Forearm vascular and neuroendocrine responses to graded water immers

Authors: Gabrielsen A , Videbaek R , Johansen LB , Warberg J , Christensen NJ , Pump B , Norsk P
Affiliations:
Source: Acta Physiol Scand. 2000 Jun;169(2):87-94
DOI: 10.1046/j.1365-201x.2000.00680.x Publication date: 2000 Jun E-Publication date: Dec. 24, 2001 Availability: abstract Copyright: © 2001, John Wiley and Sons
Language: English Countries: Not specified Location: Not specified Correspondence address: Anders Gabrielsen MD DAMEC Research, Rigshospitalet 7805, 20 Tagensvej, DK-2200 Copenhagen, Denmark.

Keywords

Article abstract

The hypothesis that graded expansion of central blood volume by water immersion to the xiphoid process and neck would elicit a graded decrease in forearm vascular resistance was tested. Central venous pressure increased (P < 0.05) by 4.2 +/- 0.4 mmHg (mean +/- SEM) during xiphoid immersion and by 10.4 +/- 0.5 mmHg during neck immersion. Plasma noradrenaline was gradually suppressed (P < 0.05) by 62 +/- 8 and 104 +/- 11 pg mL-1 during xiphoid and neck immersion, respectively, indicating a graded suppression of sympathetic nervous activity. Plasma concentrations of arginine vasopressin were suppressed by 1.5 +/- 0.5 pg mL-1 (P < 0.05) during xiphoid immersion and by 2.0 +/- 0.5 pg mL-1 during neck immersion (P < 0.05 vs. xiphoid immersion). Forearm subcutaneous vascular resistance decreased to the same extent by 26 +/- 9 and 28 +/- 4% (P < 0.05), respectively, during both immersion procedures, whereas forearm skeletal muscle vascular resistance declined only during neck immersion by 27 +/- 6% (P < 0.05). In conclusion, graded central blood volume expansion initiated a graded decrease in sympathetic nervous activity and AVP-release. Changes in forearm subcutaneous vascular resistance, however, were not related to the gradual withdrawal of the sympathetic and neuroendocrine vasoconstrictor activity. Forearm skeletal muscle vasodilatation exhibited a more graded response with a detectable decrease only during immersion to the neck. Therefore, the forearm subcutaneous vasodilator response reaches saturation at a lower degree of central volume expansion than that of forearm skeletal muscle.

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