Baroreflex control of muscle sympathetic nerve activity: a nonpharmacological measure of baroreflex sensitivity. 2010

Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
Dept. of Anesthesiology, Mayo Clinic, Rochester, MN 59906, USA. hart.emma@mayo.edu

The sensitivity of baroreflex control of sympathetic nerve activity (SNA) represents the responsiveness of SNA to changes in blood pressure. In a slightly different analysis, the baroreflex threshold measures the probability of whether a sympathetic burst will occur at a given diastolic blood pressure. We hypothesized that baroreflex threshold analysis could be used to estimate the sensitivity of the sympathetic baroreflex measured by the pharmacological modified Oxford test. We compared four measures of sympathetic baroreflex sensitivity in 25 young healthy participants: the "gold standard" modified Oxford analysis (nitroprusside and phenylephrine), nonbinned spontaneous baroreflex analysis, binned spontaneous baroreflex analysis, and threshold analysis. The latter three were performed during a quiet baseline period before pharmacological intervention. The modified Oxford baroreflex sensitivity was significantly related to the threshold slope (r = 0.71, P < 0.05) but not to the binned (1 mmHg bins) and the nonbinned spontaneous baroreflex sensitivity (r = 0.22 and 0.36, respectively, P > 0.05), which included burst area. The threshold analysis was also performed during the modified Oxford manipulation. Interestingly, we found that the threshold analysis results were not altered by the vasoactive drugs infused for the modified Oxford. We conclude that the noninvasive threshold analysis technique can be used as an indicator of muscle SNA baroreflex sensitivity as assessed by the modified Oxford technique. Furthermore, the modified Oxford method does not appear to alter the properties of the baroreflex.

UI MeSH Term Description Entries
D008297 Male Males
D009599 Nitroprusside A powerful vasodilator used in emergencies to lower blood pressure or to improve cardiac function. It is also an indicator for free sulfhydryl groups in proteins. Nitroferricyanide,Sodium Nitroprusside,Cyanonitrosylferrate,Ketostix,Naniprus,Nipride,Nipruton,Nitriate,Nitropress,Nitroprussiat Fides,Nitroprusside, Disodium Salt,Nitroprusside, Disodium Salt, Dihydrate,Disodium Salt Nitroprusside,Nitroprusside, Sodium
D010656 Phenylephrine An alpha-1 adrenergic agonist used as a mydriatic, nasal decongestant, and cardiotonic agent. (R)-3-Hydroxy-alpha-((methylamino)methyl)benzenemethanol,Metaoxedrin,Metasympatol,Mezaton,Neo-Synephrine,Neosynephrine,Phenylephrine Hydrochloride,Phenylephrine Tannate,Neo Synephrine,Tannate, Phenylephrine
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012680 Sensitivity and Specificity Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed) Specificity,Sensitivity,Specificity and Sensitivity
D013564 Sympathetic Nervous System The thoracolumbar division of the autonomic nervous system. Sympathetic preganglionic fibers originate in neurons of the intermediolateral column of the spinal cord and project to the paravertebral and prevertebral ganglia, which in turn project to target organs. The sympathetic nervous system mediates the body's response to stressful situations, i.e., the fight or flight reactions. It often acts reciprocally to the parasympathetic system. Nervous System, Sympathetic,Nervous Systems, Sympathetic,Sympathetic Nervous Systems,System, Sympathetic Nervous,Systems, Sympathetic Nervous
D014662 Vasoconstrictor Agents Drugs used to cause constriction of the blood vessels. Vasoactive Agonist,Vasoactive Agonists,Vasoconstrictor,Vasoconstrictor Agent,Vasoconstrictor Drug,Vasopressor Agent,Vasopressor Agents,Vasoconstrictor Drugs,Vasoconstrictors,Agent, Vasoconstrictor,Agent, Vasopressor,Agents, Vasoconstrictor,Agents, Vasopressor,Agonist, Vasoactive,Agonists, Vasoactive,Drug, Vasoconstrictor,Drugs, Vasoconstrictor

Related Publications

Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
December 2008, Medicine and science in sports and exercise,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
September 1990, Circulation,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
February 1997, American journal of hypertension,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
October 2007, Journal of applied physiology (Bethesda, Md. : 1985),
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
November 1998, Journal of the autonomic nervous system,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
September 2005, American journal of physiology. Heart and circulatory physiology,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
August 2003, Hypertension (Dallas, Tex. : 1979),
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
August 2000, American journal of physiology. Heart and circulatory physiology,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
January 2012, Frontiers in physiology,
Emma C Hart, and Michael J Joyner, and B Gunnar Wallin, and Tomas Karlsson, and Timothy B Curry, and Nisha Charkoudian
January 1991, Functional neurology,
Copied contents to your clipboard!