Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 34
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Auton Neurosci ; 93(1-2): 79-90, 2001 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-11695710

RESUMO

Healthy young people may become syncopal during standing, head up tilt (HUT) or lower body negative pressure (LBNP). To evaluate why this happens we measured hormonal indices of autonomic activity along with arterial pressure (AP), heart rate (HR), stroke volume (SV), cardiac output (CO), total peripheral resistance (TPR) and measures of plasma volume. Three groups of normal volunteers (n = 56) were studied supine, before and during increasing levels of orthostatic stress: slow onset, low level, lower body negative pressure (LBNP) (Group 1), 70 degrees head up tilt (HUT) (Group 2) or rapid onset, high level, LBNP (Group 3). In all groups, syncopal subjects demonstrated a decline in TPR that paralleled the decline in AP over the last 40 s of orthostatic stress. Ten to twenty seconds after the decline in TPR. HR also started to decline but SV increased, resulting in a net increase of CO during the same period. Plasma volume (PV, calculated from change in hematocrit) declined in both syncopal and nonsyncopal subjects to a level commensurate with the stress, i.e. Group 3 > Group 2 > Group 1. The rate of decline of PV, calculated from the change in PV divided by the time of stress, was greater (p < 0.01) in syncopal than in nonsyncopal subjects. When changes in vasoactive hormones were normalized by time of stress, increases in norepinephrine (p < 0.012, Groups 2 and 3) and epinephrine (p < 0.025, Group 2) were greater and increases in plasma renin activity were smaller (p < 0.05, Group 2) in syncopal than in nonsyncopal subjects. We conclude that the presyncopal decline in blood pressure in otherwise healthy young people resulted from declining peripheral resistance associated with plateauing norepinephrine and plasma renin activity, rising epinephrine and rising blood viscosity. The increased hemoconcentration probably reflects increased rate of venous pooling rather than rate of plasma filtration and, together with cardiovascular effects of imbalances in norepinephrine, epinephrine and plasma renin activity may provide afferent information leading to syncope.


Assuntos
Sistema Nervoso Autônomo/fisiopatologia , Epinefrina/sangue , Síncope/fisiopatologia , Vasodilatação/fisiologia , Adulto , Pressão Sanguínea/fisiologia , Débito Cardíaco/fisiologia , Feminino , Frequência Cardíaca/fisiologia , Hematócrito , Humanos , Hipotensão Ortostática/fisiopatologia , Incidência , Masculino , Norepinefrina/sangue , Polipeptídeo Pancreático/sangue , Volume Plasmático/fisiologia , Renina/sangue , Estresse Fisiológico/fisiopatologia , Síncope/epidemiologia , Resistência Vascular/fisiologia
2.
J Appl Physiol (1985) ; 91(6): 2611-8, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11717226

RESUMO

The autonomic nervous system drives variability in heart rate, vascular tone, cardiac ejection, and arterial pressure, but gender differences in autonomic regulation of the latter three parameters are not well documented. In addition to mean values, we used spectral analysis to calculate variability in arterial pressure, heart rate (R-R interval, RRI), stroke volume, and total peripheral resistance (TPR) and measured circulating levels of catecholamines and pancreatic polypeptide in two groups of 25 +/- 1.2-yr-old, healthy men and healthy follicular-phase women (40 total subjects, 10 men and 10 women per group). Group 1 subjects were studied supine, before and after beta- and muscarinic autonomic blockades, administered singly and together on separate days of study. Group 2 subjects were studied supine and drug free with the additional measurement of skin perfusion. In the unblocked state, we found that circulating levels of epinephrine and total spectral power of stroke volume, TPR, and skin perfusion ranged from two to six times greater in men than in women. The difference (men > women) in spectral power of TPR was maintained after beta- and muscarinic blockades, suggesting that the greater oscillations of vascular resistance in men may be alpha-adrenergically mediated. Men exhibited muscarinic buffering of mean TPR whereas women exhibited beta-adrenergic buffering of mean TPR as well as TPR and heart rate oscillations. Women had a greater distribution of RRI power in the breathing frequency range and a less negative slope of ln RRI power vs. ln frequency, both indicators that parasympathetic stimuli were the dominant influence on women's heart rate variability. The results of our study suggest a predominance of sympathetic vascular regulation in men compared with a dominant parasympathetic influence on heart rate regulation in women.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Fenômenos Fisiológicos Cardiovasculares , Caracteres Sexuais , Adulto , Pressão Sanguínea , Epinefrina/sangue , Feminino , Frequência Cardíaca , Hemodinâmica/fisiologia , Humanos , Masculino , Norepinefrina/sangue , Polipeptídeo Pancreático/sangue , Fluxo Sanguíneo Regional , Pele/irrigação sanguínea , Volume Sistólico , Resistência Vascular
3.
J Am Coll Cardiol ; 35(1): 188-93, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10636279

RESUMO

OBJECTIVES: This study examined differences in mechanisms of head-up tilt (HUT)-induced syncope between normal controls and patients with neurocardiogenic syncope. BACKGROUND: A variable proportion of normal individuals experience syncope during HUT. Differences in the mechanisms of HUT-mediated syncope between this group and patients with neurocardiogenic syncope have not been elucidated. METHODS: A 30-min 80 degrees HUT was performed in eight HUT-negative volunteers (Group I), eight HUT-positive volunteers (Group II) and 15 patients with neurocardiogenic syncope. Heart rate and blood pressure (BP) were monitored continuously. Epinephrine and norepinephrine plasma levels, as well as left ventricular dimensions and contractility determined by echocardiography, were measured at baseline and at regular intervals during the test. RESULTS: The main findings of this study were the following: 1) All parameters were similar at baseline in the three groups; and 2) During tilt: a) the time to syncope was shorter in Group III than in group II (9.5 +/- 3 vs. 17 +/- 3 min p < 0.05); b) there was an immediate, persisting drop in mean BP in Group III; c) the decrease rate of left ventricular end-diastolic dimensions was greater in Group III than in Group II or Group I (-1.76 +/- 0.42 vs. -0.87 +/- 0.35 and -0.67 +/- 0.29 mm/min, respectively, p < 0.05); d) the leftventricular shortening fraction was greater in Group III than in the other two groups (39 +/- 1 vs. 34 +/- 1 and 32 +/- 1%, respectively, p < 0.05); and e) although the norepinephrine level remained comparable among the groups, there was a significantly higher peak epinephrine level in Group III than in Group II and Group I (112.3 +/- 34 vs. 77.6 +/- 10 and 65 +/- 12 pg/ml, p < 0.05). CONCLUSIONS: Mechanisms of syncope during HUT appeared to be different in normal volunteers and patients with neurocardiogenic syncope. In the latter, there was evidence of an impaired vascular resistance response from the beginning of the orthostatic challenge. Furthermore, in the patients there was more rapid peripheral blood pooling, as indicated by the echocardiographic measurements of left ventricular end-diastolic changes, leading to more precocious symptoms. In syncopal patients, the higher level of plasma epinephrine probably mediated the increased cardiac contractility and possibly contributed to the impaired vasoconstrictive response.


Assuntos
Epinefrina/sangue , Hemodinâmica/fisiologia , Norepinefrina/sangue , Síncope Vasovagal/diagnóstico , Teste da Mesa Inclinada , Adulto , Pressão Sanguínea/fisiologia , Ecocardiografia , Reações Falso-Positivas , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Valores de Referência , Síncope Vasovagal/fisiopatologia , Função Ventricular Esquerda/fisiologia
4.
J Rehabil Res Dev ; 36(3): 189-201, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10659802

RESUMO

The effect of varying local skin temperature on surface pressure-induced changes in skin perfusion and deformation was determined in hairless fuzzy rats (13.5+/-3 mo, 474+/-25 g). Skin surface pressure was applied by a computer-controlled plunger with corresponding skin deformation measured by a linear variable differential transformer while a laser Doppler flowmeter measured skin perfusion. In Protocol I, skin surface perfusion was measured without heating (control, T=28 degrees C), with heating (T=36 degrees C), for control (probe just touching skin, 3.7 mmHg), and at two different skin surface pressures, 18 mmHg and 73 mmHg. Heating caused perfusion to increase at control and 18 mmHg pressure, but not at 73 mmHg. In Protocol II, skin perfusion was measured with and without heating as in Protocol I, but this time skin surface pressure was increased from 3.7 to 62 mmHg in increments of 3.7 mmHg. For unheated skin, perfusion increased as skin surface pressure increased from 3.7 to 18 mmHg. Further increases in surface pressure caused a decrease in perfusion until zero perfusion was reached for pressures over 55 mmHg. Heating increased skin perfusion for surface pressures from 3.7 to 18 mmHg, but not for pressures greater than 18 mmHg. After the release of surface pressure, the reactive hyperemia peak of perfusion increased with heating. In Protocol III, where skin deformation (creep and relaxation) was measured during the application of 3.7 and 18 mmHg, heating caused the tissue to be stiffer, allowing less deformation. It was found that for surface pressures below 18 mmHg, increasing skin temperature significantly increased skin perfusion and tissue stiffness. The clinical significance of these findings may have relevance in evaluating temperature and pressure effects on skin blood flow and deformation as well as the efficacy of using temperature as a therapeutic modality in the treatment of pressure ulcers.


Assuntos
Modelos Animais de Doenças , Úlcera por Pressão/etiologia , Úlcera por Pressão/fisiopatologia , Pressão/efeitos adversos , Temperatura Cutânea/fisiologia , Pele/irrigação sanguínea , Análise de Variância , Animais , Arteríolas/fisiologia , Regulação da Temperatura Corporal , Elasticidade , Fluxometria por Laser-Doppler , Masculino , Ratos , Reprodutibilidade dos Testes , Fatores de Risco , Resistência Vascular/fisiologia
5.
J Rehabil Res Dev ; 36(2): 109-20, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10661527

RESUMO

This study describes alterations in skin perfusion in response to step increases in surface pressure, before and after long-term (5 hr) exposure to pressure-induced ischemia. A provocative test was developed in which surface pressure was increased in increments of 3.7 mmHg until perfusion reached an apparent minimum by a computer-controlled plunger that included a force cell, a laser Doppler flowmeter to determine perfusion, and a thermistor to monitor skin temperature. Force was applied to the greater trochanters of adult male fuzzy rats. Skin perfusion (n=7) initially increased with low levels of surface pressure (up to 13.9+/-1.9 mmHg) and then decreased with further increases in pressure, reaching minimum (zero) perfusion at 58.2+/-3.64 mmHg. After pressure release, reactive hyperemia (3 x normal) was observed, with levels returning to normal within 15-30 min. The provocative test was then applied after a 5-hr ischemic episode (produced by 92 mmHg) and 3 hr of recovery. A comparison of responses between stressed and unstressed skin revealed: elevated (63%) control perfusion levels; loss of the initial increase in perfusion with low levels of increasing pressure; a depression (45%) in the hyperemic response with delayed recovery time; and a decrease (54%) in amplitude of low frequency (<1 Hz) rhythms in skin perfusion. Skin surface temperature gradually increased both during the control period and the period of incremental increases in surface pressure (total DT=3.3 degrees C). The results suggest a compromised vasodilator mechanism(s). The provocative test developed in this study may have clinical potential for assessing tissue viability in early pressure ulcer development.


Assuntos
Isquemia/fisiopatologia , Úlcera por Pressão/fisiopatologia , Pele/irrigação sanguínea , Animais , Sobrevivência Celular , Masculino , Ratos , Fluxo Sanguíneo Regional , Vasodilatação/fisiologia
6.
Biomed Sci Instrum ; 34: 87-92, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9603018

RESUMO

This work presents a swim mill design that can be used to study locomotor behavior in intact awake lamprey. The design is constrained by the swimming characteristics and anatomy of young adult lamprey and allows for electrophysiological monitoring of muscle activity and imaging of motor behavior. The design has a test section for animal containment and monitoring of motor behavior, a water reservoir, a water pump, and equipment for biological adaptations (water purification, chilling, & aeration systems). The 36 sq. inch acrylic test section is preceded by a turbulence-reducing converging nozzle, while a 1400 gallon reservoir maintains the system's hydrostatic head and acts as a settling chamber. This swim mill design will be used to examine lamprey swimming behavior under different environmental conditions (e.g., water velocity, turbulence, external perturbations).


Assuntos
Comportamento Animal , Lampreias/fisiologia , Animais , Atividade Motora , Natação
7.
Aviat Space Environ Med ; 66(9): 865-71, 1995 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7487825

RESUMO

Lower Body Negative Pressure (LBNP) can be used to stimulate cardiovascular regulation by inducing blood shifts similar to those produced during head up tilt (HUT). It is unclear, however, whether similar blood shifts produced by these two stresses evoke similar cardiovascular regulatory responses. Hence, we compared the autonomic components of cardiovascular responses to 50 degrees HUT and a matched level of LBNP. A level of LBNP that produced changes in calf circumference similar to those produced during the first 3 min of 50 degrees HUT was considered to be a matched level. Autonomic components of cardiovascular responses were determined by spectral analysis of heart rate and blood pressure. Results from nine subjects showed that in terms of changes in calf circumference at the end of 3 min, 50 degrees HUT and 48 mm Hg LBNP were similar (2.13% and 1.94%). During 20-min exposures to HUT and LBNP, the increase in heart rate during LBNP was greater (+7 bpm) than HUT, while blood pressure increases were similar. For heart rate and blood pressure spectra, power in the respiratory frequency region (0.25 Hz) decreased and power in the low frequency region (0.03 Hz) increased similarly during HUT and LBNP. These results indicated that 50 degrees HUT and a matched level of LBNP evoked similar autonomic responses in cardiovascular regulation, with the autonomic balance shifted toward increased sympathetic and decreased parasympathetic influence.


Assuntos
Pressão Sanguínea/fisiologia , Frequência Cardíaca/fisiologia , Pressão Negativa da Região Corporal Inferior , Postura/fisiologia , Adulto , Volume Sanguíneo/fisiologia , Cabeça , Humanos , Perna (Membro)/irrigação sanguínea , Masculino , Teste da Mesa Inclinada
8.
J Appl Physiol (1985) ; 79(3): 1048-54, 1995 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8567501

RESUMO

We investigated the effects of voluntary control of breathing on autonomic function in cardiovascular regulation. Variability in heart rate was compared between 5 min of spontaneous and controlled breathing. During controlled breathing, for 5 min, subjects voluntarily reproduced their own spontaneous breathing pattern (both rate and volume on a breath-by-breath basis). With the use of this experimental design, we could unmask the effects of voluntary override of the spontaneous respiratory pattern generator on autonomic function in cardiovascular regulation without the confounding effects of altered respiratory pattern. Results from 10 subjects showed that during voluntary control of breathing, mean values of heart rate and blood pressure increased, whereas fractal and spectral powers in heart rate in the respiratory frequency region decreased. End-tidal PCO2 was similar during spontaneous and controlled breathing. These results indicate that the act of voluntary control of breathing decreases the influence of the vagal component, which is the principal parasympathetic influence in cardiovascular regulation.


Assuntos
Pressão Sanguínea/fisiologia , Frequência Cardíaca/fisiologia , Respiração/fisiologia , Nervo Vago/fisiologia , Adulto , Eletrocardiografia , Feminino , Fractais , Humanos , Masculino , Testes de Função Respiratória
9.
Integr Physiol Behav Sci ; 30(3): 201-14, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-7577683

RESUMO

We investigated the effects of exposure to microgravity on the baseline autonomic balance in cardiovascular regulation using spectral analysis of cardiovascular variables measured during supine rest. Heart rate, arterial pressure, radial flow, thoracic fluid impedance and central venous pressure were recorded from nine volunteers before and after simulated microgravity, produced by 20 hours of 6 degrees head down bedrest plus furosemide. Spectral powers increased after simulated microgravity in the low frequency region (centered at about 0.03 Hz) in arterial pressure, heart rate and radial flow, and decreased in the respiratory frequency region (centered at about 0.25 Hz) in heart rate. Reduced heart rate power in the respiratory frequency region indicates reduced parasympathetic influence on the heart. A concurrent increase in the low frequency power in arterial pressure, heart rate, and radial flow indicates increased sympathetic influence. These results suggest that the baseline autonomic balance in cardiovascular regulation is shifted towards increased sympathetic and decreased parasympathetic influence after exposure to short-term simulated microgravity.


Assuntos
Adaptação Fisiológica/fisiologia , Fenômenos Fisiológicos Cardiovasculares , Monitorização Fisiológica/instrumentação , Processamento de Sinais Assistido por Computador , Ausência de Peso , Adulto , Pressão Sanguínea/fisiologia , Diurese/fisiologia , Análise de Fourier , Decúbito Inclinado com Rebaixamento da Cabeça/fisiologia , Frequência Cardíaca/fisiologia , Hemodinâmica/fisiologia , Humanos , Masculino , Sistema Nervoso Parassimpático/fisiologia , Sistema Nervoso Simpático/fisiologia , Equilíbrio Hidroeletrolítico/fisiologia
10.
J Appl Physiol (1985) ; 78(6): 2087-94, 1995 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7665403

RESUMO

Variations in respiratory pattern influence the heart rate spectrum. It has been suggested, hence, that metronomic respiration should be used to correctly assess vagal modulation of heart rate by using spectral analysis. On the other hand, breathing to a metronome has been reported to increase heart rate spectral power in the high- or respiratory frequency region; this finding has led to the suggestion that metronomic respiration enhances vagal tone or alters vagal modulation of heart rate. To investigate whether metronomic breathing complicates the interpretation of heart rate spectra by altering vagal modulation, we recorded the electrocardiogram and respiration from eight volunteers during three breathing trials of 10 min each: 1) spontaneous breathing (mean rate of 14.4 breaths/min); 2) breathing to a metronome at the rate of 15, 18, and 21 breaths/min for 2, 6, and 2 min, respectively; and 3) breathing to a metronome at the rate of 18 breaths/min for 10 min. Data were also collected from eight volunteers who breathed spontaneously for 20 min and breathed metronomically at each subject's mean spontaneous breathing frequency for 20 min. Results from the three 10-min breathing trials showed that heart rate power in the respiratory frequency region was smaller during metronomic breathing than during spontaneous breathing. This decrease could be explained fully by the higher breathing frequencies used during trials 2 and 3 of metronomic breathing. When the subjects breathed metronomically at each subject's mean breathing frequency, the heart rate powers during metronomic breathing were similar to those during spontaneous breathing. Our results suggest that vagal modulation of heart rate is not altered and vagal tone is not enhanced during metronomic breathing.


Assuntos
Eletrocardiografia/estatística & dados numéricos , Frequência Cardíaca/fisiologia , Respiração/fisiologia , Nervo Vago/fisiologia , Adulto , Feminino , Humanos , Pulmão/inervação , Masculino , Ventilação Pulmonar , Processamento de Sinais Assistido por Computador , Fatores de Tempo
11.
Am J Physiol ; 267(2 Pt 2): H593-604, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8067416

RESUMO

The frequency response characteristics of human cardiovascular regulation during hypotensive stress have not been determined. We therefore exposed 10 male volunteers to seven frequencies (0.004-0.1 Hz) of oscillatory lower body negative pressure (OLBNP; 0-50 mmHg). Fourier spectra of arterial pressure (AP), central venous pressure (CVP), stroke volume (SV), cardiac output (CO), heart rate (HR), and total peripheral resistance (TPR) were determined and first harmonic mean, amplitude, and phase angles with respect to OLBNP are presented. AP was relatively well regulated as demonstrated by small oscillations in half amplitude (3.5 mmHg) that were independent of OLBNP frequency and similar to unstressed control spectra. Due to the biomechanics of the system, the magnitudes of oscillations in calf circumference (CC) and CVP decreased with increasing frequency; therefore, we normalized responses by these indexes of the fluid volume shifted. The ratios of oscillations in AP to oscillations in CC increased by an order of magnitude, whereas oscillations in CVP to oscillations in CC and oscillations in AP to oscillations in CVP both tripled between 0.004 and 0.1 Hz. Therefore, even though the amount of fluid shifted by OLBNP decreased with increasing frequency, the magnitude of both CVP and AP oscillations per volume of fluid shifted increased (peaking at 0.08 Hz). The phase relationships between variables, particularly the increasing lags in SV and TPR, but not CVP, indicated that efferent responses with lags of 5-6 s could account for the observed responses. We conclude that, at frequencies below 0.02 Hz, the neural system of humans functioned optimally in regulating AP; OLBNP-induced decreases in SV (by as much as 50%) were counteracted by appropriate oscillations in HR and TPR responses. As OLBNP frequency increased, SV, TPR, and HR oscillations increasingly lagged the input and became less optimally timed for AP regulation.


Assuntos
Fenômenos Fisiológicos Cardiovasculares , Pressão Negativa da Região Corporal Inferior , Adulto , Circulação Sanguínea , Análise de Fourier , Frequência Cardíaca , Hemodinâmica , Hormônios/sangue , Humanos , Masculino , Oscilometria , Volume Sistólico , Resistência Vascular
12.
J Appl Physiol (1985) ; 71(2): 611-9, 1991 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1938735

RESUMO

The variation of pleural pressure was measured in anesthetized spontaneously breathing dogs subjected to increased acceleration (0-4 G) in a centrifuge. Two groups of animals were studied. In one group, the resultant acceleration was in a direction either ventral-to-dorsal (+Gx) or dorsal-to-ventral (-Gx), with a relatively small residual cranial-to-caudal acceleration. In the other group, the resultant acceleration was either cranial-to-caudal (+Gz) or caudal-to-cranial (-Gz), with a relatively small residual dorsal-to-ventral acceleration. Pleural liquid pressure (Ppl) was measured by two rib capsules that were separated by 7-9 cm and oriented either in the dorsal-to-ventral or cranial-to-caudal direction. At functional residual capacity, Ppl in the nondependent lung region became more negative when the acceleration was in the +Gx or +Gz direction. Thus the lung would be susceptible to damage that results from overexpansion in these acceleration directions. By contrast, acceleration in the -Gx or -Gz direction produced values of Ppl at functional residual capacity that were positive. Thus, in these acceleration directions, the respiratory muscles must provide greater force during inspiration to overcome lung compression before lung ventilation can occur. The Ppl gradients with respect to the acceleration directions increased approximately in proportion to acceleration in the +Gx, -Gx, and -Gz directions but remained relatively constant in the +Gz direction.


Assuntos
Aceleração/efeitos adversos , Pleura/fisiologia , Anestesia , Animais , Pressão Sanguínea/fisiologia , Líquidos Corporais/fisiologia , Cães , Capacidade Residual Funcional , Pneumotórax/fisiopatologia , Pressão , Decúbito Ventral , Decúbito Dorsal
13.
Am J Physiol ; 261(2 Pt 2): R473-7, 1991 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1877703

RESUMO

Pharmacological blockade of the renin-angiotensin converting enzyme reportedly alters the heart rate (HR) power spectrum in conscious dogs, suggesting that these hormones contribute to the short-term regulation of arterial blood pressure. We tested this possibility using four independent procedures. First, HR power spectrum was determined in seven awake dogs before and after administration of enalaprilat (300 ng/kg), a converting-enzyme inhibitor. There were no significant changes in the average amplitude for the spectral peak between 0.003 and 0.1 Hz (i.e., the "low-frequency peak"). Second, the HR power spectrum was measured in 11 awake rabbits before and after treatment with deoxycorticosterone acetate (1 mg.kg-1.day-1) and salt (0.9% saline ad libitum) for 7 days to depress plasma renin levels. There were no significant changes in the amplitude of the HR power spectrum, although mean HR decreased from 206 +/- 3 to 184 +/- 4 beats/min after treatment. In the third experiment, another group of rabbits (n = 8) was tested after 2 wk on a low-salt diet to elevate plasma angiotensin levels and then after 2 wk on a normal salt diet. Once again there were no significant effects on the HR power spectrum. Finally, tranquilized dogs (n = 9) were subjected to sinusoidally varying lower body negative pressure at selected frequencies of 0.008-0.12 Hz. Tests were conducted in the control state and after administration of an angiotensin receptor antagonist (saralasin, 1 microgram.kg-1.min-1). Lower body negative pressure-induced fluctuations in arterial blood pressure were similar in both states. We find no evidence for the role of the renin-angiotensin system in the moment-to-moment regulation of arterial pressure and HR.


Assuntos
Angiotensina II/farmacologia , Pressão Sanguínea/fisiologia , Reflexo/fisiologia , Inibidores da Enzima Conversora de Angiotensina/farmacologia , Animais , Pressão Sanguínea/efeitos dos fármacos , Desoxicorticosterona/farmacologia , Dieta Hipossódica , Cães , Feminino , Frequência Cardíaca , Pressão Negativa da Região Corporal Inferior , Masculino , Coelhos , Renina/antagonistas & inibidores , Renina/sangue , Cloreto de Sódio/farmacologia
14.
J Ky Med Assoc ; 89(3): 115-7, 1991 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2026932

RESUMO

A technique has been developed that allows slit lamp images from a patient in a remote locale to be captured by a computer, with the assistance of a non-ophthalmologist, and transmitted at rapid speeds through telephone lines to an ophthalmologist for visualization of relevant clinical information. The results from this study indicate that (1) eye examinations can be performed at the remote site by non-ophthalmologists; (2) objective data can be transferred to a centralized ophthalmologist for expert interpretation; and (3) decisions can be rendered in areas where medical needs are underserved.


Assuntos
Oftalmopatias/diagnóstico , Processamento de Imagem Assistida por Computador , Oftalmologia/instrumentação , Sistemas Computacionais , Apresentação de Dados , Desenho de Equipamento , Humanos
16.
Am J Physiol ; 258(4 Pt 2): H1132-7, 1990 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1970452

RESUMO

Intrinsic heart rate is defined as the rate at which the heart beats when all cardiac neural and hormonal inputs are removed. We determined the effect of prevailing autonomic innervation of the heart on the intrinsic heart rate in chronically maintained, sedated, normally innervated dogs (n = 14), and in 14 other dogs that had previously (greater than 12 day) undergone complete surgical cardiac denervation. Intrinsic rate was determined in both groups using the following two procedures: 1) pharmacological effector blockade; and 2) pharmacological ganglionic blockade. The intrinsic rate determined by effector blockade was 142.9 +/- 7.2 (SE) beats/min in the dogs with intact cardiac innervation. When the same treatment was given after total surgical cardiac denervation, intrinsic rate was 97.9 +/- 4.8 beats/min. Intrinsic heart rate was significantly (P less than 0.05) lower in surgically denervated dogs. Ganglionic blockade in surgically denervated animals yielded an intrinsic rate of 90.0 +/- 8.5 beats/min, which was again significantly lower than the corresponding value of 128.4 +/- 5.5 beats/min in normal dogs. There was no difference in the intrinsic heart rate as determined by effector vs. ganglionic blockade in either group of dogs. An additional six dogs were subjected to selective surgical sinoatrial nodal parasympathectomy; their intrinsic rate (effector blockade) in the conscious state was 115.8 +/- 4.3 beats/min; this was significantly lower than the corresponding value for normal dogs and significantly greater than in dogs subject to total surgical cardiac denervation. The lower rate observed in the totally denervated and selectively denervated dogs after effector and/or ganglionic blockades implies that intrinsic heart rate depends on the level or nature of prevailing autonomic activity.


Assuntos
Sistema de Condução Cardíaco , Frequência Cardíaca , Animais , Sistema Nervoso Autônomo/fisiologia , Denervação , Cães , Feminino , Bloqueadores Ganglionares/farmacologia , Hormônios/metabolismo , Masculino , Bloqueio Nervoso , Sistema Nervoso Parassimpático/fisiologia , Nó Sinoatrial/fisiologia
17.
Am J Physiol ; 257(2 Pt 2): H511-24, 1989 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2764134

RESUMO

Control of cardiovascular function during time-dependent pooling of blood in the upper and lower body was studied in intact dogs (n = 5) and in dogs in which hearts had been surgically denervated (n = 5). The animal was positioned horizontally on a platform mounted on the arm of a centrifuge; rotation of the platform at one of nine rates with a period ranging from 3.3 min to 4 s exposed the subject to a sinusoidally varying force (+/- 2 g) that periodically translocated blood from the chest to the lower quarters and back again. The resulting oscillatory changes in arterial blood pressure (BP), cardiac output, stroke volume, heart rate (HR), and peripheral resistance (PR) were analyzed using a fast Fourier transform. Normal dogs were superior to cardiac-denervated dogs in minimizing arterial BP fluctuations, especially in the midfrequency range (i.e., approximately 0.032 Hz); after pharmacological alpha-, beta-, and muscarinic-receptor blockade, the BP oscillations were similar in the two groups. The unblocked denervated dogs regulated BP poorly primarily because of their inability to 1) make appropriately timed changes in HR and 2) minimize inappropriate oscillations in SV. Both groups of dogs in the unblocked state showed large appropriately timed PR fluctuations at the lower frequencies, which minimized BP oscillations; these became less optimally timed as acceleration frequency increased, thereby potentiating the natural disposition for BP to oscillate at the acceleration frequency. Afferent information from cardiac receptors did not appear to be essential for controlling this aspect of vascular function.


Assuntos
Pressão Sanguínea , Fenômenos Fisiológicos Cardiovasculares , Sistema de Condução Cardíaco/fisiologia , Animais , Aorta/fisiologia , Débito Cardíaco , Sistema Cardiovascular/efeitos dos fármacos , Denervação , Cães , Frequência Cardíaca , Fenoxibenzamina/farmacologia , Fenilefrina/farmacologia , Propranolol/farmacologia , Valores de Referência , Fluxo Sanguíneo Regional , Volume Sistólico , Resistência Vascular
18.
Hypertension ; 13(6 Pt 2): 878-83, 1989 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2737725

RESUMO

Decreased baroreceptor reflex sensitivity has been implicated in the pathogenesis of hypertension. The purpose of this study is to determine if alterations of baroreceptor function precede the development of hypertension in humans. Baroreceptor function was evaluated in 13 young adult white men with relatively high blood pressures sustained for 12 to 15 years and 12 age-matched men with sustained relatively low blood pressures. High pressure baroreceptor activity was evaluated by measuring change in pulse interval in response to decreases and increases of arterial pressure, induced by graded infusions of nitroprusside and angiotensin II, respectively. In response to both agents, baroreceptor slopes did not differ in the high and low blood pressure groups. Plasma norepinephrine also increased similarly in both blood pressure groups in response to nitroprusside. To study low-pressure baroreceptor function, responses to graded levels of lower-body negative pressure (LBNP) were measured. Comparing both blood pressure groups, there were similar increases of heart rate, total peripheral resistance, and plasma norepinephrine in response to LBNP. Both blood pressure groups also had similar increases of heart rate and blood pressure in response to isometric (handgrip) exercise. Thus, high-pressure and low-pressure baroreceptor function is not altered in prehypertensive young adults. However, continued follow-up will be required to determine if these individuals with sustained relatively high blood pressures are truly prehypertensive.


Assuntos
Hipertensão/fisiopatologia , Pressorreceptores/fisiopatologia , Adulto , Angiotensina II/farmacologia , Pressão Sanguínea/efeitos dos fármacos , Dieta Hipossódica , Exercício Físico , Frequência Cardíaca , Humanos , Hipertensão/sangue , Hipertensão/etiologia , Pressão Negativa da Região Corporal Inferior , Nitroprussiato/farmacologia , Norepinefrina/sangue , Resistência Vascular
19.
FASEB J ; 3(5): 1644-50, 1989 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2920878

RESUMO

The purpose of this experiment was to test the stability of the heart rate (HR) power spectrum over time in conscious dogs. HR was recorded for 1 h for each of six animals on 2 days. A Fast Fourier transform was used to derive the HR power spectrum for the 12 contiguous 5-min epochs comprising the 1-h recordings. Changes in frequency and amplitude of the various spectral peaks were quantitatively examined. We confirm the presence of two major concentrations of power centered around 0.02 (low frequency peak) and 0.32 Hz (high frequency peak). However, we observed variations in these spectral peaks, especially their amplitudes, both within each hour and from day 1 to day 2. The amplitudes of these two spectral peaks tended to vary reciprocally. HR power spectra based on 5 min of recorded data were also derived from an additional eight animals in both the lying and standing positions; the power spectra from these short recordings were sufficiently sensitive to detect redistributions in power due to changes in posture in all eight dogs. We conclude that: 1) data should be recorded for relatively long periods (e.g., 1 h) to characterize the HR power spectrum; 2) some variability in frequency and amplitude will persist across spectra even when based on longer data bases; 3) care should be taken to ensure that the subject's behavioral state is stable within the recording period; 4) shorter (e.g., 5 min) data bases are not suitable except for detecting relatively robust changes in the HR power spectrum.


Assuntos
Eletrocardiografia , Frequência Cardíaca , Animais , Cães , Feminino , Análise de Fourier , Masculino , Postura
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...