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1 Department of Clinical Pathophysiology, School of Health Sciences, University of Occupational and Environmental Health, Yahatanishi-ku, 807-8555 Kitakyushu; and 2 Department of Exercise and Health Sciences, Faculty of Education, University of Yamaguchi, Yamaguchi City, Yamaguchi 753-0841, Japan
The purpose of this study was
to examine the effects of skin cooling and heating on the heart rate
(HR) control by the arterial baroreflex in humans. The subjects were 15 healthy men who underwent whole body thermal stress (esophageal
temperatures, ~36.8 and ~37.0°C; mean skin temperatures,
~26.4 and ~37.7°C, in skin cooling and heating, respectively)
produced by a cool or hot water-perfused suit during supine rest. The
overall arterial baroreflex sensitivity in the HR control was
calculated from spontaneous changes in beat-to-beat arterial pressure
and HR during normothermic control and thermal stress periods. The
carotid baroreflex sensitivity was evaluated from the maximum slope of
the HR response to changes in carotid distending pressure, calculated
as mean arterial pressure minus neck pressure. The overall arterial
baroreflex sensitivity at existing arterial pressure increased during
cooling (
1.32 ± 0.25 vs.
2.13 ± 0.20 beats · min
1 · mmHg
1 in the control and cooling
periods, respectively, P < 0.05), whereas it did not change
significantly during heating (
1.39 ± 0.23 vs.
1.40 ± 0.15 beats · min
1 · mmHg
1
in the control and heating periods, respectively). Neither the cool nor
heat loadings altered the carotid baroreflex sensitivity in the HR
control. These results suggest that the sensitivity of HR control by
the extracarotid (presumably aortic) baroreflex was augumented by whole
body skin cooling, whereas the sensitivities of HR control by arterial
baroreflex remain unchanged during mild whole body heating in humans.
aortic baroreceptors; carotid sinus baroreceptors; heart rate variability; power spectra; skin blood flow
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