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vasodilation and exercise

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https://www.readbyqxmd.com/read/28444930/does-postexercise-modelled-capillary-blood-flow-accurately-reflect-cardiovascular-effects-by-different-exercise-intensities
#1
F Stöcker, C Von Oldershausen, F K Paternoster, T Schulz, R Oberhoffer
Blood flow (BF) in exercising muscles is an important factor for exercise capacity. Recently, a non-invasive method to estimate capillary BF (Qcap ) was introduced. Using this method, the Fick principle is re-arranged by using relative differences in deoxygenated haemoglobin (ΔHHb) as a surrogate for arteriovenous O2 difference and pulmonary oxygen uptake (VO2 ) instead of muscular oxygen uptake. The aim of this study was to examine (I) the relationship between Qcap and exercise intensity during and following exercise, and (II) to critically reflect the Qcap approach...
April 26, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/28400505/no-effect-of-ascorbate-on-cutaneous-vasodilation-and-sweating-in-older-men-and-those-with-type-2-diabetes-exercising-in-the-heat
#2
Naoto Fujii, Robert D Meade, Pegah Akbari, Jeffrey C Louie, Lacy M Alexander, Pierre Boulay, Ronald J Sigal, Glen P Kenny
Aging and chronic disease such as type 2 diabetes (T2D) are associated with impairments in the body's ability to dissipate heat. To reduce the risk of heat-related injuries in these heat vulnerable individuals, it is necessary to identify interventions that can attenuate this impairment. We evaluated the hypothesis that intradermal administration of ascorbate improves cutaneous vasodilation and sweating in older adults via nitric oxide synthase (NOS)-dependent mechanisms during exercise in the heat and whether these improvements, if any, are greater in individuals with T2D...
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
#3
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/28390060/chronic-heat-exposure-for-health-and-exercise-performance-cardiovascular-research-heats-up
#4
Kyle M A Thompson, Alexandra M Coates, Anthony V Incognito, Alanna K Whinton
Flow-mediated dilation (FMD) is a method used to measure endothelial-dependent vasodilation, quantified by the change in conduit artery luminal diameter during post-occlusive hyperemia This article is protected by copyright. All rights reserved.
April 8, 2017: Journal of Physiology
https://www.readbyqxmd.com/read/28385914/sympathetic-nervous-system-activation-reduces-contraction-induced-rapid-vasodilation-in-the-leg-of-humans-independent-of-age
#5
William E Hughes, Nicholas T Kruse, Darren P Casey
Contraction-induced rapid vasodilation is attenuated similarly in the upper and lower limbs of older adults. In the forearm, this attenuation is in part due to a greater sympathetic vasoconstriction. We examined whether the age-related reduction in contraction-induced vasodilation in the leg is also due to a sympathetic vasoconstrictive mechanism. Thirteen young (24±1yr) and twelve older adults (67±1yr) performed single leg knee-extension at 20% and 40% of work-rate maximum (WRmax) during control and cold-pressor test (CPT) conditions...
April 6, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28381470/evidence-supporting-the-existence-of-a-distinct-obese-phenotype-of-heart-failure-with-preserved-ejection-fraction
#6
Masaru Obokata, Yogesh N V Reddy, Sorin V Pislaru, Vojtech Melenovsky, Barry A Borlaug
Background -Heart failure (HF) with preserved ejection fraction (HFpEF) is a heterogeneous syndrome. Phenotyping patients into pathophysiologically homogenous groups may enable better targeting of treatment. Obesity is common in HFpEF and has many cardiovascular effects, suggesting it may be a viable candidate for phenotyping. We compared cardiovascular structure, function, and reserve capacity in subjects with obese HFpEF, non-obese HFpEF, and controls. Methods -Subjects with obese HFpEF (BMI≥35kg/m(2), n=99), non-obese HFpEF (BMI<30kg/m(2), n=96), and non-obese controls free of HF (n=71) underwent detailed clinical assessment, echocardiography and invasive hemodynamic exercise testing...
April 5, 2017: Circulation
https://www.readbyqxmd.com/read/28373523/fire-simulation-and-cardiovascular-health-in-firefighters
#7
Amanda L Hunter, Anoop S V Shah, Jeremy P Langrish, Jennifer B Raftis, Andrew J Lucking, Mairi Brittan, Sowmya Venkatasubramanian, Catherine L Stables, Dominik Stelzle, James Marshall, Richard Graveling, Andrew D Flapan, David E Newby, Nicholas L Mills
BACKGROUND: Rates of myocardial infarction in firefighters are increased during fire suppression duties, and are likely to reflect a combination of factors including extreme physical exertion and heat exposure. We assessed the effects of simulated fire suppression on measures of cardiovascular health in healthy firefighters. METHODS: In an open-label randomized crossover study, 19 healthy firefighters (age, 41±7 years; 16 males) performed a standardized training exercise in a fire simulation facility or light duties for 20 minutes...
April 4, 2017: Circulation
https://www.readbyqxmd.com/read/28348949/impact-of-advanced-medical-therapy-for-the-outcome-of-an-adult-patient-with-eisenmenger-syndrome
#8
Eglė Ereminienė, Marija Kinderytė, Skaidrius Miliauskas
Eisenmenger syndrome (ES) is the most severe form of pulmonary arterial hypertension (PAH) associated with congenital heart disease. It is an extremely devastating condition with a serious impact on patients' life. Classical therapy of ES remains directed to avoid complications, such as erythrocytosis, treatment of congestive heart failure, prevention of infection, and secondary haematological abnormalities such as iron deficiency and coagulation disorders. However, the only effective treatment is heart-lung transplantation; still, morbidity and mortality after transplantation remain substantially high...
2017: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/28347756/gaussian-modelling-characteristics-changes-derived-from-finger-photoplethysmographic-pulses-during-exercise-and-recovery
#9
Anran Wang, Lin Yang, Weimin Wen, Song Zhang, Guanxiong Gu, Dingchang Zheng
Gaussian modelling method has been reported as a useful method to analyze arterial pulse waveform changes. This study aimed to provide scientific evidence on Gaussian modelling characteristics changes derived from the finger photoplethysmographic (PPG) pulses during exercise and recovery. 65 healthy subjects (18 female and 47 male) were recruited. Finger PPG pulses were digitally recorded with 5 different exercise loads (0, 50, 75, 100, 125W) as well as during each of 4minute (min) recovery period. The PPG pulses were normalized in both width and amplitude for each recording, which were decomposed into three independent Gaussian waves with nine parameters determined, including the peak amplitude (H1, H2, H3), peak time position (N1, N2, N3) and half-width (W1, W2, W3) from each Gaussian wave, and four extended parameters determined, including the peak time interval (T1,2, T1,3) and amplitude ratio (R1,2, R1,3) between 1st Gaussian wave and 2nd, 3rd Gaussian waves...
March 24, 2017: Microvascular Research
https://www.readbyqxmd.com/read/28303667/exercise-induced-saphenous-vein-graft-spasm-prevented-by-stenting
#10
William G Boliek, Dean J Kereiakes, Atul Chugh
Recurrence of anginal symptoms following coronary artery bypass surgery is usually secondary to graft closure or progression of native vessel disease. The present case demonstrates severe exercise-induced saphenous vein graft (SVG) spasm associated with transmural ischemia refractory to maximal vasodilator therapy. Symptoms resolved and exercise electrocardiography normalized following stenting of SVG regions demonstrating spasm. © 2017 Wiley Periodicals, Inc.
March 17, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28295341/exercise-training-reverses-age-induced-diastolic-dysfunction-and-restores-coronary-microvascular-function
#11
Kazuki Hotta, Bei Chen, Bradley J Behnke, Payal Ghosh, John N Stabley, Jeremy A Bramy, Jaime L Sepulveda, Michael D Delp, Judy M Muller-Delp
The risk for diastolic dysfunction increases with advancing age. Regular exercise training ameliorates age-related diastolic dysfunction; however, the underlying mechanisms have not been identified. We investigated whether 1) microvascular dysfunction contributes to the development of age-related diastolic dysfunction, and 2) initiation of late-life exercise training reverses age-related diastolic and microvascular dysfunction. Young and old rats underwent 10 weeks of exercise training or remained as sedentary, cage-controls...
March 10, 2017: Journal of Physiology
https://www.readbyqxmd.com/read/28284324/readdressing-the-entity-of-exercise-pulmonary-arterial-hypertension
#12
REVIEW
Boris I Medarov, Sidharth Jogani, Johnathan Sun, Marc A Judson
Exercise pulmonary hypertension (EPH) indicates an abnormally elevated pulmonary artery pressure (PAP) during exercise. The physiological range of PAP during exercise remains poorly defined and, therefore, a universally accepted definition of EPH remains elusive. Nevertheless, previous data concerning the distribution of PAP in normal populations and more recent retrospective clinical data enhanced our ability to define EPH. EPH can impair exercise capacity and cause dyspnea. The underlying pathophysiology of the arterial form of EPH (EPAH) appears to be similar to that seen in resting pulmonary arterial hypertension (PAH), and EPAH individuals are at risk of developing resting PAH...
March 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/28274927/endothelial-dysfunction-correlates-with-exaggerated-exercise-pressor-response-during-whole-body-maximal-exercise-in-chronic-kidney-disease
#13
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...
March 8, 2017: American Journal of Physiology. Renal Physiology
https://www.readbyqxmd.com/read/28271412/clinical-value-of-hyperemic-left-ventricular-systolic-function-in-vasodilator-stress-testing
#14
Venkatesh L Murthy, Sharmila Dorbala
Exercise results in increased left ventricular contractility in normal individuals. Similar changes can also be seen with vasodilator stress. This article discusses the physiologic basis of these changes as well as reviews the clinical data supporting the use of these parameters for diagnostic and prognostic evaluation. Methodologic limitations as well as other concomitant pathologic processes which may confound interpretation of stress-induced changes in LVEF are also reviewed.
March 7, 2017: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
https://www.readbyqxmd.com/read/28266825/cardiovascular-disease-update-pulmonary-hypertension
#15
Johnathan D McDivitt, Craig Barstow
Pulmonary hypertension (PH) is a spectrum disorder with multiple causes of the elevation of pressure in the lungs. It often is difficult to diagnose because it mimics many commonly reported symptoms (eg, dyspnea, exercise intolerance, chest pain). Diagnosis is made via right heart catheterization; however, transthoracic echocardiography may show evidence of elevated pulmonary pressure as the first clue to the diagnosis. Diagnostic tests to consider include a liver panel, complete blood count, and thyroid function test; electrocardiogram; chest x-ray; pulmonary function testing; and possibly lung imaging via computed tomography scan or ventilation-perfusion scan...
March 2017: FP Essentials
https://www.readbyqxmd.com/read/28261859/a-phantom-study-to-determine-the-theoretical-accuracy-and-precision-of-radial-mri-to-measure-cross-sectional-area-differences-for-the-application-of-coronary-endothelial-function-assessment
#16
Jérôme Yerly, Danilo Gubian, Jean-Francois Knebel, Ali Schenk, Jerome Chaptinel, Giulia Ginami, Matthias Stuber
PURPOSE: MRI has been used to noninvasively assess coronary endothelial function by measuring the vasoreactivity in response to handgrip exercise. However, the spatial resolution of MRI is limited relative to the expected vasodilation response of healthy coronary arteries (10%-20%), and the sensitivity of MRI to detect such small cross-sectional area differences has yet to be quantitatively examined. METHODS: Holes of different diameters were drilled in a phantom to simulate a range of physiological responses of coronary arteries to stress...
March 5, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28256176/stress-cardiovascular-magnetic-resonance-imaging-current-and-future-perspectives
#17
REVIEW
Thu-Thao Le, Weiting Huang, Jennifer Ann Bryant, Stuart Alexander Cook, Calvin Woon-Loong Chin
Vasodilator and dobutamine are the main pharmacological agents used in current stress cardiovascular magnetic resonance (CMR). Exercise stress has well-established advantages and it is commonly used in other stress imaging, but the technical considerations have limited its use in stress CMR. In this review, we will describe the diagnostic performance, prognostic value, strengths and challenges of current stress CMR techniques. We will also discuss future perspectives of exercise stress CMR. Areas covered: Despite notable mechanistic differences, vasodilator and dobutamine stress CMR offer similar diagnostic and prognostic value in coronary artery disease...
March 2017: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/28254750/the-roles-of-kca-katp-and-kv-channels-in-regulating-cutaneous-vasodilation-and-sweating-during-exercise-in-the-heat
#18
Jeffrey C Louie, Naoto Fujii, Robert D Meade, Brendan D McNeely, Glen P Kenny
We recently showed the varying roles of Ca(2+)-activated (KCa), ATP-sensitive (KATP) and voltage-gated (KV) K(+) channels in regulating cholinergic cutaneous vasodilation and sweating in normothermic conditions. However, it is unclear whether the respective contributions of these K(+) channels remain intact during dynamic exercise in the heat. Eleven young (23±4 years) males completed a 30-min exercise bout at a fixed rate of metabolic heat production (400 W), followed by a 40-min recovery period in the heat (35°C, 20% relative humidity)...
March 2, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28242634/ketone-body-infusion-with-3-hydroxybutyrate-reduces-myocardial-glucose-uptake-and-increases-blood-flow-in-humans-a-positron-emission-tomography-study
#19
Lars C Gormsen, Mads Svart, Henrik Holm Thomsen, Esben Søndergaard, Mikkel H Vendelbo, Nana Christensen, Lars Poulsen Tolbod, Hendrik Johannes Harms, Roni Nielsen, Henrik Wiggers, Niels Jessen, Jakob Hansen, Hans Erik Bøtker, Niels Møller
BACKGROUND: High levels of ketone bodies are associated with improved survival as observed with regular exercise, caloric restriction, and-most recently-treatment with sodium-glucose linked transporter 2 inhibitor antidiabetic drugs. In heart failure, indices of ketone body metabolism are upregulated, which may improve energy efficiency and increase blood flow in skeletal muscle and the kidneys. Nevertheless, it is uncertain how ketone bodies affect myocardial glucose uptake and blood flow in humans...
February 27, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28230704/muscle-metaboreflex-control-of-sympathetic-activity-in-obstructive-sleep-apnea
#20
Linda M Ueno-Pardi, Renan S Guerra, Thiago T Goya, Rosyvaldo F Silva, Elisangela M Gara, Marta F Lima, Thais S Nobre, Maria J N N Alves, Ivani C Trombetta, Geraldo Lorenzi-Filho
PURPOSE: Previous studies report abnormal muscle metaboreflex control of muscle sympathetic nerve activity (MSNA) in obesity, hypertension, and heart failure. We hypothesized that obstructive sleep apnea (OSA) is associated with augmented metaboreflex control of MSNA. METHODS: Thirty-one sedentary individuals with no comorbidities (age = 52±1 y, body mass index = 28±1 kg/m) without (control, n = 14) and with OSA (n = 17) defined by polysomnography, underwent echocardiography...
February 22, 2017: Medicine and Science in Sports and Exercise
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