Convertino V A, Adams W C
Life Sciences Research Office, National Aeronautics and Space Administration, Kennedy Space Center, Florida 32899.
Am J Physiol. 1991 Mar;260(3 Pt 2):R570-5. doi: 10.1152/ajpregu.1991.260.3.R570.
We evaluated carotid-cardiac baroreflex responses in eight normotensive men (25-41 yr) on two different test days, each separated by at least 1 wk. On one day, baroreflex response was tested before and at 3, 6, 12, 18, and 24 h after graded supine cycle exercise to volitional exhaustion. On another day, this 24-h protocol was repeated with no exercise (control). Beat-to-beat R-R intervals were measured during external application of graded pressures to the carotid sinuses from 40 to -65 mmHg; changes of R-R intervals were plotted against carotid pressure (systolic pressure minus neck chamber pressure). The maximum slope of the response relationship increased (P less than 0.05) from preexercise to 12 h (3.7 +/- 0.4 to 7.1 +/- 0.7 ms/mmHg) and remained significantly elevated through 24 h. The range of the R-R response was also increased from 217 +/- 24 to 274 +/- 32 ms (P less than 0.05). No significant differences were observed during the control 24-h period. An acute bout of graded exercise designed to elicit exhaustion increases the sensitivity and range of the carotid-cardiac baroreflex response for 24 h and enhances its capacity to buffer against hypotension by increasing heart rate. These results may represent an underlying mechanism that contributes to blood pressure stability after intense exercise.
我们在八个血压正常的男性(25 - 41岁)身上,于两个不同的测试日评估了颈动脉 - 心脏压力反射反应,两个测试日之间至少间隔1周。在其中一天,在分级仰卧自行车运动至自愿力竭前以及运动后3、6、12、18和24小时测试压力反射反应。在另一天,重复这一24小时方案但不进行运动(对照)。在从40至 - 65 mmHg对颈动脉窦外部施加分级压力期间测量逐搏R - R间期;将R - R间期的变化与颈动脉压力(收缩压减去颈部腔室压力)作图。反应关系的最大斜率从运动前到12小时增加(P小于0.05)(从3.7±0.4至7.1±0.7毫秒/毫米汞柱),并在24小时内一直显著升高。R - R反应的范围也从217±24增加至274±32毫秒(P小于0.05)。在对照的24小时期间未观察到显著差异。一次旨在引发力竭的分级运动急性发作会使颈动脉 - 心脏压力反射反应的敏感性和范围在24小时内增加,并通过增加心率增强其缓冲低血压的能力。这些结果可能代表了一种有助于剧烈运动后血压稳定的潜在机制。