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J Appl Physiol 69: 407-418, 1990;
8750-7587/90 $5.00
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Journal of Applied Physiology, Vol 69, Issue 2 407-418, Copyright © 1990 by American Physiological Society


ARTICLES

Reflex control of the circulation during exercise: chemoreflexes and mechanoreflexes

L. B. Rowell and D. S. O'Leary
Department of Physiology and Biophysics, University of Washington, School of Medicine, Seattle 98195.

The overall scheme for control is as follows: central command sets basic patterns of cardiovascular effector activity, which is modulated via muscle chemo- and mechanoreflexes and arterial mechanoreflexes (baroreflexes) as appropriate error signals develop. A key question is whether the primary error corrected is a mismatch between blood flow and metabolism (a flow error that accumulates muscle metabolites that activate group III and IV chemosensitive muscle afferents) or a mismatch between cardiac output (CO) and vascular conductance [a blood pressure (BP) error] that activates the arterial baroreflex and raises BP. Reduction in muscle blood flow to a threshold for the muscle chemoreflex raises muscle metabolite concentration and reflexly raises BP by activating chemosensitive muscle afferents. In isometric exercise, sympathetic nervous activity (SNA) is increased mainly by muscle chemoreflex whereas central command raises heart rate (HR) and CO by vagal withdrawal. Cardiovascular control changes for dynamic exercise with large muscles. At exercise onset, central command increases HR by vagal withdrawal and "resets" the baroreflex to a higher BP. As long as vagal withdrawal can raise HR and CO rapidly so that BP rises quickly to its higher operating point, there is no mismatch between CO and vascular conductance (no BP error) and SNA does not increase. Increased SNA occurs at whatever HR (depending on species) exceeds the range of vagal withdrawal; the additional sympathetically mediated rise in CO needed to raise BP to its new operating point is slower and leads to a BP error. Sympathetic vasoconstriction is needed to complete the rise in BP. The baroreflex is essential for BP elevation at onset of exercise and for BP stabilization during mild exercise (subthreshold for chemoreflex), and it can oppose or magnify the chemoreflex when it is activated at higher work rates. Ultimately, when vascular conductance exceeds cardiac pumping capacity in the most severe exercise both chemoreflex and baroreflex must maintain BP by vasoconstricting active muscle.


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. Grossman, F. H. Wilhelm, and M. Spoerle
Respiratory sinus arrhythmia, cardiac vagal control, and daily activity
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H728 - H734.
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J. Appl. Physiol.Home page
S. K. Hunter, A. Critchlow, I.-S. Shin, and R. M. Enoka
Men are more fatigable than strength-matched women when performing intermittent submaximal contractions
J Appl Physiol, June 1, 2004; 96(6): 2125 - 2132.
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J. Appl. Physiol.Home page
W. S. Journeay, F. D. Reardon, C. R. Martin, and G. P. Kenny
Control of cutaneous vascular conductance and sweating during recovery from dynamic exercise in humans
J Appl Physiol, June 1, 2004; 96(6): 2207 - 2212.
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Am. J. Physiol. Heart Circ. Physiol.Home page
K. Yamamoto, T. Kawada, A. Kamiya, H. Takaki, T. Miyamoto, M. Sugimachi, and K. Sunagawa
Muscle mechanoreflex induces the pressor response by resetting the arterial baroreflex neural arc
Am J Physiol Heart Circ Physiol, April 1, 2004; 286(4): H1382 - H1388.
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J. Appl. Physiol.Home page
R. L. Hanna and M. P. Kaufman
Activation of thin-fiber muscle afferents by a P2X agonist in cats
J Appl Physiol, March 1, 2004; 96(3): 1166 - 1169.
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J. Appl. Physiol.Home page
K. Tokizawa, M. Mizuno, Y. Nakamura, and I. Muraoka
Venous occlusion to the lower limb attenuates vasoconstriction in the nonexercised limb during posthandgrip muscle ischemia
J Appl Physiol, March 1, 2004; 96(3): 981 - 984.
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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Cui, R. Zhang, T. E. Wilson, and C. G. Crandall
Spectral analysis of muscle sympathetic nerve activity in heat-stressed humans
Am J Physiol Heart Circ Physiol, March 1, 2004; 286(3): H1101 - H1106.
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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Ichinose, M. Saito, H. Wada, A. Kitano, N. Kondo, and T. Nishiyasu
Modulation of arterial baroreflex control of muscle sympathetic nerve activity by muscle metaboreflex in humans
Am J Physiol Heart Circ Physiol, February 1, 2004; 286(2): H701 - H707.
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J. Appl. Physiol.Home page
S. K. Hunter, A. Critchlow, I.-S. Shin, and R. M. Enoka
Fatigability of the elbow flexor muscles for a sustained submaximal contraction is similar in men and women matched for strength
J Appl Physiol, January 1, 2004; 96(1): 195 - 202.
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Am. J. Physiol. Heart Circ. Physiol.Home page
L. R. Davrath, Y. Goren, I. Pinhas, E. Toledo, and S. Akselrod
Early autonomic malfunction in normotensive individuals with a genetic predisposition to essential hypertension
Am J Physiol Heart Circ Physiol, October 1, 2003; 285(4): H1697 - H1704.
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J. Physiol.Home page
S. A Smith, R. G Querry, P. J Fadel, K. M Gallagher, M. Stromstad, I. Kojiro, P. B Raven, and N. H Secher
Partial blockade of skeletal muscle somatosensory afferents attenuates baroreflex resetting during exercise in humans
J. Physiol., September 15, 2003; 551(3): 1013 - 1021.
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J. Physiol.Home page
P. Studinger, Z. Lenard, Z. Kovats, L. Kocsis, and M. Kollai
Static and dynamic changes in carotid artery diameter in humans during and after strenuous exercise
J. Physiol., July 15, 2003; 550(2): 575 - 583.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Komine, K. Matsukawa, H. Tsuchimochi, and J. Murata
Central command blunts the baroreflex bradycardia to aortic nerve stimulation at the onset of voluntary static exercise in cats
Am J Physiol Heart Circ Physiol, July 11, 2003; 285(2): H516 - H526.
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J. Appl. Physiol.Home page
C. A. Carrington, C. Ubolsakka, and M. J. White
Interaction between muscle metaboreflex and mechanoreflex modulation of arterial baroreflex sensitivity in exercise
J Appl Physiol, July 1, 2003; 95(1): 43 - 48.
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J. Appl. Physiol.Home page
M. Kouzaki, M. Shinohara, K. Masani, M. Tachi, H. Kanehisa, and T. Fukunaga
Local blood circulation among knee extensor synergists in relation to alternate muscle activity during low-level sustained contraction
J Appl Physiol, July 1, 2003; 95(1): 49 - 56.
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J. Appl. Physiol.Home page
S. K. Hunter, R. Lepers, C. J. MacGillis, and R. M. Enoka
Activation among the elbow flexor muscles differs when maintaining arm position during a fatiguing contraction
J Appl Physiol, June 1, 2003; 94(6): 2439 - 2447.
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J. Physiol.Home page
P. J Fadel, W. Zhao, and G. D Thomas
Impaired vasomodulation is associated with reduced neuronal nitric oxide synthase in skeletal muscle of ovariectomized rats
J. Physiol., May 15, 2003; 549(1): 243 - 253.
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J. Appl. Physiol.Home page
N. Kondo, S. Yanagimoto, T. Nishiyasu, and C. G. Crandall
Effects of muscle metaboreceptor stimulation on cutaneous blood flow from glabrous and nonglabrous skin in mildly heated humans
J Appl Physiol, May 1, 2003; 94(5): 1829 - 1835.
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J. Physiol.Home page
M. P Kaufman
Has the phoenix risen?
J. Physiol., May 1, 2003; 548(3): 666 - 666.
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J. Physiol.Home page
K. Miki, M. Yoshimoto, and M. Tanimizu
Acute shifts of baroreflex control of renal sympathetic nerve activity induced by treadmill exercise in rats
J. Physiol., April 1, 2003; 548(1): 313 - 322.
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CirculationHome page
I. L. Pina, C. S. Apstein, G. J. Balady, R. Belardinelli, B. R. Chaitman, B. D. Duscha, B. J. Fletcher, J. L. Fleg, J. N. Myers, and M. J. Sullivan
Exercise and Heart Failure: A Statement From the American Heart Association Committee on Exercise, Rehabilitation, and Prevention
Circulation, March 4, 2003; 107(8): 1210 - 1225.
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J. Appl. Physiol.Home page
S. K. Hunter and R. M. Enoka
Changes in muscle activation can prolong the endurance time of a submaximal isometric contraction in humans
J Appl Physiol, January 1, 2003; 94(1): 108 - 118.
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J. Neurophysiol.Home page
S. K. Hunter, D. L. Ryan, J. D. Ortega, and R. M. Enoka
Task Differences With the Same Load Torque Alter the Endurance Time of Submaximal Fatiguing Contractions in Humans
J Neurophysiol, December 1, 2002; 88(6): 3087 - 3096.
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J. Physiol.Home page
M. Ichinose, M. Saito, H. Wada, A. Kitano, N. Kondo, and T. Nishiyasu
Modulation of arterial baroreflex dynamic response during muscle metaboreflex activation in humans
J. Physiol., November 1, 2002; 544(3): 939 - 948.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Tsuchimochi, K. Matsukawa, H. Komine, and J. Murata
Direct measurement of cardiac sympathetic efferent nerve activity during dynamic exercise
Am J Physiol Heart Circ Physiol, November 1, 2002; 283(5): H1896 - H1906.
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J. Physiol.Home page
Q. Fu, B. D Levine, J. A Pawelczyk, A. C Ertl, A. Diedrich, J. F Cox, J. H Zuckerman, C. A Ray, M. L Smith, S. Iwase, et al.
Cardiovascular and sympathetic neural responses to handgrip and cold pressor stimuli in humans before, during and after spaceflight
J. Physiol., October 15, 2002; 544(2): 653 - 664.
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CirculationHome page
C.T. P. Krediet, N. van Dijk, M. Linzer, J. J. van Lieshout, and W. Wieling
Management of Vasovagal Syncope: Controlling or Aborting Faints by Leg Crossing and Muscle Tensing
Circulation, September 24, 2002; 106(13): 1684 - 1689.
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J. Appl. Physiol.Home page
D. S. DeLorey, S. S. Wang, and J. K. Shoemaker
Evidence for sympatholysis at the onset of forearm exercise
J Appl Physiol, August 1, 2002; 93(2): 555 - 560.
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J. Appl. Physiol.Home page
J. D. Miller, K. C. Beck, M. J. Joyner, A. G. Brice, and B. D. Johnson
Cardiorespiratory effects of inelastic chest wall restriction
J Appl Physiol, June 1, 2002; 92(6): 2419 - 2428.
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J. Appl. Physiol.Home page
D. A. Sandoval and K. S. Matt
Gender differences in the endocrine and metabolic responses to hypoxic exercise
J Appl Physiol, February 1, 2002; 92(2): 504 - 512.
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J. Appl. Physiol.Home page
S. K. Hunter and R. M. Enoka
Sex differences in the fatigability of arm muscles depends on absolute force during isometric contractions
J Appl Physiol, December 1, 2001; 91(6): 2686 - 2694.
[Abstract] [Full Text] [PDF]




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