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Department of Sports Medicine, Research Center on Aging and Adaptation, Shinshu University School of Medicine, Matsumoto 390-8621, Japan
This study assessed
the hypothesis that increasing cardiac filling pressure (CFP) would
enhance contracting muscle blood flow (MBF) by stretching
cardiopulmonary baroreceptors and attenuate the increase in plasma
lactate concentration ([Lac
]p) during
dynamic exercise. Continuous negative-pressure breathing (CNPB) (
15
cmH2O) was used to increase the CFP by accelerating the
venous return to the heart. In the first series of experiments, 10 men
performed a graded exercise seated on a cycle ergometer with (N1) and
without CNPB (C1). The increase in
[Lac
]p for N1 was
attenuated at 60%, 90%, and 100% of maximal exercise intensity compared with that in C1 (P < 0.001). Also,
the increases in mean arterial pressure (MAP) and plasma catecholamine
concentrations were attenuated in N1 compared with those in C1
throughout the graded exercise (P < 0.05). However,
heart rate and pulse pressure were not significantly influenced by
CNPB. Second, we studied the impact of CNPB on forearm MBF during a
rhythmic handgrip exercise in 5 of the 10 subjects. Forearm MBF was
measured immediately after cessation of the exercise by venous
occlusion plethysmography at rest, 30%, 50%, and 70% of maximal work
load (WLmax) with (N2) and without CNPB (C2). Forearm MBF
and vascular conductance for both trials increased with the increase in
intensity, but forearm skin blood flow measured by laser-Doppler
flowmetry remained unchanged. MBF and vascular conductance in N2,
however, increased more than in C2 at every intensity
(P < 0.01) except for MBF at 70% WLmax, whereas the increase in MAP for N2 was attenuated compared with that in
C2 (P < 0.05). Thus augmented active muscle
vasodilation occurred in N2 with a lower increase in MAP compared with
that in C2. These findings suggest that the stretch of intrathoracic baroreceptors, such as cardiopulmonary mechanoreceptors, by CNPB increased MBF by suppressing sympathetic nerve activity. The
attenuation of the increase in [Lac
]p might
be caused, at least partially, by the increased MBF.
atrial distension; cardiopulmonary baroreflexes; muscular vascular resistance
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