scholarly journals Altered mechanisms of sympathetic activation during rhythmic forearm exercise in heart failure

1998 ◽  
Vol 84 (5) ◽  
pp. 1551-1559 ◽  
Author(s):  
David H. Silber ◽  
Greg Sutliff ◽  
Qing X. Yang ◽  
Michael B. Smith ◽  
Lawrence I. Sinoway ◽  
...  
Keyword(s):  
Heart Failure ◽  
Matched Control ◽  
Circulatory Arrest ◽  
Voluntary Contraction ◽  
Control Group ◽  
Resonance Spectroscopy ◽  
Muscle Metaboreflex ◽  
Separate Control ◽  
Forearm Exercise ◽  
Exercise Induced

In congestive heart failure (CHF), the mechanisms of exercise-induced sympathoexcitation are poorly defined. We compared the responses of sympathetic nerve activity directed to muscle (MSNA) and to skin (SSNA, peroneal microneurography) during rhythmic handgrip (RHG) at 25% of maximal voluntary contraction and during posthandgrip circulatory arrest (PHG-CA) in CHF patients with those of an age-matched control group. During RHG, the CHF patients fatigued prematurely. At end exercise, the increase in MSNA was similar in both groups (CHF patients, n = 12; controls, n = 10). However, during PHG-CA, in the controls MSNA returned to baseline, whereas it remained elevated in CHF patients ( P < 0.05). Similarly, at end exercise, the increase in SSNA was comparable in both groups (CHF patients, n = 11; controls, n = 12), whereas SSNA remained elevated during PHG-CA in CHF patients but not in the controls ( P < 0.05). In a separate control group ( n = 6), even high-intensity static handgrip was not accompanied by sustained elevation of SSNA during PHG-CA. 31P-nuclear magnetic resonance spectroscopy during RHG demonstrated significant muscle acidosis and accumulation of inorganic phosphate in CHF patients ( n = 7) but not in controls ( n = 9). We conclude that in CHF patients rhythmic forearm exercise leads to premature fatigue and accumulation of muscle metabolites. The prominent PHG-CA response of MSNA and SSNA in CHF patients suggests activation of the muscle metaboreflex. Because, in contrast to controls, in CHF patients both MSNA and SSNA appear to be under muscle metaboreflex control, the mechanisms and distribution of sympathetic outflow during exercise appear to be different from normal.

scholarly journals Assessing the Therapeutic Effect of 630 nm Light-Emitting Diodes Irradiation on the Recovery of Exercise-Induced Hand Muscle Fatigue with Surface Electromyogram

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Dandan Yang ◽  
Xiaoying Wu ◽  
Wensheng Hou ◽  
Xiaolin Zheng ◽  
Jun Zheng ◽  
...  
Keyword(s):  
Muscle Fatigue ◽  
Light Emitting Diode ◽  
Voluntary Contraction ◽  
Control Group ◽  
Flexor Digitorum Superficialis ◽  
Light Emitting ◽  
Hand Muscle ◽  
Exercise Induced ◽  
Flexor Digitorum ◽  
And Control

This paper aims to investigate the effect of light emitting diode therapy (LEDT) on exercise-induced hand muscle fatigue by measuring the surface electromyography (sEMG) of flexor digitorum superficialis. Ten healthy volunteers were randomly placed in the equal sized LEDT group and control group. All subjects performed a sustained fatiguing isometric contraction with the combination of four fingertips except thumb at 30% of maximal voluntary contraction (MVC) until exhaustion. The active LEDT or an identical passive rest therapy was then applied to flexor digitorum superficialis. Each subject was required to perform a re-fatigue task immediately after therapy which was the same as the pre-fatigue task. Average rectified value (ARV) and fractal dimension (FD) of sEMG were calculated. ARV and FD were significantly different between active LEDT and passive rest groups at 20%–50%, 70%–80%, and 100% of normalized contraction time (P<0.05). Compared to passive rest, active LEDT induced significantly smaller increase in ARV values and decrease in FD values, which shows that LEDT is effective on the recovery of muscle fatigue. Our preliminary results also suggest that ARV and FD are potential replacements of biochemical markers to assess the effects of LEDT on muscle fatigue.

Skeletal muscle metabolic recovery following submaximal exercise in chronic heart failure is limited more by O2 delivery than O2 utilization

2010 ◽  
Vol 118 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Hareld M.C. Kemps ◽  
Jeanine J. Prompers ◽  
Bart Wessels ◽  
Wouter R. De Vries ◽  
Maria L. Zonderland ◽  
...  
Keyword(s):  
Heart Failure ◽  
Skeletal Muscle ◽  
Chronic Heart Failure ◽  
Submaximal Exercise ◽  
Daily Activities ◽  
Control Group ◽  
Resonance Spectroscopy ◽  
Post Exercise ◽  
Metabolic Recovery ◽  
O2 Delivery

CHF (chronic heart failure) is associated with a prolonged recovery of skeletal muscle energy stores following submaximal exercise, limiting the ability to perform repetitive daily activities. However, the pathophysiological background of this impairment is not well established. The aim of the present study was to investigate whether muscle metabolic recovery following submaximal exercise in patients with CHF is limited by O2 delivery or O2 utilization. A total of 13 stable CHF patients (New York Heart Association classes II–III) and eight healthy subjects, matched for age and BMI (body mass index), were included. All subjects performed repetitive submaximal dynamic single leg extensions in the supine position. Post-exercise PCr (phosphocreatine) resynthesis was assessed by 31P-MRS (magnetic resonance spectroscopy). NIRS (near-IR spectroscopy) was applied simultaneously, using the rate of decrease in HHb (deoxygenated haemoglobin) as an index of post-exercise muscle re-oxygenation. As expected, PCr recovery was slower in CHF patients than in control subjects (time constant, 47±10 compared with 35±12 s respectively; P=0.04). HHb recovery kinetics were also prolonged in CHF patients (mean response time, 74±41 compared with 44±17 s respectively; P=0.04). In the patient group, HHb recovery kinetics were slower than PCr recovery kinetics (P=0.02), whereas no difference existed in the control group (P=0.32). In conclusion, prolonged metabolic recovery in CHF patients is associated with an even slower muscle tissue re-oxygenation, indicating a lower O2 delivery relative to metabolic demands. Therefore we postulate that the impaired ability to perform repetitive daily activities in these patients depends more on a reduced muscle blood flow than on limitations in O2 utilization.

Impact of heart failure and exercise capacity on sympathetic response to handgrip exercise

2001 ◽  
Vol 280 (3) ◽  
pp. H969-H976 ◽  
Author(s):  
Catherine F. Notarius ◽  
Deborah J. Atchison ◽  
John S. Floras
Keyword(s):  
Heart Failure ◽  
Muscle Sympathetic Nerve Activity ◽  
Normal Subjects ◽  
Peak Oxygen Uptake ◽  
Voluntary Contraction ◽  
Handgrip Exercise ◽  
Muscle Metaboreflex ◽  
Sympathetic Response ◽  
Patients With Heart Failure ◽  
Rest And Exercise

Peak oxygen uptake (V˙o 2 peak) in patients with heart failure (HF) is inversely related to muscle sympathetic nerve activity (MSNA) at rest. We hypothesized that the MSNA response to handgrip exercise is augmented in HF patients and is greatest in those with lowV˙o 2 peak. We studied 14 HF patients and 10 age-matched normal subjects during isometric [30% of maximal voluntary contraction (MVC)] and isotonic (10%, 30%, and 50% MVC) handgrip exercise that was followed by 2 min of posthandgrip ischemia (PHGI). MSNA was significantly increased during exercise in HF but not normal subjects. Both MSNA and HF levels remained significantly elevated during PHGI after 30% isometric and 50% isotonic handgrip in HF but not normal subjects. HF patients with lower V˙o 2 peak (<56% predicted; n = 8) had significantly higher MSNA during rest and exercise than patients withV˙o 2 peak > 56% predicted ( n = 6) and normal subjects. The muscle metaboreflex contributes to the greater reflex increase in MSNA during ischemic or intense nonischemic exercise in HF. This occurs at a lower threshold than normal and is a function ofV˙o 2 peak.

Effect of adenosine receptor blockade with caffeine on sympathetic response to handgrip exercise in heart failure

2001 ◽  
Vol 281 (3) ◽  
pp. H1312-H1318 ◽  
Author(s):  
C. F. Notarius ◽  
D. J. Atchison ◽  
G. A. Rongen ◽  
J. S. Floras
Keyword(s):  
Heart Failure ◽  
Sympathetic Nerve Activity ◽  
Muscle Sympathetic Nerve Activity ◽  
Normal Subjects ◽  
Voluntary Contraction ◽  
Receptor Blockade ◽  
Handgrip Exercise ◽  
Muscle Metaboreflex ◽  
Sympathetic Response ◽  
Isotonic Exercise

Adenosine (Ado) increases muscle sympathetic nerve activity (MSNA) reflexively. Plasma Ado and MSNA are elevated in heart failure (HF). We tested the hypothesis that Ado receptor blockade by caffeine would attenuate reflex MSNA responses to handgrip (HG) and posthandgrip ischemia (PHGI) and that this action would be more prominent in HF subjects than in normal subjects. We studied 12 HF subjects and 10 age-matched normal subjects after either saline or caffeine (4 mg/kg) infusion during isometric [30% of maximal voluntary contraction (MVC)] and isotonic (10%, 30%, and 50%) HG exercise, followed by 2 min of PHGI. In normal subjects, caffeine did not block increases in MSNA during PHGI after 50% HG. In HF subjects, caffeine abolished MSNA responses to PHGI after both isometric and 50% isotonic exercise ( P < 0.05) but MSNA responses during HG were unaffected. These findings are consistent with muscle metaboreflex stimulation by endogenous Ado during ischemic or intense nonischemic HG in HF and suggest an important sympathoexcitatory role for endogenous Ado during exercise in this condition.

Superficial venous vascular response of the resting limb during static exercise and postexercise muscle ischemia

2013 ◽  
Vol 38 (9) ◽  
pp. 941-946 ◽  
Author(s):  
Anna Ooue ◽  
Kohei Sato ◽  
Ai Hirasawa ◽  
Tomoko Sadamoto
Keyword(s):  
Recovery Period ◽  
Arterial Occlusion ◽  
Voluntary Contraction ◽  
Superficial Vein ◽  
Vascular Response ◽  
Upper Arm ◽  
Cross Sectional ◽  
Muscle Metaboreflex ◽  
Arterial Blood ◽  
Exercise Induced

Superficial venous vascular response to exercise is mediated sympathetically, although the mechanism is not fully understood. We examined whether sympathetic activation via muscle metaboreflex plays a role in the control of a superficial vein in the contralateral resting limb during exercise. The experimental condition involved selective stimulation of muscle metaboreceptors: 12 subjects performed static handgrip exercises at 45% maximal voluntary contraction for 1.5 min followed by a recovery period with arterial occlusion of the exercise arm (OCCL). For the control condition (CONT), the same exercise protocol was performed except that the recovery period occurred without arterial occlusion. Heart rate (HR) and mean arterial blood pressure (MAP) were measured. The cross-sectional area of the basilic superficial vein (CSAvein) and blood velocity (Vvein) in the resting upper arm were measured by ultrasound while the cuff on resting upper arm was inflated constantly to a subdiastolic pressure of 50 mm Hg. Basilic vein blood flow (BFvein) was calculated as CSAvein × Vvein. During exercise under both OCCL and CONT, HR and MAP increased (p < 0.05), while CSAvein decreased (p < 0.05). During recovery under OCCL, HR returned to baseline, but the exercise-induced increase in MAP and decrease in CSAvein were maintained (p < 0.05). During recovery under CONT, HR, MAP, and CSAvein returned to baseline. BFvein did not change during exercise or recovery under either condition. These results suggest that sympathoexcitation via muscle metaboreflex may be one of the factors responsible for exercise-induced constriction of the superficial veins per se in the resting limb.

Fatigue and health-related quality of life in elderly patients with and without heart failure in primary healthcare

2007 ◽  
Vol 6 (3) ◽  
pp. 208-215 ◽  
Author(s):  
Lena Hägglund ◽  
Kurt Boman ◽  
Mona Olofsson ◽  
Christine Brulin
Keyword(s):  
Heart Failure ◽  
Primary Healthcare ◽  
Matched Control ◽  
Control Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Patient Groups ◽  
Age And Sex

Background Patients with heart failure (HF) in primary healthcare are in many respects not comparable to those in specialized care and the knowledge about different patient groups with and without HF is limited. Aims To compare fatigue and health-related quality of life (Hr-QoL) when adjusting for age, gender and social provision in patients with confirmed HF ( n=49) to a group of patients with symptoms indicating HF but without HF (NHF, n=59) and to an age-and sex-matched control-group ( n=40). Method A questionnaire including the Multidimensional Fatigue Inventory, the SF-36, and the Social Provisions Scale was used. Results The average age in all groups was 78 years. Patients in the HF and NHF groups reported worse physical QoL and more general and physical fatigue than the control group. HF patients had worse general health than the NHF group. Conclusion Elderly patients in primary healthcare with confirmed heart failure and patients with symptoms similar to heart failure perceived they had a significantly worse physical QoL and more general and physical fatigue than an age- and sex-matched control group. The similarities between the patient groups indicate the importance of the symptom experience for Hr-QoL.

Training partially reverses skeletal muscle metabolic abnormalities during exercise in heart failure

1994 ◽  
Vol 76 (4) ◽  
pp. 1575-1582 ◽  
Author(s):  
J. R. Stratton ◽  
J. F. Dunn ◽  
S. Adamopoulos ◽  
G. J. Kemp ◽  
A. J. Coats ◽  
...  
Keyword(s):  
Heart Failure ◽  
Skeletal Muscle ◽  
Atp Synthesis ◽  
Exercise Duration ◽  
Oxidative Capacity ◽  
Voluntary Contraction ◽  
Resonance Spectroscopy ◽  
Metabolic Abnormalities ◽  
Maximal Rate ◽  
Muscle Training

Using 31P-magnetic resonance spectroscopy during and after exercise, we studied whether forearm metabolic responses to exercise were improved by 1 mo of training in 10 males with heart failure. In the control (untrained) arm, there were no changes in any of the measured variables. In the trained arm, maximal voluntary contraction increased 6% (P = 0.05). During incremental exercise, duration increased 19% (P < 0.05) and submaximal responses improved for pH (6.78 +/- 0.13 pretraining vs. 6.85 +/- 0.17 posttraining; P < 0.01) and PCr/(PCr+Pi) (where PCr is phosphocreatine; 0.48 +/- 0.09 pretraining vs. 0.52 +/- 0.07 posttraining; P < 0.01). The PCr resynthesis rate increased by 48% (P < 0.01), and estimated effective maximal rate of mitochondrial ATP synthesis increased by 37% (P < 0.05). Endurance exercise duration increased by 67% (P < 0.01), and submaximal levels of PCr/(PCr+Pi) (P < 0.05) and pH (P = 0.07) improved. The PCr resynthesis rate (P < 0.01) and the effective maximal rate of mitochondrial ATP synthesis (P < 0.05) also improved. These findings document that impaired oxidative capacity of skeletal muscle can be improved by local muscle training in heart failure, which is compatible with the hypothesis that a part of the abnormality present in heart failure may be due to inactivity.

Muscle metaboreflex control is diminished in normotensive obese women

2001 ◽  
Vol 281 (2) ◽  
pp. H469-H475 ◽  
Author(s):  
Carlos Eduardo Negrão ◽  
Ivani C. Trombetta ◽  
Luciana T. Batalha ◽  
Maurício Maltez Ribeiro ◽  
Maria Urbana P. Brandão Rondon ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Vascular Resistance ◽  
Muscle Sympathetic Nerve Activity ◽  
Circulatory Arrest ◽  
Isometric Exercise ◽  
Voluntary Contraction ◽  
Obese Women ◽  
Muscle Metaboreflex ◽  
Forearm Vascular Resistance

There is no information about the muscle metaboreflex control in obese individuals. In 40 normotensive obese women (OW; body mass index 33.5 ± 0.4 kg/m2, age 32.4 ± 1.1 yr) and 15 age-matched, normotensive lean women (LW; body mass index 22.7 ± 0.8 kg/m2, age 34.4 ± 1.4 yr), we measured muscle sympathetic nerve activity (MSNA) and forearm blood flow (FBF) in the nonexercising forearm during static exercise at 10 and 30% of maximal voluntary contraction (MVC). Baseline MSNA (38 ± 2 vs. 31 ± 1 bursts/min, P = 0.001) and mean blood pressure were significantly higher in OW compared with LW. FBF was significantly lower, whereas forearm vascular resistance was significantly higher in OW. During 10% MVC, MSNA increased similarly in both groups, but during 30% MVC, MSNA was higher in LW. FBF and forearm vascular resistance responses during both 10 and 30% MVC were similar between groups. During posthandgrip circulatory arrest, MSNA remained significantly elevated compared with baseline in both groups, but this increase was significantly lower in OW (3.8 ± 0.82 vs. 9.4 ± 1.03 bursts/min, P = 0.002). In conclusion, muscle metaboreflex control of MSNA is blunted in OW. MSNA responses are not augmented during selective activation of central command/mechanoreceptors and metaboreceptors, despite increased MSNA levels in OW. Muscle vasodilatory response during graded handgrip isometric exercise is preserved in OW.

Forearm elevation augments sympathetic activation during handgrip exercise in humans

2002 ◽  
Vol 103 (3) ◽  
pp. 295-301 ◽  
Author(s):  
Daisaku MICHIKAMI ◽  
Atsunori KAMIYA ◽  
Qi FU ◽  
Yuki NIIMI ◽  
Satoshi IWASE ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Muscle Sympathetic Nerve Activity ◽  
Voluntary Contraction ◽  
Sympathetic Activation ◽  
Handgrip Exercise ◽  
Excitatory Effect ◽  
Muscle Metaboreflex ◽  
Forearm Exercise ◽  
Exercise In Humans

Although angina pectoris in patients with coronary heart disease often occurs when their forearms are in an elevated position for a prolonged period, and sympathetic activation is a major cause of this condition, little is known about the physiological effects of forearm elevation on sympathetic activity during forearm exercise. We hypothesized that forearm elevation augments sympathetic activation during the static handgrip exercise in humans. A total of 10 healthy male volunteers performed 2min of static handgrip exercise at 30% of maximal voluntary contraction followed by 2min of post-exercise muscle ischaemia (PEMI; specific activation of the muscle metaboreflex) with two forearm positions: the exercising forearm was elevated 50cm above the heart (forearm-elevated trial) or fixed at the level of the heart (heart-level trial). Muscle sympathetic nerve activity (MSNA), blood pressure and heart rate were monitored. MSNA increased during handgrip exercise in both forearm positions (P<0.001); the increase was 51% greater in the forearm-elevated trial (516±99 arbitrary units) than in the heart-level trial (346±44units; P<0.05). The increase in mean blood pressure was 8.4mmHg greater during exercise in the forearm-elevated trial (P<0.05), while changes in heart rate were similar in both forearm positions. The increase in MSNA during PEMI was 71% greater in the forearm-elevated trial (393±71 arbitrary units/min) than in the heart-level trial (229±29units/min; P<0.05). These results support the hypothesis that forearm elevation augments sympathetic activation during handgrip exercise. The excitatory effect of forearm elevation on exercising MSNA may be mediated primarily by increased activation of the muscle metaboreflex.

Effect of Whole-Body Periodic Acceleration on Exercise-Induced Muscle Damage after Eccentric Exercise

2014 ◽  
Vol 9 (6) ◽  
pp. 985-992 ◽  
Author(s):  
Daniel H. Serravite ◽  
Arlette Perry ◽  
Kevin A. Jacobs ◽  
Jose A. Adams ◽  
Kysha Harriell ◽  
...  
Keyword(s):  
Muscle Damage ◽  
Eccentric Exercise ◽  
Recovery Period ◽  
Voluntary Contraction ◽  
The Body ◽  
Whole Body ◽  
Protein Carbonyls ◽  
Control Group ◽  
Periodic Acceleration ◽  
Exercise Induced

Purpose:To examine the effects of whole-body periodic acceleration (pGz) on exercise-induced-muscle-damage (EIMD) -related symptoms induced by unaccustomed eccentric arm exercise.Methods:Seventeen active young men (23.4 ± 4.6 y) made 6 visits to the research facility over a 2-wk period. On day 1, subjects performed a 1-repetition-maximum (1RM) elbowflexion test and were randomly assigned to the pGz (n = 8) or control group (n = 9). Criterion measurements were taken on day 2, before and immediately after performance of the eccentric-exercise protocol (10 sets, 10 repetitions using 120% 1RM) and after the recovery period. During subsequent sessions (24, 48, 72, and 96 h) these data were collected before pGz or passive recovery. Measurements included isometric strength (maximal voluntary contraction [MVC]), blood markers (creatine kinase, myoglobin, IL-6, TNF-α, TBARS, PGF2α, protein carbonyls, uric acid, and nitrites), soreness, pain, circumference, and range of motion (ROM).Results:Significantly higher MVC values were seen for pGz throughout the recovery period. Within-group differences were seen in myoglobin, IL-6, IL-10, protein carbonyls, soreness, pain, circumference, and ROM showing small negative responses and rapid recovery for the pGz condition.Conclusion:Our results demonstrate that pGz can be an effective tool for the reduction of EIMD and may contribute to the training-adaptation cycle by speeding up the recovery of the body due to its performance-loss-lessening effect.

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