Reciprocity of hemodynamic changes during lower body negative and positive pressure. 1995

J F Schmedtje, and J Gutkowska, and A A Taylor
Department of Medicine, University of Texas Medical Branch, Galveston 77555-1064, USA.

Lower body negative pressure (LBNP) and lower body positive pressure (LBPP) are two opposite environments for the lower abdomen and lower extremities. We examined RR interval (RRI), blood pressure, forearm blood flow, cardiac output, plasma atrial natriuretic factor, and plasma catecholamines during sequentially administered LBNP and LBPP in order to define the cardiovascular and neuroendocrine reciprocity of these models of orthostasis (LBNP) and anti-orthostasis (LBPP). Six healthy young men were studied with a ramped onset of LBNP followed by a similarly ramped LBPP, spaced between periods of data acquisition during rest. Forearm blood flow decreased during LBNP and increased during LBPP. However, LBNP and LBPP did not produce reciprocal changes in cardiac output. No reciprocal changes were found in plasma catecholamines and plasma atrial natriuretic factor. The variability of RRI and systolic/diastolic blood pressures were analyzed within two bandwidths of interest: the low bandwidth, corresponding to the frequency of baroreflex-mediated variability (0.04 to 0.12 Hz), and the high bandwidth, representative of parasympathetically mediated variability at the frequency of respiration (0.22 to 0.28 Hz). The ratio of high to low bandwidth RRI variability was reciprocally diminished during LBNP and increased during LBPP, reflecting a relative decrease in the level of parasympathetic tone during LBNP and an increase during LBPP. In addition, the variability of the DBP within the low baroreflex bandwidth increased during LBNP and decreased during LBPP. The phase lag of RRI variability in relation to BP variability did not change reciprocally.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008150 Lower Body Negative Pressure External decompression applied to the lower body. It is used to study orthostatic intolerance and the effects of gravitation and acceleration, to produce simulated hemorrhage in physiologic research, to assess cardiovascular function, and to reduce abdominal stress during childbirth. Abdominal Decompression,Decompression, Abdominal,LBNP
D008297 Male Males
D009320 Atrial Natriuretic Factor A potent natriuretic and vasodilatory peptide or mixture of different-sized low molecular weight PEPTIDES derived from a common precursor and secreted mainly by the HEART ATRIUM. All these peptides share a sequence of about 20 AMINO ACIDS. ANF,ANP,Atrial Natriuretic Peptide,Atrial Natriuretic Peptides,Atriopeptins,Auriculin,Natriuretic Peptides, Atrial,ANF (1-126),ANF (1-28),ANF (99-126),ANF Precursors,ANP (1-126),ANP (1-28),ANP Prohormone (99-126),ANP-(99-126),Atrial Natriuretic Factor (1-126),Atrial Natriuretic Factor (1-28),Atrial Natriuretic Factor (99-126),Atrial Natriuretic Factor Precursors,Atrial Natriuretic Factor Prohormone,Atrial Natriuretic Peptide (1-126),Atrial Pronatriodilatin,Atriopeptigen,Atriopeptin (1-28),Atriopeptin (99-126),Atriopeptin 126,Atriopeptin Prohormone (1-126),Cardiodilatin (99-126),Cardiodilatin Precursor,Cardionatrin I,Cardionatrin IV,Prepro-ANP,Prepro-CDD-ANF,Prepro-Cardiodilatin-Atrial Natriuretic Factor,Pro-ANF,ProANF,Proatrial Natriuretic Factor,Pronatriodilatin,alpha ANP,alpha-ANP Dimer,alpha-Atrial Natriuretic Peptide,beta-ANP,beta-Atrial Natriuretic Peptide,gamma ANP (99-126),gamma-Atrial Natriuretic Peptide,Natriuretic Peptide, Atrial,Peptide, Atrial Natriuretic,Peptides, Atrial Natriuretic,Prepro ANP,Prepro CDD ANF,Prepro Cardiodilatin Atrial Natriuretic Factor,Pro ANF,alpha ANP Dimer,alpha Atrial Natriuretic Peptide,beta ANP,beta Atrial Natriuretic Peptide,gamma Atrial Natriuretic Peptide
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
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
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D002395 Catecholamines A general class of ortho-dihydroxyphenylalkylamines derived from TYROSINE. Catecholamine,Sympathin,Sympathins
D005542 Forearm Part of the upper extremity in humans and primates extending from the ELBOW to the WRIST. Antebrachium,Antebrachiums,Forearms
D005676 Gravity Suits Double-layered inflatable suits which, when inflated, exert pressure on the lower part of the wearer's body. The suits are used to improve or stabilize the circulatory state, i.e., to prevent hypotension, control hemorrhage, and regulate blood pressure. The suits are also used by pilots under positive acceleration. Anti-Shock Trousers,Antigravity Suits,MAST Suit,Medical Anti-Shock Trousers,Military Anti-Shock Trousers,Pneumatic Suits,Pressure Suits,Antishock Trousers,Military Antishock Trousers,Anti Shock Trousers,Anti-Shock Trouser, Medical,Anti-Shock Trousers, Medical,Anti-Shock Trousers, Military,Antishock Trousers, Military,Gravity Suit,MAST Suits,Medical Anti Shock Trousers,Medical Anti-Shock Trouser,Military Anti Shock Trousers,Pneumatic Suit,Pressure Suit,Suit, Antigravity,Suit, Gravity,Suit, MAST,Suit, Pneumatic,Suit, Pressure,Suits, Antigravity,Trouser, Medical Anti-Shock,Trousers, Anti-Shock,Trousers, Antishock,Trousers, Medical Anti-Shock,Trousers, Military Anti-Shock,Trousers, Military Antishock
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic

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