Effects of transient change in carotid arterial stiffness on arterial baroreflex during mild orthostatic stimulation
- DOI
- 10.1016/j.artres.2012.05.002How to use a DOI?
- Keywords
- Arterial compliance; Carotid-vagal baroreflex; Head-up tilt
- Abstract
Stiffening of central conduit arteries –areas where the mechanoreceptors are embedded (e.g., ascending aorta and carotid artery) – is considered to be associated with the impaired baroreflex control in response to hypotensive stress. Arterial stiffness is modulated by vascular tone transiently and dynamically, however, it is unknown whether a transient change in the carotid artery stiffness influences the cardiac baroreflex response to a rapid hypotension. We measured (n = 11) carotid arterial stiffness (via concurrent applanation tonometory and ultrasound imaging) at supine rest and during 20-degree head-up tilt (HUT). To evaluate the cardiac baroreflex response, acute hypotension was evoked by releasing bilateral thigh cuffs after 3 min of suprasystolic resting ischemia at each posture; cardiac baroreflex sensitivity (e.g., change in heart rate for a given change in mean arterial pressure, ΔHR/ΔMAP) and latency (e.g., the time to peak HR response) was estimated. Carotid β-stiffness index, a measure of arterial stiffness, was reduced by 14% during HUT (P < 0.05 vs. supine position). Although cardiac baroreflex responses were unaltered, the within-group biological variability in the cardiac baroreflex sensitivity and latency from the supine to HUT was correlated with the corresponding changes in carotid arterial stiffness (r = 0.66 and r = 0.64, respectively, both P < 0.05). These findings suggest that a transient change in carotid arterial stiffness, at least in part, influences changes in the cardiac baroreflex response to a rapid hypotension.
- Copyright
- © 2012 Association for Research into Arterial Structure and Physiology. Published by Elsevier B.V. All rights reserved.
- Open Access
- This is an open access article distributed under the CC BY-NC license.
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TY - JOUR AU - Jun Sugawara AU - Christopher K. Willie AU - Taiki Miyazawa AU - Hidehiko Komine AU - Philip N. Ainsle AU - Shigehiko Ogoh PY - 2012 DA - 2012/06/07 TI - Effects of transient change in carotid arterial stiffness on arterial baroreflex during mild orthostatic stimulation JO - Artery Research SP - 130 EP - 135 VL - 6 IS - 3 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2012.05.002 DO - 10.1016/j.artres.2012.05.002 ID - Sugawara2012 ER -