Doppler echocardiographic-determined changes in left ventricular diastolic filling flow velocity during the lower body positive and negative pressure method

1990 ◽  
Vol 65 (3) ◽  
pp. 237-241 ◽  
Author(s):  
Toshiyuki Takahashi ◽  
Masahiko Iizuka ◽  
Hiroshi Sato ◽  
Takashi Serizawa ◽  
Shin-ichi Momomura ◽  
...  
1994 ◽  
Vol 77 (2) ◽  
pp. 630-640 ◽  
Author(s):  
F. M. Melchior ◽  
R. S. Srinivasan ◽  
P. H. Thullier ◽  
J. M. Clere

This paper presents a mathematical model for simulation of the human cardiovascular response to lower body negative pressure (LBNP) up to -40 mmHg both under normal conditions and when arterial baroreflex sensitivity or leg blood capacity (LBC) is altered. Development of the model assumes that the LBNP response could be explained solely on the bases of 1) blood volume redistribution, 2) left ventricular end-diastolic filling, 3) interaction between left ventricle and peripheral circulation, and 4) modulations of peripheral resistances and heart rate by arterial and cardiopulmonary baroreflexes. The model reproduced well experimental data obtained both under normal conditions and during complete autonomic blockade; thus it is validated for simulation of the cardiovascular response from 0 to -40 mmHg LBNP. We tested the ability of the model to simulate the changes in LBNP response due to a reduction in LBC. To assess these changes experimentally, six healthy men were subjected to LBNP of -15, -30, and -38 mmHg with and without wearing elastic compression stockings. Stockings significantly reduced LBC (from 3.9 +/- 0.3 to 1.8 +/- 0.4 ml/100 ml tissue at -38 mmHg LBNP; P < 0.01) and attenuated the change in heart rate (from 23 +/- 4 to 8 +/- 3% at -38 mmHg LBNP; P < 0.05). The model accurately reproduced this result. The model is useful for assessing the influence of LBC or other parameters such as arterial baroreflex sensitivity in diminishing the orthostatic tolerance of humans after spaceflight, bed rest, or endurance training.


1999 ◽  
Vol 7 (3) ◽  
pp. 214-220 ◽  
Author(s):  
Azad Akkoç ◽  
Berzal Uçaman ◽  
Halil Kaymak ◽  
Ali Vahip Temamoğullari ◽  
Kenan Iltümür ◽  
...  

1988 ◽  
Vol 61 (6) ◽  
pp. 413-417 ◽  
Author(s):  
Elizabeth M. Shaffer ◽  
Albert P. Rocchini ◽  
Robert L. Spicer ◽  
Jack Juni ◽  
Rebecca Snider ◽  
...  

1992 ◽  
Vol 72 (3) ◽  
pp. 977-984 ◽  
Author(s):  
G. Geelen ◽  
P. Arbeille ◽  
J. L. Saumet ◽  
J. M. Cottet-Emard ◽  
F. Patat ◽  
...  

This study examined the hemodynamic consequences of prolonged lower body positive-pressure application and their relationship to changes in the plasma concentration of the major vasoactive hormones. Six men [36 +/- 2 (SE) yr] underwent 30 min of sitting and then 3 h of 70 degrees head-up tilt. An antigravity suit was applied (60 Torr legs, 30 Torr abdomen) during the last 2 h of tilt. In a similar noninflation experiment, the endocrine responses were measured in the suited subjects tilted for 3 h. Two-dimensional echocardiography was used to calculate ventricular volume and cardiac output. Measurements were made 30 min before and 30 and 90 min after inflation. Immediately after inflation, mean arterial pressure increased by 7 +/- 2 Torr and heart rate decreased by 16 +/- 4 beats/min. Left ventricular end-diastolic volume and systolic volume increased significantly (P less than 0.05) at 30 and 90 min of inflation. Cardiac output increased after 30 min of inflation and returned to the preinflation level at 90 min. Plasma norepinephrine and plasma renin activity were maximally suppressed after 15 and 90 min of inflation, respectively (P less than 0.05). No such hormonal changes occurred during control. Plasma sodium, potassium, and osmolality remained unchanged during both experiments. Thus, prolonged application of lower body positive pressure induces 1) a transient increase in cardiac output and 2) a marked and sustained decrease in plasma norepinephrine and plasma renin activity, which reflect an inflation-induced decrease in sympathetic activity.


1989 ◽  
Vol 19 (2) ◽  
pp. 283
Author(s):  
Won Kyo Suh ◽  
Chung Whee Choue ◽  
Kwon Sam Kim ◽  
Myung Shick Kim ◽  
Jung Sang Song ◽  
...  

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