Nishiyasu T, Shi X, Gillen C M, Mack G W, Nadel E R
John B. Pierce Laboratory, Yale University School of Medicine, New Haven, CT 06519.
Aviat Space Environ Med. 1993 Jun;64(6):517-21.
The purpose of this study was to compare the cardiovascular control mechanisms that defend arterial blood pressure against blood pooling between rest and moderate dynamic exercise. We studied ten physically active men during rest and five 12-min graded supine cycle ergometer exercise bouts with and without application of LBNP in 25 degrees C and 35 degrees C. Exercise intensities were 10, 50, and 100 watts (W), each for 4 min, and LBNP was applied at 0 (control), -20, -40, and -60 mm Hg in 25 degrees C and -40 mm Hg in 35 degrees C. At rest, cardiac stroke volume (SV) decreased from 120 +/- 5 ml during control to 94 +/- 6, 67 +/- 5 and 49 +/- 3 ml during -20, -40, and -60 mm Hg LBNP, respectively, and to 55 +/- 3 ml during -40 mm Hg at 35 degrees C. Exercise elevated SV toward the control level during LBNP due to muscle pumping action. Heart rate (HR) did not increase significantly during application of LBNP until SV decreased by 20-25 ml during LBNP, both during rest and exercise. The magnitude of HR increase per decrease in SV, once an increase in HR occurred, was similar between rest and exercise, regardless of exercise intensity. The change in total peripheral resistance (TPR) with respect to SV was linear, confirming that peripheral vascular adjustments were proportional to changes in the heart's preload. The slopes of the TPR-SV relation were similar during rest and exercise, although shifted to the left with increasing exercise intensity.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是比较在静息状态和中度动态运动期间,维持动脉血压以抵御血液淤积的心血管控制机制。我们研究了10名身体活跃的男性在静息状态下,以及在25摄氏度和35摄氏度环境中,进行5次12分钟的仰卧位分级蹬车运动试验,每次试验中有无应用下体负压(LBNP)的情况。运动强度分别为10瓦、50瓦和100瓦,各持续4分钟,在25摄氏度时,LBNP分别设定为0(对照)、-20、-40和-60毫米汞柱,在35摄氏度时为-40毫米汞柱。静息时,心搏量(SV)在对照时为120±5毫升,在-20、-40和-60毫米汞柱LBNP时分别降至94±6、67±5和49±3毫升,在35摄氏度-40毫米汞柱时降至55±3毫升。由于肌肉泵血作用,运动使LBNP期间的心搏量升高至对照水平。在静息和运动期间,应用LBNP时,直到LBNP期间心搏量下降20 - 25毫升,心率(HR)才会显著增加。一旦心率增加,静息和运动期间每降低单位心搏量时心率增加的幅度相似,与运动强度无关。总外周阻力(TPR)相对于心搏量的变化呈线性,证实外周血管调节与心脏前负荷的变化成比例。静息和运动期间TPR - SV关系的斜率相似,尽管随着运动强度增加向左偏移。(摘要截选至250字)