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Attenuated muscle metaboreflex-induced pressor response during postexercise muscle ischemia in renovascular hypertension.

作者信息

Spranger Marty D, Kaur Jasdeep, Sala-Mercado Javier A, Machado Tiago M, Krishnan Abhinav C, Alvarez Alberto, O'Leary Donal S

机构信息

Department of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.

Department of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan

出版信息

Am J Physiol Regul Integr Comp Physiol. 2015 Apr 1;308(7):R650-8. doi: 10.1152/ajpregu.00464.2014. Epub 2015 Jan 28.


DOI:10.1152/ajpregu.00464.2014
PMID:25632024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4386005/
Abstract

During dynamic exercise, muscle metaboreflex activation (MMA; induced via partial hindlimb ischemia) markedly increases mean arterial pressure (MAP), and MAP is sustained when the ischemia is maintained following the cessation of exercise (postexercise muscle ischemia, PEMI). We previously reported that the sustained pressor response during PEMI in normal individuals is driven by a sustained increase in cardiac output (CO) with no peripheral vasoconstriction. However, we have recently shown that the rise in CO with MMA is significantly blunted in hypertension (HTN). The mechanisms sustaining the pressor response during PEMI in HTN are unknown. In six chronically instrumented canines, hemodynamic responses were observed during rest, mild exercise (3.2 km/h), MMA, and PEMI in the same animals before and after the induction of HTN [Goldblatt two kidney, one clip (2K1C)]. In controls, MAP, CO and HR increased with MMA (+52 ± 6 mmHg, +2.1 ± 0.3 l/min, and +37 ± 7 beats per minute). After induction of HTN, MAP at rest increased from 97 ± 3 to 130 ± 4 mmHg, and the metaboreflex responses were markedly attenuated (+32 ± 5 mmHg, +0.6 ± 0.2 l/min, and +11 ± 3 bpm). During PEMI in HTN, HR and CO were not sustained, and MAP fell to normal recovery levels. We conclude that the attenuated metaboreflex-induced HR, CO, and MAP responses are not sustained during PEMI in HTN.

摘要

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本文引用的文献

[1]
Mechanisms Underlying Exaggerated Metaboreflex Activation in Prehypertensive Men.

Med Sci Sports Exerc. 2015-8

[2]
Exaggerated exercise pressor reflex in adults with moderately elevated systolic blood pressure: role of purinergic receptors.

Am J Physiol Heart Circ Physiol. 2013-10-25

[3]
Attenuated muscle metaboreflex-induced increases in cardiac function in hypertension.

Am J Physiol Heart Circ Physiol. 2013-9-6

[4]
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Appl Physiol Nutr Metab. 2013-2-14

[5]
Role of cardiac output versus peripheral vasoconstriction in mediating muscle metaboreflex pressor responses: dynamic exercise versus postexercise muscle ischemia.

Am J Physiol Regul Integr Comp Physiol. 2013-2-20

[6]
Muscle metaboreflex-induced coronary vasoconstriction limits ventricular contractility during dynamic exercise in heart failure.

Am J Physiol Heart Circ Physiol. 2013-1-25

[7]
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Exp Physiol. 2011-11-4

[8]
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J Physiol. 2011-10-24

[9]
Role of heart rate and stroke volume during muscle metaboreflex-induced cardiac output increase: differences between activation during and after exercise.

J Physiol Sci. 2011-7-28

[10]
Exaggerated sympathetic and pressor responses to handgrip exercise in older hypertensive humans: role of the muscle metaboreflex.

Am J Physiol Heart Circ Physiol. 2010-8-27

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