AJP - Heart Watch the video to learn how APS reaches out to developing nations.
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol (May 15, 2009). doi:10.1152/ajpheart.00260.2009
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
297/1/H53    most recent
00260.2009v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kamiya, A.
Right arrow Articles by Mano, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kamiya, A.
Right arrow Articles by Mano, T.
Submitted on March 17, 2009
Revised on April 28, 2009
Accepted on May 13, 2009

Slow head-up tilt causes lower activation of muscle sympathetic nerve activity: loading speed-dependence of orthostatic sympathetic activation in humans

Atsunori Kamiya1*, Toru Kawada2, Shuji Shimizu, Satoshi Iwase3, Masaru Sugimachi1, and Tadaaki Mano4

1 National Cardiovascular Center Research Institute
2 National Cardiovascular Centre Research Institute
3 Aichi Medical University
4 Gifu University of Medical Science

* To whom correspondence should be addressed. E-mail: kamiya{at}ri.ncvc.go.jp.

Many earlier human studies have reported that increasing the tilt angle of head-up tilt (HUT) results in greater muscle sympathetic nerve activity (MSNA) response, indicating the amplitude-dependence of sympathetic activation in response to orthostatic stress. However, little is known about whether and how the inclining speed of HUT influences the MSNA response to HUT, independent of the magnitude of HUT. Twelve healthy subjects participated in passive 30 HUT tests at inclining speeds of 1 (CONTROL), 0.1 (SLOW) and 0.0167 (VERYSLOW) -°/sec. We recorded muscle SNA (MSNA, tibial nerve) by microneurography, and assessed non-stationary time-dependent changes of R-R interval variability using complex demodulation technique. MSNA averaged over every 10-degree tilt angle increased during inclination from 0° to 30°, with smaller increases in the SLOW and VERYSLOW tests than in the CONTROL test. Although a 3-min MSNA overshoot after reaching 30° HUT was observed in the CONTROL test, no overshoot was detected in the SLOW and VERYSLOW tests. In contrast with MSNA, increases in heart rate during the inclination and after reaching 30° were similar in these tests, probably because as compred with CONTROL test, greater increases in plasma epinephrine counteracted smaller autonomic responses in the VERYSLOW test. These results indicate that slower HUT results in lower activation of MSNA, suggesting that HUT-induced sympathetic activation depends partially on the speed of inclination during HUT in humans.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1977 by the American Physiological Society.