|
|
||||||||
Journal of Applied Physiology, Vol 68, Issue 1 147-153, Copyright © 1990 by American Physiological Society
ARTICLES |
A. D. Ten Harkel, J. J. Van Lieshout, E. J. Van Lieshout and W. Wieling
Department of Medicine, Academic Medical Centre, Amsterdam, The Netherlands.
The aim of the present study was to investigate the effects of a pretest redistribution of blood volume and of a change in the neurohumoral condition on the blood pressure (BP) and heart rate (HR) responses to three commonly used cardiovascular reflex tests: standing up, forced breathing, and the Valsalva maneuver in 10 healthy male subjects. Base-line conditions were altered by changing posture and the duration of rest preceding the test stimulus. A continuous recording of finger BP was obtained noninvasively by a Finapres. The main observations from this study are with respect to standing up: lengthening the period of preceding rest from 1 to 20 min enlarges the initial BP (systolic/diastolic) decrease (from 8 +/- 10/9 +/- 4 to 27 +/- 8/19 +/- 4 mmHg, P less than 0.01) and the subsequent BP overshoot (from 17 +/- 10/12 +/- 7 to 31 +/- 10/18 +/- 7 mmHg, P less than 0.05); to forced breathing: inspiratory-expiratory changes in BP but not in HR are larger in the upright posture (P less than 0.05); and to the Valsalva maneuver: change in posture from supine to standing increases the phase II BP decrease (from 18 +/- 12/8 +/- 6 to 45 +/- 16/21 +/- 9 mmHg), phase IV systolic BP overshoot (from 26 +/- 16 to 71 +/- 17 mmHg), delta HRmax (from 30 +/- 10 to 47 +/- 12 beats/min), and the Valsalva ratio (HRmax/HRmin), from 2.0 +/- 0.3 to 2.6 +/- 0.7, all significant at P less than 0.01.(ABSTRACT TRUNCATED AT 250 WORDS)
This article has been cited by other articles:
![]() |
R. Winker, A. Barth, D. Bidmon, I. Ponocny, M. Weber, O. Mayr, D. Robertson, A. Diedrich, R. Maier, A. Pilger, et al. Endurance Exercise Training in Orthostatic Intolerance: A Randomized, Controlled Trial Hypertension, March 1, 2005; 45(3): 391 - 398. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Lamarre-Cliche and J. Cusson The fainting patient: value of the head-upright tilt-table test in adult patients with orthostatic intolerance Can. Med. Assoc. J., February 1, 2001; 164(3): 372 - 376. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Pott, J. J. van Lieshout, K. Ide, P. Madsen, and N. H. Secher Middle cerebral artery blood velocity during a Valsalva maneuver in the standing position J Appl Physiol, May 1, 2000; 88(5): 1545 - 1550. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. McGee, W. B. Abernethy III, and D. L. Simel Is This Patient Hypovolemic? JAMA, March 17, 1999; 281(11): 1022 - 1029. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. T. Schlegel, E. W. Benavides, D. C. Barker, T. E. Brown, D. L. Harm, S. J. DeSilva, and P. A. Low Cardiovascular and Valsalva responses during parabolic flight J Appl Physiol, November 1, 1998; 85(5): 1957 - 1965. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Visit Other APS Journals Online |