1. Effect of Lower Body Negative Pressure on Phase I Cardiovascular Responses at Exercise Onset
- Author
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Guido Ferretti, Christian Moia, Frédéric Lador, Enrico Tam, Paolo Bruseghini, Carlo Capelli, Aurélien Bringard, Alessandra Adami, and Nazzareno Fagoni
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cardiac output ,Supine position ,Physiology & Biochemistry ,Beat (acoustics) ,Physical Therapy, Sports Therapy and Rehabilitation ,Blood Pressure ,030204 cardiovascular system & hematology ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Lower body ,Oxygen Consumption ,Heart Rate ,Internal medicine ,Heart rate ,medicine ,Humans ,Orthopedics and Sports Medicine ,Exercise ,Lower Body Negative Pressure ,business.industry ,cardiac output ,Stroke Volume ,Vagus Nerve ,030229 sport sciences ,Stroke volume ,Oxygen uptake ,Settore M-EDF/02 - METODI E DIDATTICHE DELLE ATTIVITÀ SPORTIVE ,oxygen uptake ,LBNP ,Cardiology ,kinetics and exercise transient ,cardiac output, stroke volume, heart rate, oxygen uptake, kinetics and exercise transient, LBNP ,Vascular Resistance ,business ,Venous return curve - Abstract
We hypothesised that vagal withdrawal and increased venous return interact in determining the rapid cardiac output (CO) response (phase I) at exercise onset. We used lower body negative pressure (LBNP) to increase blood distribution to the heart by muscle pump action and reduce resting vagal activity. We expected a larger increase in stroke volume (SV) and smaller for heart rate (HR) at progressively stronger LBNP levels, therefore CO response would remain unchanged. To this aim ten young, healthy males performed a 50 W exercise in supine position at 0 (Control), −15, −30 and −45 mmHg LBNP exposure. On single beat basis, we measured HR, SV, and CO. Oxygen uptake was measured breath-by-breath. Phase I response amplitudes were obtained applying an exponential model. LBNP increased SV response amplitude threefold from Control to −45 mmHg. HR response amplitude tended to decrease and prevented changes in CO response. The rapid response of CO explained that of oxygen uptake. The rapid SV kinetics at exercise onset is compatible with an increased venous return, whereas the vagal withdrawal conjecture cannot be dismissed for HR. The rapid CO response may indeed be the result of two independent yet parallel mechanisms, one acting on SV, the other on HR.
- Published
- 2020