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Am J Physiol Heart Circ Physiol 277: H635-H642, 1999;
0363-6135/99 $5.00
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Vol. 277, Issue 2, H635-H642, August 1999

Ischemic muscle chemoreflex response elevates blood flow in nonischemic exercising human forearm muscle

M. E. Tschakovsky and R. L. Hughson

Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1

We tested the hypothesis that forearm blood flow (FBF) might be reduced during forearm exercise when a vasoconstrictor response was evoked by calf exercise during calf ischemia (CE + I). In nine healthy subjects, brachial artery FBF and finger-cuff mean arterial pressure (MAP) were measured beat by beat during rest and forearm exercise. CE + I initiated before 5 min of forearm exercise (condition A) increased MAP by 24% and reduced resting forearm vascular conductance (FVC) by 24% such that FBF remained at the same level as without CE + I (control, condition C). With the onset of forearm exercise, the difference in FVC between condition A and condition C was abolished; consequently, the FBF adaptation to exercise was greater after 3 min of exercise in condition A (247.0 ± 14.8 ml/min) than in condition C (197.1 ± 9.4 ml/min, P < 0.05) because of the elevated MAP. Gradual stimulation of the chemoreflex by the addition of CE + I at 3 min of a 9-min bout of forearm exercise (condition B) did not affect FVC such that progressive elevations in MAP resulted in proportional increases in FBF. We concluded that chemoreflex-mediated increases in systemic sympathetic nervous activity appear to affect resting FVC. Evidence from this study suggests that local factors responsible for initiating and maintaining vasodilation during moderate, small-muscle mass exercise can quickly override this vasoconstrictor influence such that FBF is elevated during exercise in direct proportion to the elevation in MAP.

vasoconstriction; blood pressure; exercise; sympathetic nervous system


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