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J Appl Physiol (November 10, 2005). doi:10.1152/japplphysiol.00388.2005
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Submitted on April 5, 2005
Accepted on November 7, 2005

EFFECTS OF ARTERIAL HYPOTENSION ON MICROVASCULAR OXYGEN EXCHANGE IN CONTRACTING SKELETAL MUSCLE

Brad J. Behnke1*, Danielle Padilla2, Leonardo F. Ferreira2, Michael D. Delp1, Timothy I. Musch2, and David C. Poole2

1 Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, WV, USA
2 Department of Kinesiology and the Clarenburg Laboratory; Anatomy & Physiology, Kansas State University, Manhattan, KS, USA

* To whom correspondence should be addressed. E-mail: bbehnke{at}hsc.wvu.edu.

In healthy animals under normotensive conditions, perfusion of contracting skeletal muscle is regulated precisely to maintain microvascular O2 pressures (PmvO2) at levels commensurate with O2 demands (Behnke et al. Respir. Physiol. 2001). Hypovolemic hypotension impairs muscle contractile function and we tested the hypothesis that this condition would alter the matching of O2 delivery (QO2) to O2 utilization (VO2) as determined by PmvO2 at the onset of muscle contractions. PmvO2 in the spinotrapezius muscles of seven female Sprague-Dawley rats (body mass, 280±6 g) was measured every 2 s across the transition from rest to 1 Hz twitch contractions using phosphorescence quenching techniques. Spinotrapezius blood flow (via radioactive microspheres) and O2 uptake (VO2m) were determined at rest and during the contracting steady-state in a second group of 7 rats. Measurements were made under normotension (N, mean arterial pressure, MAP, 97±4 mmHg) and hypotension (H, induced by arterial section, MAP, 58±3 mmHg, P<0.05) and the PmvO2 profiles were modeled using a multi-compartment exponential fitting with independent time delays (KaleidaGraph 3.5). Hypotension reduced muscle blood flow at rest (N, 24±8 vs. H, 6±1 ml/min/100 g; P<0.05) and during contractions (N, 74±20 vs. H, 22±4 ml/min/100 g; P<0.05). H significantly decreased resting PmvO2 and the steady-state contracting PmvO2 (N, 19.4±2.4 vs. H, 8.7±1.6 mmHg, P<0.05). At the onset of contractions H reduced the time delay (N, 11.8±1.7 vs. H, 5.9±0.9 s, P<0.05) prior to the fall in PmvO2 and accelerated the rate of PmvO2 decrease (time constant, N, 12.6±1.4 vs. H, 7.3±0.9 s, P<0.05). The majority of H responses (6 rats) evidenced an early and pronounced fall of PmvO2 to values below the steady-state that was not present in the N condition. VO2m was reduced by 71% at rest and 64% with contractions in H versus N, and O2 extraction during H averaged 78% at rest and 94% during contractions vs. 51 and 78% in N. These results demonstrate that hypovolemic hypotension constrains the increase of skeletal muscle QO2 relative to that of VO2 at the onset of contractions leading to a decreased PmvO2. According to Ficks law, this scenario will decrease blood-myocyte O2 flux thereby slowing VO2 kinetics and exacerbating the O2 deficit generated at exercise onset.




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