Human baroreflex rhythms persist during handgrip and muscle ischaemia

Acta Physiol (Oxf). 2013 Oct;209(2):114-23. doi: 10.1111/apha.12143. Epub 2013 Jul 25.

Abstract

Aim: To determine whether physiological, rhythmic fluctuations of vagal baroreflex gain persist during exercise, post-exercise ischaemia and recovery.

Methods: We studied responses of six supine healthy men and one woman to a stereotyped protocol comprising rest, handgrip exercise at 40% maximum capacity to exhaustion, post-exercise forearm ischaemia and recovery. We measured electrocardiographic R-R intervals, photoplethysmographic finger arterial pressures and peroneal nerve muscle sympathetic activity. We derived vagal baroreflex gains from a sliding (25-s window moved by 2-s steps) systolic pressure-R-R interval transfer function at 0.04-0.15 Hz.

Results: Vagal baroreflex gain oscillated at low, nearly constant frequencies throughout the protocol (at approx. 0.06 Hz - a period of about 18 s); however, during exercise, most oscillations were at low-gain levels, and during ischaemia and recovery, most oscillations were at high-gain levels.

Conclusions: Vagal baroreflex rhythms are not abolished by exercise, and they are not overwhelmed after exercise during ischaemia and recovery.

Keywords: exercise; resetting; sympathetic; vagal.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Baroreflex / physiology*
  • Electrocardiography
  • Exercise / physiology*
  • Female
  • Hand Strength / physiology
  • Humans
  • Ischemia / physiopathology
  • Male
  • Muscle, Skeletal / blood supply*