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J Appl Physiol (August 16, 2002). doi:10.1152/japplphysiol.00337.2002
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Articles in PresS, published online ahead of print August 16, 2002
J Appl Physiol, 10.1152/jap.00337.2002
Submitted on April 15, 2002
Accepted on August 14, 2002

MUSCLE PUMP DOES NOT ENHANCE BLOOD FLOW IN EXERCISING SKELETAL MUSCLE

Jason J Hamann1, Zoran Valic1, John B Buckwalter1, and Philip S Clifford1*

1 Anesthesiology and Physiology, Medical College of Wisconsin, Milwaukee, WI, USA; VA Medical Center, Milwaukee, WI, USA

* To whom correspondence should be addressed. E-mail: pcliff2mcw.edu.

The muscle pump theory holds that contraction aids muscle perfusion by emptying the venous circulation which lowers venous pressure during relaxation and increases the pressure gradient across the muscle. We reasoned that the influence of a reduction in venous pressure could be determined following maximal pharmacologic vasodilation where the changes in vascular tone would be minimized. Mongrel dogs (n=7), instrumented for measurement of hindlimb blood flow, ran on a treadmill during continuous intraarterial infusion of saline or adenosine (15-35mg/min). Adenosine infusion was initiated at rest to achieve the highest blood flow possible. Peak hindlimb blood flow during exercise increased from baseline by 438±34 ml/min under saline conditions, but decreased by 27±18 ml/min during adenosine infusion. The absence of an increase in blood flow in the vasodilated limb indicates that any change in venous pressure elicited by the muscle pump was not adequate to elevate hindlimb blood flow. The implication of this finding is that the hyperemic response to exercise is primarily attributable to vasodilation in the skeletal muscle vasculature.




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