A closed-loop approach to the study of the baroreflex dynamics during posture changes at rest and at exercise in humans

التفاصيل البيبلوغرافية
العنوان: A closed-loop approach to the study of the baroreflex dynamics during posture changes at rest and at exercise in humans
المؤلفون: Guido Ferretti, Giovanni Vinetti, Timothée Fontolliet, Christian Moia, Nazzareno Fagoni, Anna Taboni
سنة النشر: 2021
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Sympathetic Nervous System, Physiology, Rest, Posture, 030204 cardiovascular system & hematology, Baroreflex, Cardiovascular System, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Heart Rate, Tilt-Table Test, Physiology (medical), Internal medicine, Vagal withdrawal, Supine Position, Medicine, Humans, Arterial Pressure, Sensitivity (control systems), Exercise, Arterial baroreflex, Tilt, Rest (physics), Operating point, Sequence method, business.industry, Dynamics (mechanics), Vagus Nerve, Bicycling, Kinetics, Tilt (optics), Exercise Test, Cardiology, Female, business, Closed loop, 030217 neurology & neurosurgery
الوصف: We hypothesized that during rapid uptilting at rest, due to vagal withdrawal, arterial baroreflex sensitivity (BRS) may decrease promptly and precede the operating point (OP) resetting, whereas different kinetics are expected during exercise steady state, due to lower vagal activity than at rest. To test this, eleven subjects were rapidly (−1 (SD = 17.1) in S and 16.7 ms·mmHg−1 (SD = 6.4) in U ( P < 0.01), RRi was 901 ms (SD = 118) in S and 749 ms (SD = 98) in U ( P < 0.01), and MAP was 76 mmHg (SD = 11) in S and 83 mmHg (SD = 8) in U ( P < 0.01). During uptilt, BRS decreased promptly [first BRS sequence was 19.7 ms·mmHg−1 (SD = 5.0)] and was followed by an OP resetting (MAP increase without changes in RRi). At exercise, BRS and OP did not differ between supine and upright positions [BRS was 7.7 ms·mmHg−1 (SD = 3.0) and 7.7 ms·mmHg−1 (SD = 3.5), MAP was 85 mmHg (SD = 13) and 88 mmHg (SD = 10), and RRi was 622 ms (SD = 61) and 600 ms (SD = 70), respectively]. The results support the tested hypothesis. The prompt BRS decrease during uptilt at rest may be ascribed to a vagal withdrawal, similarly to what occurs at exercise onset. The OP resetting may be due to a slower control mechanism, possibly an increase in sympathetic activity.
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4860f1fc9ac5a465794149ff8304dc2
http://hdl.handle.net/11379/551515
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....a4860f1fc9ac5a465794149ff8304dc2
قاعدة البيانات: OpenAIRE