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Am J Physiol Heart Circ Physiol (June 16, 2006). doi:10.1152/ajpheart.00221.2006
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Submitted on March 1, 2006
Accepted on June 7, 2006

Modulation of cardiac contractility by muscle metaboreflex following efforts of different intensities in humans

Antonio Crisafulli1*, Enrico Salis2, Gianluigi Pittau3, Luigi Lorrai3, Filippo Tocco3, Franco Melis3, Pasquale Pagliaro4, and Alberto none Concu5

1 Department of Science Applied to Biological Systems, University of Cagliari, cagliari, Italy; Department of Biological Science, University of Torino, torino, Italy
2 Department of Science Applied to Biological Systems, University of Cagliari, cagliari, Italy
3 Department of Science Applied to Biological Systems, University of Cagliari, Cagliari, Italy
4 Department of Biological Science, University of Torino, Torino, Italy
5 Human Physiology, University of Cagliari, Cagliari, Italy

* To whom correspondence should be addressed. E-mail: crisafulli{at}tiscali.it.

Accumulation of metabolic end-products within skeletal muscle stimulates sensory nerves, thus evoking a pressor response termed metaboreflex. The aim of this study was to evaluate changes in hemodynamics occurring during metaboreflex activation obtained by post-exercise muscle ischemia (PEMI) after two different exercise intensities. In twelve healthy subjects the metaboreflex was studied with the PEMI method at the start of recovery from one leg dynamic knee extension performed at intensities of 30% (PEMI 30%) and 70% (PEMI 70%) of the maximum workload achieved in a preliminary test. Control exercise recovery tests at the same intensities were also conducted. Central hemodynamics was evaluated by means of impedance cardiography. The main findings were that during metaboreflex: 1) exercise conducted against the higher workload caused a more pronounced blood pressure increase than the strain conducted against the lower workload; 2) during PEMI 70% this blood pressure response was mainly achieved through enhancement of myocardial contractility which increased stroke volume and, in turn, cardiac output, whereas during PEMI 30% the blood pressure response was reached predominantly by means of vasoconstriction. Thus, a substantial enhancement of myocardial contractility was reached only in the PEMI 70% test. These results suggest that hemodynamic regulation during metaboreflex engagement caused by PEMI in humans is dependent on the intensity of the previous effort. Moreover, the cardiovascular response during metaboreflex is not merely achieved by vasoconstriction alone, but it appears that there is a complex interplay between peripheral vasoconstriction and heart contractility recruitment.




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