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Section of Respiratory and Critical Care Medicine, Department of Medicine, University of Illinois at Chicago College of Medicine, and Department of Veterans Affairs West Side Medical Center and University of Illinois Hospital, Chicago, Illinois 60612
To determine sleep effects on baro- and
ventilatory responses to transient chemo- and barostimulation in
African-Americans and Caucasians, 26 nonobese normotensive young
subjects (13 African-Americans and 13 Caucasians) were studied awake
and in non-rapid-eye movement (NREM) and rapid-eye-movement sleep
during induced transient hypoxemia (N2), hypertension
(phenylephrine, PE), and concomitant hypoxemia and hypertension
(N2 + PE). Arterial blood pressure
was recorded by plethysmographic volume clamp, minute ventilation by
pneumotachograph, and arterial O2
saturation by pulse oximeter. For all subjects, chronotropic
baroresponse (
pulse interval/
systolic blood pressure, where
is change) increased with NREM sleep
(P = 0.007). Baroresponse slope was
greater in Caucasians than in African-Americans (ANOVA, P = 0.02). Hypoxemic ventilatory
response (
minute ventilation/
arterial O2 saturation) was greater in
African-Americans than in Caucasians in NREM sleep
(P = 0.01), as was hypoxemic
attenuation of baroresponse (N2 + PE, P = 0.03). These data suggest
sleep-related differences in arterial chemo- and baroreceptor responses
in normal young African-Americans and Caucasians, which may have
implications concerning development of systemic hypertension.
hypertension; hypoxemia; blood pressure; arterial chemoreceptor; arterial baroreceptor
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