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J Appl Physiol (October 16, 2008). doi:10.1152/japplphysiol.90732.2008
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Submitted on June 7, 2008
Revised on September 30, 2008
Accepted on October 13, 2008

Myogenic origin of the hypotension induced by rapid changes in posture in awake dogs following autonomic blockade

Brett J. Wong1 and Don D. Sheriff2*

1 Kansas State University
2 University of Iowa

* To whom correspondence should be addressed. E-mail: don-sheriff{at}uiowa.edu.

The "push-pull" effect denotes the reduced tolerance to +Gz (hypergravity) when +Gz stress is preceded by exposure to hypogravity, i.e. fractional, zero, or negative Gz. The purpose of this study was to test the hypothesis that an exaggerated, myogenically mediated rise in leg vascular conductance contributes to the push-pull effect, using heart-level arterial blood pressure as a measure of G-tolerance. The approach was to impose control (30 s of 30 ° head-up tilt) and push-pull (30 s of 30 ° head-up tilt immediately preceded by 10 s of -15 ° head-down tilt) gravitational stress after administration of hexamethonium (5 mg/kg) to inhibit autonomic ganglionic neurotransmission in 7 dogs. Cardiac output or thigh level arterial pressure (myogenic stimulus) was maintained constant by computer controlled ventricular pacing. The animals were sedated with acepromazine and lightly restrained in lateral recumbency on a tilt table. Following the onset of head-up tilt, the magnitude of the fall in heart-level arterial pressure from baseline was -11.6 ±2.9 and -17.1 ±2.2 mmHg for the control and push-pull trials, respectively (p <0.05) when cardiac output was maintained constant. Over forty percent of the exaggerated fall in heart-level arterial pressure was attributable to an exaggerated rise in hindlimb vascular conductance (p <0.05). Maintaining thigh-level arterial pressure constant abolished the exaggerated rise in hind-limb blood flow. Thus, a push-pull effect largely attributable to a myogenically-induced rise in leg vascular conductance occurs when autonomic function is inhibited.




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A. Kamiya, T. Kawada, S. Shimizu, S. Iwase, M. Sugimachi, and T. Mano
Slow head-up tilt causes lower activation of muscle sympathetic nerve activity: loading speed dependence of orthostatic sympathetic activation in humans
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