Journal of Applied Physiology AJP: Renal Physiology
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J Appl Physiol (April 2, 2009). doi:10.1152/japplphysiol.91564.2008
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Submitted on December 3, 2008
Revised on February 23, 2009
Accepted on March 27, 2009

The impact of exercise on derived measures of central pressure and augmentation index obtained from the SphygmoCor device

Ellen Adele Dawson1*, Mark A. Black1, Jennifer Pybis1, N. Timothy Cable1, and Daniel J. Green1

1 Liverpool John Moores University

* To whom correspondence should be addressed. E-mail: e.dawson{at}ljmu.ac.uk.

The purpose of this study was to investigate whether measures derived from the SphygmoCor device and its associated transfer function are influenced by exercise-induced alterations in vascular tone. Measurements were taken from either the exercised or the contra-lateral non-exercised limb, during repeated and identical incremental hand-grip protocols. Eight male subjects performed 3, 3-minute bouts of hand-grip exercise, on two occasions. The exercise intensities were set at: 3kg, 5kg, with a final 1.5kg bout performed during cuff ischemia (1.5Isch). Blood pressure waveforms were recorded from the radial artery of either the exercised or non-exercised limb using applanation tonometry (SphygmoCor) during a 90s rest period immediately after each exercise bout. Central blood pressures and augmentation indices, an index of arterial stiffness, were derived using the peripheral waveform and the inbuilt SphygmoCor transfer function (TF). Augmentation index (AIx) was consistently ~10% higher in the exercised arm during all trials compared to the non-exercised limb. Similarly, there was a consistent and significant difference (~3 mmHg; P<0.05) between exercised and non-exercised arms for the derived central systolic and mean arterial blood pressures. Despite identical bouts of exercise, AIx and central systolic and mean arterial blood pressures derived from applanation tonometry at the peripheral radial artery were statistically different when assessed at the exercising arm versus the non-exercising arm. Changes in vascular tone with exercise may modify the intrinsic characteristics of the vessel wall and could compromise the assumptions underlying transfer functions used to derive central measures using applanation tonometry.







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