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Exercise pressor response

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https://www.readbyqxmd.com/read/28892884/effect-of-metaboreflex-on-cardiovascular-system-in-subjects-of-metabolic-syndrome
#1
Pramita Dubey, Sunita Tiwari, Manish Bajpai, Kalpana Singh, Praveen Jha
INTRODUCTION: Metaboreflex is a reflex in which muscle receptors send signals regarding metabolic (metabolites accumulation like lactic acid, potassium, adenosine) conditions of the muscles to nucleus tractus solitarius via afferent III and IV fibres to cause haemodynamic adjustments in order to regulate blood flow on the basis of the status of contracting muscle. Dysregulation in its mechanism in metabolic syndrome is demonstrated. AIM: To study the effect of metaboreflex by both isometric and rhythmic handgrip exercise on CVS parameters {Blood Pressure (BP), Cardiac Output (CO) and Systemic Vascular Resistance (SVR)} in subjects of metabolic syndrome...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28890527/microvascular-angina%C3%A3-long-term-exercise-stress-test-follow-up
#2
Gaetano A Lanza, Monica Filice, Antonio De Vita, Angelo Villano, Laura Manfredonia, Priscilla Lamendola, Filippo Crea
BACKGROUND: A sizeable proportion of patients with primary stable microvascular angina (MVA; exercise-induced angina, positive exercise stress test [EST], normal coronary arteries) have recurrent symptoms during follow-up. There have been no previous studies, however, on the long-term results of EST and their correlation with symptom outcome.Methods and Results:Follow-up EST was performed in 71 MVA patients at an average of 16.2 years (range, 5-25 years) from the first EST. Angina status was assessed on weekly frequency of angina episodes and nitroglycerin consumption and by whether symptoms had worsened, improved, or remained unchanged over time...
September 9, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28857365/functional-haemodynamic-testing-in-pregnancy-recommendations-of-the-international-working-group-on-maternal-haemodynamics
#3
Victoria L Meah, Karianne Backx, Margie H Davenport
In the general population, functional haemodynamic testing, such as submaximal aerobic exercise, isometric handgrip, and the cold pressor test, has long been utilised to unmask abnormalities in cardiovascular function. During pregnancy, functional haemodynamic testing places additional demands on an already stressed maternal cardiovascular system. Dysfunctional responses to such tests in early pregnancy may predict the development of hypertensive disorders that develop later in gestation. These recommendations cover a description, an overview of the current understanding of clinical application, test protocol, equipment and considerations of each of the above functional haemodynamic tests during pregnancy...
August 30, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28855178/baroreflex-and-neurovascular-responses-to-skeletal-muscle-mechanoreflex-activation-in-humans-an-exercise-in-integrative-physiology
#4
Rachel C Drew
Cardiovascular adjustments to exercise, resulting in increased blood pressure (BP) and heart rate (HR), occur in response to activation of several neural mechanisms - the exercise pressor reflex, central command, and the arterial baroreflex. Neural inputs from these feedback and feedforward mechanisms integrate in the cardiovascular control centers in the brain stem, and modulate sympathetic and parasympathetic neural outflow, resulting in the increased BP and HR observed during exercise. Another specific consequence of the central neural integration of these inputs during exercise is increased sympathetic neural outflow directed to the kidneys, causing renal vasoconstriction, a key reflex mechanism involved in blood flow redistribution during increased skeletal muscle work...
August 30, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28835448/cyclical-blood-flow-restriction-resistance-exercise-a-potential-parallel-to-remote-ischemic-preconditioning
#5
Justin Daniel Sprick, Caroline A Rickards
Remote ischemic preconditioning (RIPC) is characterized by the cyclical application of limb blood flow restriction and reperfusion, and has been shown to protect vital organs during a subsequent ischemic insult. Blood flow restriction exercise (BFRE) similarly combines bouts of blood flow restriction with low-intensity exercise and thus could potentially emulate the protection demonstrated by RIPC. One concern with BFRE, however, is the potential for an augmented rise in sympathetic outflow, due to greater activation of the exercise pressor reflex...
August 23, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28835447/combining-remote-ischemic-preconditioning-and-aerobic-exercise-a-novel-adaptation-of-blood-flow-restriction-exercise
#6
Justin Daniel Sprick, Caroline A Rickards
Remote ischemic preconditioning (RIPC) can attenuate tissue damage sustained by ischemia-reperfusion injury. Blood flow restriction exercise (BFRE) restricts blood flow to exercising muscles. We implemented a novel approach to BFRE with cyclical bouts of blood flow restriction-reperfusion, reflecting the RIPC model. A concern about BFRE, however, is potential amplification of the exercise pressor reflex, which could be unsafe in at-risk populations. We hypothesized that cyclical BFRE would elicit greater increases in sympathetic outflow and arterial pressure than conventional exercise (CE), performed at the same relative intensity...
August 23, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28782491/the-impact-of-cardiovascular-diseases-on-the-cardiovascular-regulation-during-exercise-in-humans-studies-on-the-metaboreflex-elicited-by-the-post-exercise-muscle-ischemia-method
#7
Antonio Crisafulli
Hemodynamics during dynamic exercise is finely regulated by some neural mechanisms. One of these mechanisms is the metabolic part of the exercise pressor reflex, i.e. the muscle metaboreflex. Hemodynamic response during the metaboreflex is characterised by the recruitment of the reserves in cardiac inotropism, pre-load, after-load and chronotropism. If one of these reserves is exhausted, then the cardiovascular response is achieved by recruiting one of the other reserves, thereby indicating a remarkable plasticity of the control of circulation...
August 4, 2017: Current Cardiology Reviews
https://www.readbyqxmd.com/read/28733447/mineralocorticoid-receptor-antagonists-attenuate-exaggerated-exercise-pressor-reflex-responses-in-hypertensive-rats
#8
Ryan M Downey, Masaki Mizuno, Jere Holloway Mitchell, Wanpen Vongpatanasin, Scott A Smith
Exaggerated heart rate (HR) and blood pressure responses to exercise in hypertension are mediated, in part, by overactivity of the exercise pressor reflex (EPR). The mechanisms underlying this EPR dysfunction have not been fully elucidated. Previous studies have shown that stimulation of mineralocorticoid receptors (MR) with exogenous administration of aldosterone in normal, healthy rats reproduces the EPR overactivity characteristic of hypertensive animals. Conversely, the purpose of this study was to examine whether antagonizing MR with spironolactone (SPIR) or eplerenone (EPL) in decerebrated hypertensive rats ameliorates abnormal EPR function...
July 21, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/28706000/absence-of-compensatory-vasodilation-with-perfusion-pressure-challenge-in-exercise-evidence-for-and-implications-of-the-non-compensator-phenotype
#9
Robert F Bentley, Jeremy J Walsh, Patrick J Drouin, Aleksandra Velickovic, Sarah J Kitner, Alyssa M Fenuta, Michael E Tschakovsky
Compromising oxygen delivery (O2D) during exercise requires compensatory vasodilatory and/or pressor responses to protect O2D : demand matching. The purpose of the study was to determine whether compensatory vasodilation is absent in some healthy, young individuals in the face of a sudden reduction in exercising forearm perfusion pressure, and whether this affects the exercise pressor response. 21 healthy, young males (21.6±2.0yrs) completed rhythmic forearm exercise at a work rate equivalent to 70% of their own maximal exercise vasodilation...
July 13, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28687588/the-carotid-baroreflex-modifies-the-pressor-threshold-of-the-muscle-metaboreflex-in-humans
#10
Masashi Ichinose, Tomoko K Ichinose-Kuwahara, Kazuhito Watanabe, Narihiko Kondo, Takeshi Nishiyasu
The purpose of present study was to test our hypothesis that unloading the carotid baroreceptors alters the threshold and gain of the muscle metaboreflex in humans. Ten healthy subjects performed a static handgrip exercise at 50% of maximum voluntary contraction. Contraction was sustained for 15, 30, 45 and 60 s, and was followed by 3 min of forearm circulatory arrest, during which forearm muscular pH is known to decrease linearly with increasing contraction time. The carotid baroreceptors were unloaded by applying 0...
July 7, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/28677340/rapid-onset-pressor-response-to-exercise-in-young-women-with-a-family-history-of-hypertension
#11
Evan L Matthews, Jody L Greaney, Megan M Wenner
What is the central question of this study? Alterations in blood pressure control at exercise onset are apparent in older adults with established cardiovascular disease. It is currently not known whether these alterations are evident in young adults with a family history of hypertension. What is the main finding and its importance? We demonstrate that young women with a family history of hypertension display a larger change in blood pressure within the first 10 s of isometric exercise. These data suggest altered blood pressure control in young women with a family history of hypertension...
September 1, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/28666804/cardiovascular-responses-associated-with-the-moving-beans-task-influence-of-psychological-characteristics
#12
Kazuaki Iokawa, Masanori Munakata, Tomomi Hattori, Shuko Saiki, Toshimasa Sone, Masahiro Kohzuki
BACKGROUND AND OBJECTIVE: High blood pressure (BP) after stroke is associated with a poor outcome. However, exercise training or speech therapy for patients with stroke can raise the BP. The aim of this study was to examine cardiovascular responses during the moving beans task (MBT) used in occupational therapy and to study the influence of psychological characteristics on cardiovascular responses during this task in healthy subjects. MATERIALS AND METHODS: In 34 healthy volunteers, the BP and the heart rate (HR) were continuously measured during the baseline period, the 5-minute MBT, and the 1-minute cold pressor test (CPT)...
September 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28438985/decreased-compliance-in-the-deep-and-superficial-conduit-veins-of-the-upper-arm-during-prolonged-cycling-exercise
#13
Anna Oue, Kohei Sato, Marina Yoneya, Tomoko Sadamoto
We examined whether there is a difference in compliance between the deep and superficial conduit veins of the upper arm in response to prolonged exercise. Eight young men performed cycling exercise at 60% of peak oxygen uptake until rectal temperature had been increased by 1.1°C for 38-48 min. The cross-sectional area (CSA) of the brachial (deep) and basilic (superficial) veins was assessed by ultrasound during a cuff deflation protocol. Compliance (CPL) was calculated as the numerical derivative of the cuff pressure and CSA curve...
April 2017: Physiological Reports
https://www.readbyqxmd.com/read/28397384/characteristics-and-effectiveness-of-vasodilatory-and-pressor-compensation-for-reduced-relaxation-time-during-rhythmic-forearm-contractions
#14
Robert F Bentley, Veronica J Poitras, Terrence Hong, Michael E Tschakovsky
During muscle contraction in rhythmic exercise muscle blood flow is significantly impeded by microvascular compression. The purpose of this study was to establish the nature and magnitude of vasodilatory and/or pressor compensatory responses during forearm exercise in the face of an increased duration of mechanical microvascular compression, and whether the effectiveness of such compensation was exercise intensity dependent. Seven healthy males (21.0 ± 1.8 yrs) completed progressive forearm exercise (24...
April 10, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/28381455/abnormal-cardiovascular-response-to-exercise-in-hypertension-contribution-of-neural-factors
#15
REVIEW
Jere H Mitchell
During both dynamic (e.g., endurance) and static (e.g., strength) exercise there are exaggerated cardiovascular responses in hypertension. This includes greater increases in blood pressure, heart rate, and efferent sympathetic nerve activity than in normal controls. Two of the known neural factors that contribute to this abnormal cardiovascular response are the exercise pressor reflex (EPR) and functional sympatholysis. The EPR originates in contracting skeletal muscle and reflexly increases sympathetic efferent nerve activity to the heart and blood vessels as well as decreases parasympathetic efferent nerve activity to the heart...
June 1, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28364029/intact-blood-pressure-but-not-sympathetic-responsiveness-to-sympathoexcitatory-stimuli-in-a-patient-with-unilateral-carotid-body-resection
#16
Kathryn F Larson, Jacqueline K Limberg, Sarah E Baker, Michael J Joyner, Timothy B Curry
Despite rapidly growing interest in the therapeutic resection of the carotid body (CB) chemoreceptors, few physiologic studies exist on the consequences of unilateral CB resection. We present a case of an otherwise healthy postmenopausal female who underwent unilateral CB resection for a paraganglioma. Approximately 4 years postoperatively, she underwent analysis of her sympathetic and hemodynamic responses to hypoxia, lower body negative pressure, cold pressor test (CPT), and ischemic hand grip exercise and postexercise ischemia (IHE/PEI)...
April 2017: Physiological Reports
https://www.readbyqxmd.com/read/28350576/absence-of-resting-cardiovascular-dysfunction-in-middle-aged-endurance-trained-athletes-with-exaggerated-exercise-blood-pressure-responses
#17
Katharine D Currie, Ryan T Sless, Catherine F Notarius, Scott G Thomas, Jack M Goodman
OBJECTIVE: Untrained individuals with exaggerated blood pressure (EBP) responses to graded exercise testing are characterized as having resting dysfunction of the sympathetic and cardiovascular systems. The purpose of this study was to determine the resting cardiovascular state of endurance-trained individuals with EBP through a comparison of normotensive athletes with and without EBP. METHODS: EBP was defined as a maximal systolic blood pressure (SBP) at least 190 mmHg and at least 210 mmHg for women and men respectively, in response to a graded exercise test...
August 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28338362/the-effects-of-caffeine-taurine-or-caffeine-taurine-co-ingestion-on-repeat-sprint-cycling-performance-and-physiological-responses
#18
Rory Warnock, Owen Jeffries, Stephen Patterson, Mark Waldron
PURPOSE: This study investigated the effects of caffeine (C), taurine (T), caffeine and taurine co-ingestion (C+T) or placebo (P) on repeated Wingate cycling performance and associated physiological responses. METHODS: Seven male team sports players participated in a randomised, single-blind, cross-over study, where they completed three Wingate tests, each separated by 2-min, an hour after ingesting: C (5 mg/kg BM), T (50 mg/kg BM), C+T (5 mg/kg BM + 50 mg/kg BM) or P (5 mg/kg BM) in a gelatine capsule...
March 24, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28292881/evidence-for-a-histaminergic-input-from-the-ventral-tuberomammillary-nucleus-to-the-solitary-tract-nucleus-involved-in-arterial-pressure-regulation
#19
Ko Yamanaka, Sabine S Gouraud, Miwa Takagishi, Akira Kohsaka, Masanobu Maeda, Hidefumi Waki
The tuberomammillary nucleus (TMN) of the posterior hypothalamus has a high density of histaminergic neurons, the projection fibers of which are present in many areas of the brain, including the nucleus tractus solitarius (NTS), which controls arterial pressure (AP). In this study, we investigated whether the TMN-NTS pathway is involved in central cardiovascular regulation. Bicuculline, a gamma-aminobutyric acid type A (GABAA) receptor antagonist, was microinjected into the ventral TMN of anesthetized rats and its effects on AP and heart rate (HR) were observed...
March 2017: Physiological Reports
https://www.readbyqxmd.com/read/28274927/endothelial-dysfunction-correlates-with-exaggerated-exercise-pressor-response-during-whole-body-maximal-exercise-in-chronic-kidney-disease
#20
Ryan M Downey, Peizhou Liao, Erin C Millson, Arshed A Quyyumi, Salman Sher, Jeanie Park
Chronic kidney disease (CKD) patients have exercise intolerance associated with increased cardiovascular mortality. Previous studies demonstrate that blood pressure (BP) and sympathetic nerve responses to handgrip exercise are exaggerated in CKD. These patients also have decreased nitric oxide (NO) bioavailability and endothelial dysfunction, which could potentially lead to an impaired ability to vasodilate during exercise. We hypothesized that CKD patients have exaggerated BP responses during maximal whole body exercise and that endothelial dysfunction correlates with greater exercise pressor responses in these patients...
May 1, 2017: American Journal of Physiology. Renal Physiology
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