activity (MSNA) in five subjects during tilt testing
to 40°. Tilt caused similar increases in MSNA in the peroneal and
median nerves. Tilt caused a fall in femoral artery flow velocity,
whereas no changes in flow velocity were seen in the brachial artery.
Moreover, with tilt, the increase in the vascular resistance employed
(blood pressure/flow velocity) was greater and more sustained in the leg than in the arm. The ratio of the percent increase in vascular resistance in leg to arm was 2.5:1. We suggest that the greater vascular resistance effects in the leg were due to an interaction between sympathetic nerve activity and the myogenic response.
sympathetic nervous system; blood pressure regulation |
---|---|
Bibliography: | CDMS Legacy CDMS ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0363-6135 1522-1539 |
DOI: | 10.1152/ajpheart.2001.281.1.h371 |