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Am J Physiol Heart Circ Physiol 273: H1629-H1636, 1997;
0363-6135/97 $5.00
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Vol. 273, Issue 4, H1629-H1636, October 1997

Effect of vasoactive drugs on carotid diameter in humans

Istvan Bonyhay1, Gabor Jokkel1, Kristof Karlocai2, Robert Reneman3, and Mark Kollai1,2

1 Clinical Research Department and Second Institute of Physiology, Semmelweis University of Medicine, Budapest 1082; 2 Department of Cardiology, National Koranyi Institute, Budapest 1529, Hungary; and 3 Department of Physiology, Cardiovascular Research Institute Maastricht, Maastricht University, 6200 MD Maastricht, The Netherlands

We studied whether vasoactive drugs used to determine baroreflex sensitivity influence baroreceptor firing by affecting carotid sinus smooth muscle or simply by stretching the sinus wall through changes in pressure. In six young healthy subjects, the diameter of the carotid artery and its change with arterial pulse were measured with ultrasonography. Blood pressure was measured by Finapres. Phenylephrine and nitroglycerin doses were injected intravenously to raise and lower pressure by ~15-25 mmHg. Carotid dimensions increased in all subjects during the phenylephrine-induced rise and decreased during the nitroglycerin-induced fall in pressure. Diastolic diameter changed more than systolic diameter; changes were significantly different from the control value (assessed by single-factor analysis of variance and Scheffé's post hoc test). The systolic pressure-diameter relationship appeared to be nonlinear, with a steeper slope above than below baseline, and contributed significantly to the nonlinearity of the R-R interval-systolic pressure relationship. It is concluded that during drug-induced changes in blood pressure, baroreceptor activity in humans is influenced more by passive stretch than by local smooth muscle contraction.

echo tracking; baroreflex sensitivity; carotid distensibility; phenylephrine; nitroglycerin


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