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1 Department of Physiology and Biophysics, University of Nebraska Medical Center, Omaha, NE, USA
2 Department of Pharmacology, Midwestern University, Downers Grove, IL, USA
* To whom correspondence should be addressed. E-mail: izucker{at}unmc.edu.
The reflex regulation of sympathetic nerve activity has been demonstrated to be impaired in the chronic heart failure (CHF) state compared to the normal condition. Exercise training (EX) appears to be beneficial to patients with CHF and has been shown to reduce sympathetic outflow in this disease state. We tested the hypothesis that EX corrects the reduced cardiopulmonary (CP) reflex response to volume expansion in the CHF state. Normal, Normal+EX, CHF, CHF+EX-groups (n=10-21) of male New Zealand White rabbits were studied. CHF was induced by chronic ventricular pacing. Rabbits were instrumented to record left ventricular end diastolic pressure (LVEDP), - diameter (LVEDD) and renal sympathetic nerve activity (RSNA). Experiments were carried out in the conscious state. Volume expansion was performed with 6% dextran in normal saline at a rate of 5 ml/min to approximately 20% of estimated plasma volume without exhibiting any significant effect on mean arterial pressure. The relationships between RSNA-LVEDP and RSNA-LVEDD were determined by linear regression, the slopes served as an index of CP reflex sensitivity. Normal rabbits exhibited a CP reflex sensitivity of -8.4±1.5 %
RSNA/mm Hg. This value fell to 0.0±1.3 %
RSNA/mm Hg in CHF rabbits (p<0.001). EX increased CP reflex sensitivity to -5.0±0.7 %
RSNA/mm Hg in CHF-EX rabbits (p<0.05 compared to CHF). A similar trend was seen when related to the change in LVEDD. Furthermore, resting RSNA expressed as a % of maximum RSNA in response to cigarette smoke was also normalized by EX in rabbits with CHF. EX had no effect on these parameters in normal rabbits. These data confirm an impairment of CP-reflex sensitivity and sympatho-excitation in CHF versus normal animals. EX substantially restored both CP-reflex sensitivity and baseline RSNA in CH-animals. Thus, EX beneficially affects reflex regulation in CHF, thereby lowering resting sympathetic nerve activity.
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