Reduced baroreflex control of heart period after bed rest is normalized by acute plasma volume restoration

Ken Ichi Iwasaki, Rong Zhang, Merja A. Perhonen, Julie H. Zuckerman, Benjamin D. Levine

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Adaptation to spaceflight or head-down-tilt bed rest leads to hypovolemia and an apparent abnormality of baroreflex regulation of cardiac period. In a previous study, we demonstrated that both chronic (2 wk) head-down-tilt bed rest and acute induced hypovolemia led to similar impairments in spontaneous baroreflex control of cardiac period, suggesting that a reduction in plasma volume may be responsible for this abnormality after bed rest. Therefore we hypothesized that this reduced "baroreflex function" could be restored by intravenous volume infusion equivalent to the reduction in plasma volume after bed rest. Six healthy subjects underwent 2 wk of -6° head-down bed rest. Beat-by-beat arterial blood pressure and ECG were recorded during 6 min of spontaneous respiration and fixed-rate breathing (0.2 Hz), and transfer function analysis between systolic blood pressure and R-R interval was performed. Plasma volume was measured with Evans blue dye, and cardiac filling pressures were directly measured (Swan-Ganz catheter). After bed rest, studies were repeated before and after plasma volume restoration, with which both plasma volume and left ventricular end-diastolic pressure were restored to pre-bed rest levels by intravenous dextran40 infusion (288 ± 31 ml). Transfer function gain in the high-frequency range, used as an index of vagally mediated arterial-cardiac baroreflex function, decreased significantly (13.4 ± 3.1 to 8.1 ± 2.9 ms/mmHg, P < 0.05) after bed rest. However, reduced transfer function gain was normalized to the pre-bed rest level (12.2 ± 3.6 ms/mmHg) after precise plasma volume restoration. This result confirms that reductions in plasma volume, rather than a unique autonomic nervous system adaptation to bed rest, are largely responsible for the observed changes in spontaneous arterial-cardiac baroreflex function after bed rest.

Original languageEnglish (US)
JournalAmerican Journal of Physiology - Regulatory Integrative and Comparative Physiology
Volume287
Issue number5 56-5
DOIs
StatePublished - Nov 2004

Fingerprint

Bed Rest
Baroreflex
Plasma Volume
Head-Down Tilt
Hypovolemia
Blood Pressure
Intravenous Infusions
Space Flight
Evans Blue
Autonomic Nervous System
Respiratory Rate
Healthy Volunteers
Arterial Pressure
Electrocardiography
Respiration
Coloring Agents
Catheters
Head

Keywords

  • Dextran infusion
  • Hypovolemia
  • Microgravity
  • Spectral analysis

ASJC Scopus subject areas

  • Physiology

Cite this

Reduced baroreflex control of heart period after bed rest is normalized by acute plasma volume restoration. / Iwasaki, Ken Ichi; Zhang, Rong; Perhonen, Merja A.; Zuckerman, Julie H.; Levine, Benjamin D.

In: American Journal of Physiology - Regulatory Integrative and Comparative Physiology, Vol. 287, No. 5 56-5, 11.2004.

Research output: Contribution to journalArticle

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