Stens, NA, Hisdal, J, Bakke, EF, Kaur, N, Sharma, A, Stranden, E, Thijssen, DHJ and Høiseth, LØ (2020) Factors mediating the pressor response to isometric muscle contraction: An experimental study in healthy volunteers during lower body negative pressure. PLoS One, 15 (12). ISSN 1932-6203

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Abstract

Whilst both cardiac output (CO) and total peripheral resistance (TPR) determine mean arterial blood pressure (MAP), their relative importance in the pressor response to isometric exercise remains unclear. This study aimed to elucidate the relative importance of these two different factors by examining pressor responses during cardiopulmonary unloading leading to step-wise reductions in CO. Hemodynamics were investigated in 11 healthy individuals before, during and after two-minute isometric exercise during lower body negative pressure (LBNP; -20mmHg and -40mmHg). The blood pressure response to isometric exercise was similar during normal and reduced preload, despite a step-wise reduction in CO during LBNP (-20mmHg and -40mmHg). During -20mmHg LBNP, the decreased stroke volume, and consequently CO, was counteracted by an increased TPR, while heart rate (HR) was unaffected. HR was increased during -40 mmHg LBNP, although insufficient to maintain CO; the drop in CO was perfectly compensated by an increased TPR to maintain MAP. Likewise, transient application of LBNP (-20mmHg and -40mmHg) resulted in a short transient drop in MAP, caused by a decrease in CO, which was compensated by an increase in TPR. This study suggests that, in case of reductions of CO, changes in TPR are primarily responsible for maintaining the pressor response during isometric exercise. This highlights the relative importance of TPR compared to CO in mediating the pressor response during isometric exercise.

Item Type:	Article
Subjects:	R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions:	Sport & Exercise Sciences
Publisher:	Public Library of Science
Related URLs:	Author
Date Deposited:	01 Feb 2021 11:18
Last Modified:	04 Sep 2021 06:02
DOI or ID number:	10.1371/journal.pone.0243627
URI:	https://researchonline.ljmu.ac.uk/id/eprint/14364

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