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1.
Sci Rep ; 14(1): 1215, 2024 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-38216637

RESUMO

Cardiovascular deconditioning and altered baroreflexes predispose returning astronauts to Orthostatic Intolerance. We assessed 7 astronauts (1 female) before and following long-duration spaceflight (146 ± 43 days) with minimal upright posture prior to testing. We applied lower body negative pressure (LBNP) of up to - 30 mmHg to supine astronauts instrumented for continual synchronous measurements of cardiovascular variables, and intermittent imaging the Portal Vein (PV) and Inferior Vena Cava (IVC). During supine rest without LBNP, postflight elevations to total peripheral resistance (TPR; 15.8 ± 4.6 vs. 20.8 ± 7.1 mmHg min/l, p < 0.05) and reductions in stroke volume (SV; 104.4 ± 16.7 vs. 87.4 ± 11.5 ml, p < 0.05) were unaccompanied by changes to heart rate (HR) or estimated central venous pressure (CVP). Small increases to systolic blood pressure (SBP) and diastolic blood pressure (DBP) were not statistically significant. Autoregressive moving average modelling (ARMA) during LBNP did not identify differences to either arterial (DBP → TPR and SBP → HR) or cardiopulmonary (CVP → TPR) baroreflexes consistent with intact cardiovascular control. On the other hand, IVC and PV diameter-CVP relationships during LBNP revealed smaller diameter for a given CVP postflight consistent with altered postflight venous wall dynamics.


Assuntos
Astronautas , Barorreflexo , Humanos , Feminino , Barorreflexo/fisiologia , Pressão Negativa da Região Corporal Inferior , Pressão Sanguínea/fisiologia , Frequência Cardíaca/fisiologia , Artérias
2.
Am J Physiol Regul Integr Comp Physiol ; 305(2): R164-70, 2013 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-23637139

RESUMO

Limited data are available to describe the regulation of heart rate (HR) during sleep in spaceflight. Sleep provides a stable supine baseline during preflight Earth recordings for comparison of heart rate variability (HRV) over a wide range of frequencies using both linear, complexity, and fractal indicators. The current study investigated the effect of long-duration spaceflight on HR and HRV during sleep in seven astronauts aboard the International Space Station up to 6 mo. Measurements included electrocardiographic waveforms from Holter monitors and simultaneous movement records from accelerometers before, during, and after the flights. HR was unchanged inflight and elevated postflight [59.6 ± 8.9 beats per minute (bpm) compared with preflight 53.3 ± 7.3 bpm; P < 0.01]. Compared with preflight data, HRV indicators from both time domain and power spectral analysis methods were diminished inflight from ultralow to high frequencies and partially recovered to preflight levels after landing. During inflight and at postflight, complexity and fractal properties of HR were not different from preflight properties. Slow fluctuations (<0.04 Hz) in HR presented moderate correlations with movements during sleep, partially accounting for the reduction in HRV. In summary, substantial reduction in HRV was observed with linear, but not with complexity and fractal, methods of analysis. These results suggest that periodic elements that influence regulation of HR through reflex mechanisms are altered during sleep in spaceflight but that underlying system complexity and fractal dynamics were not altered.


Assuntos
Pressão Sanguínea/fisiologia , Frequência Cardíaca/fisiologia , Sono/fisiologia , Voo Espacial , Ausência de Peso , Adulto , Astronautas , Eletrocardiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
3.
Am J Physiol Heart Circ Physiol ; 302(12): H2592-8, 2012 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-22492717

RESUMO

Long duration habitation on the International Space Station (ISS) is associated with chronic elevations in arterial blood pressure in the brain compared with normal upright posture on Earth and elevated inspired CO(2). Although results from short-duration spaceflights suggested possibly improved cerebrovascular autoregulation, animal models provided evidence of structural and functional changes in cerebral vessels that might negatively impact autoregulation with longer periods in microgravity. Seven astronauts (1 woman) spent 147 ± 49 days on ISS. Preflight testing (30-60 days before launch) was compared with postflight testing on landing day (n = 4) or the morning 1 (n = 2) or 2 days (n = 1) after return to Earth. Arterial blood pressure at the level of the middle cerebral artery (BP(MCA)) and expired CO(2) were monitored along with transcranial Doppler ultrasound assessment of middle cerebral artery (MCA) blood flow velocity (CBFV). Cerebrovascular resistance index was calculated as (CVRi = BP(MCA)/CBFV). Cerebrovascular autoregulation and CO(2) reactivity were assessed in a supine position from an autoregressive moving average (ARMA) model of data obtained during a test where two breaths of 10% CO(2) were given four times during a 5-min period. CBFV and Doppler pulsatility index were reduced during -20 mmHg lower body negative pressure, with no differences pre- to postflight. The postflight indicator of dynamic autoregulation from the ARMA model revealed reduced gain for the CVRi response to BP(MCA) (P = 0.017). The postflight responses to CO(2) were reduced for CBFV (P = 0.056) and CVRi (P = 0.047). These results indicate that long duration missions on the ISS impaired dynamic cerebrovascular autoregulation and reduced cerebrovascular CO(2) reactivity.


Assuntos
Astronautas , Pressão Sanguínea/fisiologia , Dióxido de Carbono/sangue , Circulação Cerebrovascular/fisiologia , Homeostase/fisiologia , Voo Espacial , Adulto , Velocidade do Fluxo Sanguíneo/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Cerebral Média/diagnóstico por imagem , Artéria Cerebral Média/fisiologia , Ultrassonografia
4.
J Sports Med Phys Fitness ; 52(6): 665-73, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23187331

RESUMO

AIM: This study evaluated whether central command plays an important role in activating muscle sympathetic nerve activity (MSNA) during short-term maximal handgrip contractions. METHODS: The increase in MSNA was examined while influence of minimizing for other factors such as mechanoreflex, metaboreflex and fatigue during repetitive exercise in seven 19- to 26-year-old participants. Maximal voluntary handgrips (15-s contraction with a 45-s relaxation) were performed 10 times with a 15-s pause between alternate hands. MSNA was recorded from the tibial nerve analyzed using the burst frequency (BF) and total sympathetic nerve activity. RESULTS: The BF increased with the first unit, from 14.9±1.8 bursts·min-1 at baseline to 27.7±3.4 bursts·min-1 during contraction. The increase in the MSNA during contractions remained unchanged throughout the repetitions. The BF declined to baseline during the relaxation periods. The peak grip force decreased from 333±25 N for the first grip to 216±20 N for the last contraction. The MSAN increase remained constant despite a possible reduction in mechanoreflex during exercise as indicated from decreased maximal handgrip force. CONCLUSION: We suggested that the MSNA response was induced mainly by central command during short-term maximal handgrip contraction without metaboreflex influence and attenuated mechanoreflex input.


Assuntos
Exercício Físico/fisiologia , Força da Mão/fisiologia , Contração Isométrica/fisiologia , Músculo Esquelético/inervação , Sistema Nervoso Simpático/fisiologia , Adulto , Feminino , Humanos , Masculino , Músculo Esquelético/fisiologia , Adulto Jovem
5.
Physiol Meas ; 37(9): 1588-604, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27510446

RESUMO

Seismocardiography (SCG) is the measurement of vibrations in the sternum caused by the beating of the heart. Precise cardiac mechanical timings that are easily obtained from SCG are critically dependent on accurate identification of fiducial points. So far, SCG annotation has relied on concurrent ECG measurements. An algorithm capable of annotating SCG without the use any other concurrent measurement was designed. We subjected 18 participants to graded lower body negative pressure. We collected ECG and SCG, obtained R peaks from the former, and annotated the latter by hand, using these identified peaks. We also annotated the SCG automatically. We compared the isovolumic moment timings obtained by hand to those obtained using our algorithm. Mean ± confidence interval of the percentage of accurately annotated cardiac cycles were [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and [Formula: see text] for levels of negative pressure 0, -20, -30, -40, and -50 mmHg. LF/HF ratios, the relative power of low-frequency variations to high-frequency variations in heart beat intervals, obtained from isovolumic moments were also compared to those obtained from R peaks. The mean differences ± confidence interval were [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and [Formula: see text] for increasing levels of negative pressure. The accuracy and consistency of the algorithm enables the use of SCG as a stand-alone heart monitoring tool in healthy individuals at rest, and could serve as a basis for an eventual application in pathological cases.


Assuntos
Acelerometria , Algoritmos , Processamento de Sinais Assistido por Computador , Tórax/fisiologia , Vibração , Adulto , Automação , Feminino , Testes de Função Cardíaca , Frequência Cardíaca , Humanos , Masculino
6.
Annu Int Conf IEEE Eng Med Biol Soc ; 2015: 1247-50, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26736493

RESUMO

Ballistocardiography is a non-invasive technique to estimate heart function and relative changes in cardiac output. The goal of this study was to establish the relationship between ballistocardiogram (BCG) parameters and changes in cardiovascular parameters. A group of 20 subjects performed three different exercises on a force plate. In this study, we have characterized the significant differences induced by static and dynamic squats, and controlled respiration exercises on BCG parameters such as IJ-amplitude and RJ-time. The dynamic squat exercise induced the largest changes in IJ-amplitude (107-123% higher) and the RJ-time (21-23% lower). Furthermore, the IJ-amplitude of the BCG signal was found to be positively related to the cardiac output.


Assuntos
Balistocardiografia , Débito Cardíaco , Sistema Cardiovascular , Exercício Físico , Humanos
7.
J Appl Physiol (1985) ; 80(5): 1618-26, 1996 May.
Artigo em Inglês | MEDLINE | ID: mdl-8727548

RESUMO

We tested the hypothesis that the arterial baroreflex was important in the origin of respiratory sinus arrhythmia (RSA) under conditions of normal and resistive breathing. That is, mechanical effects of breathing [indicated by instantaneous lung volume (ILV)] would directly influence left ventricular stroke volume (LVSV), which in turn would influence systolic arterial blood pressure (SABP), causing variation in R-R interval through the baroreflex. Eight healthy young subjects (four men and four women) were monitored in the supine position while breathing with a fixed frequency (0.2 Hz) and tidal volume for 15 min through each of three resistances (R0, R1, and R2) producing inspiratory (-) and expiratory (+) pressures of +/- 1.6, +/- 5.4, and +/- 16.6 cmH2O, respectively. LVSV was estimated by stroke distance [(SDist); by Doppler ultrasound]. There were no differences across R0, R1, and R2 for the mean values of R-R interval, SDist, or SABP. Cross-spectral analysis showed that, at R0, each value of R-R interval, SDist, and SABP lagged ILV by approximately 80 degrees. At R1 and R2, phase was reduced from ILV to SDist and R-R interval, and the transfer magnitude for SDist (R2 only), SABP, and R-R interval increased. The transfer magnitude from SDist to SABP significantly increased as a function of resistance breathing, whereas that from SABP to R-R interval significantly decreased. There were no changes in phase relationships from SDist to SABP to R-R interval. Thus the magnitude of RSA (ILV to R-R interval) was increased, but the transfer through the arterial baroreflex (SABP to R-R interval) was reduced. Although factors other than the arterial baroreflex are probably involved in the genesis of RSA, the constant phase relationship across the levels of breathing resistance among SDist, SABP, and R-R interval suggests an important functional link caused by mechanical effects of breathing.


Assuntos
Arritmia Sinusal/fisiopatologia , Pressão Sanguínea/fisiologia , Respiração/fisiologia , Adulto , Animais , Cricetinae , Feminino , Humanos , Masculino
8.
J Appl Physiol (1985) ; 95(2): 591-601, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12716872

RESUMO

Orthostatic reflexes were examined at 375 m and after 60 min of exposure in a hypobaric chamber at 3660 m using a 20-min 70 degrees head-up tilt (HUT) test. Mean arterial blood pressure, R wave-R wave interval (RRI), and mean cerebral blood flow velocity (MFV) were examined with coarse-graining spectral analysis. Of 14 subjects, 7 at 375 m and 12 at 3660 m were presyncopal. Immediately on arrival to high altitude, breathing frequency and MFV increased, and endtidal PCO2, RRI, RRI complexity, and the parasympathetic nervous system indicator decreased. MFV was similar in HUT at both altitudes. The sympathetic nervous system indicator increased with tilt at 3660 m, whereas parasympathetic nervous system indicator decreased with tilt at both altitudes. Multiple regression analysis of supine variables from either 375 or 3660 m and the time to presyncope at 3660 m indicated that, after 1 h of exposure, increased presyncope at altitude was the result of 1). ineffective peripheral vasoconstriction, despite increased cardiac sympathetic nervous system activity with HUT, and 2). insufficient cerebral perfusion owing to cerebral vasoconstriction as the result of hypoxic hyperventilation-induced hypocapnia.


Assuntos
Adaptação Fisiológica , Altitude , Hipotensão Ortostática/etiologia , Hipotensão Ortostática/fisiopatologia , Adulto , Barorreflexo , Velocidade do Fluxo Sanguíneo , Pressão Sanguínea , Circulação Cerebrovascular , Feminino , Frequência Cardíaca , Humanos , Hiperventilação/etiologia , Hiperventilação/fisiopatologia , Incidência , Masculino , Respiração , Síncope/epidemiologia , Síncope/fisiopatologia , Teste da Mesa Inclinada
9.
Aviat Space Environ Med ; 72(11): 985-91, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11718518

RESUMO

INTRODUCTION: The partial pressure of end tidal CO2 (PetCO2) is known to decrease with head-up tilt. Decreases in arterial CO2 reduce cerebral blood flow (CBF) and may increase the incidence of presyncope. We measured cerebral and central cardiovascular responses to repeated tilt where: 1) PetCO2 was allowed to change with tilt (eucapnic): and 2) PetCO2 was clamped at supine levels (isocapnic). METHODS: In eight healthy subjects breath-by-breath measurements were made of ventilation (VE) and PetCO2 along with beat-by-beat measurements of blood pressure (BP), heart rate (HR) and middle cerebral artery mean flow velocities (MFV). Following 30-min in the supine position, a series of six 10-min 90 degrees head-up tilts were performed, with 30-s of supine between each. Presyncopal subjects were returned immediately to the supine position. RESULTS: Statistical comparisons were made between the supine, and the first and last minute of the first tilt. BP, HR responses were not different between the eu- and isocapnic conditions; however, by the end of the first tilt VE was significantly higher than supine. MFV and BP at brain level decreased and HR increased from supine to tilt. MFV was higher in the isocapnic compared with the eucapnic condition but decreased from the beginning to the end of the first tilt in both conditions (i.e., tilt #1: eucap. 49.4 to 46.7; isocap. 65.0 to 59.6 cm s(-1); p < 0.05) while the BP remained constant. Five subjects were presyncopal in the study. With isocapnic tilt, presyncopal time was not reduced but was extended in four of the five subjects (2.2, 5.5, 6.3 and 31 min) yet at presyncope the values for MFV, BP and HR were the same in both conditions. CONCLUSIONS: Inspiratory CO2 contributed to increased MFV at the beginning of tilt and increased orthostatic tolerance.


Assuntos
Dióxido de Carbono/farmacologia , Circulação Cerebrovascular , Postura/fisiologia , Respiração , Estresse Fisiológico/fisiopatologia , Teste da Mesa Inclinada , Adulto , Pressão Sanguínea , Feminino , Frequência Cardíaca , Homeostase , Humanos , Masculino , Síncope/fisiopatologia
10.
Aviat Space Environ Med ; 65(4): 293-300, 1994 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8002908

RESUMO

The effect of exercise and LBNP countermeasures on the cardiovascular deconditioning response have been evaluated by the study of heart rate variability during progressive LBNP tests before, during (day 15), and after 28 d continuous 6 degrees head-down tilt bed rest. Twelve healthy men (age 27-42 years) were studied in two groups. Six were assigned to a countermeasure regime (CM) consisting of strenuous short-term resistance exercise once per day, 6 days per week from day 7 to day 28, combined with lower body negative pressure (LBNP, -28 mm Hg) for 15 min on days 16, 18, 20, and 22-28. Results were compared with data from six subjects, matched on the basis of maximum oxygen uptake, who received no countermeasures (No-CM). The main effects of bed rest were seen in reductions in RR-interval, and in total spectral power. The results of spectral analysis showed a significant reduction in an index of parasympathetic activity with a nonsignificant increase in a sympathetic indicator. The fractal component of heart rate variability was reduced also, suggesting a change in cardiovascular control mechanisms. Although there were significant differences between CM and No-CM for a number of variables, there were no bed rest by countermeasure interaction effects in the statistical analysis. These results suggested that this particular series of countermeasures was ineffective in preventing at least certain changes indicative of cardiovascular deconditioning with 28 d head-down tilt bed rest.


Assuntos
Repouso em Cama , Frequência Cardíaca/fisiologia , Pressão Negativa da Região Corporal Inferior , Adulto , Exercício Físico/fisiologia , Fractais , Humanos , Masculino , Espectroscopia de Infravermelho com Transformada de Fourier , Fatores de Tempo
11.
Med Eng Phys ; 35(8): 1133-40, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23291107

RESUMO

BACKGROUND AND OBJECTIVE: This paper introduces a seismocardiography based methodology of predicting the start and the end of diastole to be used in diastolic timed vibrations (DTV), which provides non-invasive emergency treatment of acute coronary thrombosis by applying direct mechanical vibrations to the patient chest during diastole of heart cycles. It is proposed that seismocardiogram (SCG), in combination with electrocardiogram (ECG), provides a new means of diastole prediction. METHODS: An accelerometer was placed on the sternum of 120 healthy participants and 22 ischemic heart patients to record precordial accelerations created by the heart. The accelerometer signal was used to extract SCG and phonocardiogram (PCG). Two independent trained experts annotated the extracted signals based on the timings of the start and end of diastole. RESULTS: In the ischemic heart disease population by using 15 consecutive SCG cycles, the start and end of diastole was predicted in the upcoming cycles with 95 percentile error margin of 10.7 ms and 5.8 ms, respectively. These error margins were 7.4 ms and 3.5 ms, respectively, for normal participants. CONCLUSION: The results provide that prediction of the aortic valve closure point in the SCG signal helps start the vibrator in time to cover most of the isovolumic relaxation period. Also, through prediction of the mitral valve closure point in the SCG signal, safety of the technique can be assessed through prediction of the amount of unwanted vibrations applied during the isovolumic contraction period.


Assuntos
Acelerometria/métodos , Diástole , Massagem Cardíaca/métodos , Isquemia Miocárdica/diagnóstico , Isquemia Miocárdica/terapia , Terapia Assistida por Computador/métodos , Vibração/uso terapêutico , Aceleração , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Biorretroalimentação Psicológica/métodos , Diagnóstico por Computador/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/fisiopatologia , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Resultado do Tratamento , Adulto Jovem
12.
J Appl Physiol (1985) ; 112(5): 719-27, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22134699

RESUMO

Early evidence from long-duration flights indicates general cardiovascular deconditioning, including reduced arterial baroreflex gain. The current study investigated the spontaneous baroreflex and markers of cardiovascular control in six male astronauts living for 2-6 mo on the International Space Station. Measurements were made from the finger arterial pressure waves during spontaneous breathing (SB) in the supine posture pre- and postflight and during SB and paced breathing (PB, 0.1 Hz) in a seated posture pre- and postflight, as well as early and late in the missions. There were no changes in preflight measurements of heart rate (HR), blood pressure (BP), or spontaneous baroreflex compared with in-flight measurements. There were, however, increases in the estimate of left ventricular ejection time index and a late in-flight increase in cardiac output (CO). The high-frequency component of RR interval spectral power, arterial pulse pressure, and stroke volume were reduced in-flight. Postflight there was a small increase compared with preflight in HR (60.0 ± 9.4 vs. 54.9 ± 9.6 beats/min in the seated posture, P < 0.05) and CO (5.6 ± 0.8 vs. 5.0 ± 1.0 l/min, P < 0.01). Arterial baroreflex response slope was not changed during spaceflight, while a 34% reduction from preflight in baroreflex slope during postflight PB was significant (7.1 ± 2.4 vs. 13.4 ± 6.8 ms/mmHg), but a smaller average reduction (25%) during SB (8.0 ± 2.1 vs. 13.6 ± 7.4 ms/mmHg) was not significant. Overall, these data show no change in markers of cardiovascular stability during long-duration spaceflight and only relatively small changes postflight at rest in the seated position. The current program routine of countermeasures on the International Space Station provided sufficient stimulus to maintain cardiovascular stability under resting conditions during long-duration spaceflight.


Assuntos
Barorreflexo/fisiologia , Descondicionamento Cardiovascular/fisiologia , Fenômenos Fisiológicos Cardiovasculares , Voo Espacial , Adulto , Artérias/fisiologia , Artérias/fisiopatologia , Astronautas , Pressão Sanguínea/fisiologia , Débito Cardíaco/fisiologia , Frequência Cardíaca/fisiologia , Ventrículos do Coração/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Postura/fisiologia , Respiração , Volume Sistólico/fisiologia , Fatores de Tempo
13.
J Appl Physiol (1985) ; 109(4): 996-1001, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20651224

RESUMO

Central blood volume loss to venous pooling in the lower extremities and vasoconstrictor response are commonly viewed as key factors to distinguish between individuals with high and low tolerance to orthostatic stress. In this study, we analyzed calf vasoconstriction as a function of venous pooling during simulated orthostatic stress. We hypothesized that high orthostatic tolerance (OT) would be associated with greater vasoconstrictor responses to venous pooling compared with low OT. Nineteen participants underwent continuous stepped lower body negative pressure at -10, -20, -30, -40, -50, and -60 mmHg each for 5 min or until exhibiting signs of presyncope. Ten participants completed the lower body negative pressure procedure without presyncope and were categorized with high OT; the remaining nine were categorized as having low OT. Near-infrared spectroscopy measurements of vasoconstriction (Hachiya T, Blaber A, Saito M. Acta Physiologica 193: 117-127, 2008) in calf muscles, along with heart rate (HR) responses for each participant, were evaluated in relation to calf blood volume, estimated by plethysmography. The slopes of this relationship between vasoconstriction and blood volume were not different between the high- and low-tolerance groups. However, the onset of vasoconstriction in the high-tolerance group was delayed. Greater HR increments in the low-tolerance group were also observed as a function of lower limb blood pooling. The delayed vasoconstriction and slower HR increments in the high-tolerance group to similar venous pooling in the low group may suggest a greater vascular reserve and possible delayed reduction in venous return.


Assuntos
Volume Sanguíneo , Perna (Membro)/irrigação sanguínea , Intolerância Ortostática/fisiopatologia , Síncope/fisiopatologia , Vasoconstrição , Pressão Sanguínea , Frequência Cardíaca , Humanos , Pressão Negativa da Região Corporal Inferior , Masculino , Pletismografia , Fluxo Sanguíneo Regional , Espectroscopia de Luz Próxima ao Infravermelho , Fatores de Tempo , Veias/fisiopatologia , Adulto Jovem
14.
Acta Physiol (Oxf) ; 193(2): 117-27, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18162057

RESUMO

AIM: Near-infrared spectroscopy (NIRS) has been used previously for forearm blood flow estimation at rest and during exercise. In this study we applied NIRS to selectively monitor deep calf oxygenated haemoglobin (Hb) responses in order to estimate blood flow changes in the calf muscle during lower body negative pressure (LBNP). The purpose of this study was to test the hypothesis that changes in calf skeletal muscle oxygenated-Hb, after the removal of superficial tissue responses, were related to blood flow changes during orthostatic stress, and to determine the efficacy of using NIRS measurements as an index of vasoconstriction. METHODS: Twenty-nine subjects participated in this study. All attempted a graded LBNP trial from baseline (0 mmHg) to -60 mmHg LBNP in 10 mmHg steps at 5-min intervals. Calf blood flow changes were estimated by oxygenated-Hb responses in relation to changes in mercury strain gauge plethysmography and muscle sympathetic nerve activity (MSNA). RESULTS: Calf selective deep oxygenated-Hb decreased continuously from -10 mmHg LBNP. Regression analysis showed that oxygenated-Hb was significantly related to declines in plethysmography evaluations of blood flow [oxygenated-Hb = (-1.57 +/- 0.26) + (1.86 +/- 0.49) plethysmography, r(2) = 0.87 +/- 0.09]. Changes in MSNA (total activity) were also inversely related to oxygenated-Hb (slope < 0, P = 0.037; r(2) = 0.52 +/- 0.15). CONCLUSION: These results suggest that changes in selective deep calf oxygenated-Hb can be utilized to estimate calf muscle blood flow changes that are most likely caused by vasoconstriction during graded LBNP.


Assuntos
Perna (Membro)/irrigação sanguínea , Pressão Negativa da Região Corporal Inferior , Músculo Esquelético/irrigação sanguínea , Vasoconstrição/fisiologia , Tecido Adiposo/anatomia & histologia , Adulto , Pressão Sanguínea/fisiologia , Feminino , Antebraço/irrigação sanguínea , Frequência Cardíaca/fisiologia , Humanos , Masculino , Consumo de Oxigênio/fisiologia , Oxiemoglobinas/metabolismo , Pletismografia/métodos , Fluxo Sanguíneo Regional/fisiologia , Espectroscopia de Luz Próxima ao Infravermelho/métodos
15.
Int J Sports Med ; 29(8): 646-51, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18080950

RESUMO

We tested the hypothesis that the initial heart rate (HR) response at the onset of maximal handgrip contraction is altered after training. 17 volunteers (nine trained and eight controls) performed ten intermittent static handgrip contractions with maximal effort, alternating between 15-s contractions and 15-s pauses. High-intensity static handgrip training was performed using the nondominant arm alone for 4 weeks. Handgrip force (HGF) and HR were analyzed for the initial 7 s of every static handgrip exercise. Peak HR (pre-training: 94.5 +/- 12.8 beats/min; post-training: 89.7 +/- 10.2 beats/min, p < 0.05) decreased. However, the magnitude of HR change at the onset of contraction remained constant (pre-training: 23.0 +/- 7.7 beats/min; post-training: 25.7 +/- 6.5 beats/min, p = 0.0767), while the HR responses in the subsequent bouts increased after training (p < 0.001). The resting HR decreased (pre-training: 71.5 +/- 9.3 beats/min; post-training 64.1 +/- 5.7 beats/min, p < 0.05). Maximal HGF increased by 11.1 % in trained arms and by 8.7 % in untrained arms, although an increase in maximal forearm girth was only observed in the trained arm (2.0 %, p < 0.0001). Although high-intensity training modulated the abrupt HR responses, the magnitude of the response remained unchanged at the onset of maximal forearm contraction and the resting HR significantly decreased.


Assuntos
Força da Mão/fisiologia , Frequência Cardíaca/fisiologia , Contração Muscular/fisiologia , Adulto , Análise de Variância , Estudos de Casos e Controles , Eletrocardiografia , Feminino , Humanos , Masculino
16.
Hippokratia ; 12 Suppl 1: 41-8, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19048092

RESUMO

Severe and prolonged unmitigated SAS and SMS related symptoms have been thoroughly described in Astronauts during adaptation periods for orbital flight and post orbital flight. It has recently been shown that there is a strong correlation between these symptoms most often suffered by astronauts to that of the symptoms of patients suffering from Postural Deficiency Syndrome (PDS) on Earth that have been successfully assessed, diagnosed and treated. International peer-reviewed literature identifies PDS as a trauma induced medical condition which originates from central neural dysregulation of sensory-motor and cognitive controls; these dysfunctions can be accurately identified, measured, and monitored via a specific ocular-vestibular-postural monitoring system along with relevant clinical data. This higher level of understanding is necessary in order to reach the next stage of success for humans living and working in Space. Central sensory-motor and cognitive controls dysfunction underlie symptoms that can adversely impact and reflect alteration of eye-hand coordination, fine tuned dexterity, body positioning in space, space projection and trajectory control, perception of environment/obstacles, orientation in space and time, sensory motor and cognitive aspects of decision making, sensory-motor/cognitive error proneness. All of these factors are necessary for Astronaut's mission capabilities, while both carrying out operations in Space and performing the tasks required during and after re-entry. The objective of this paper is to elucidate how PDS related medical conditions are currently assessed, identified and monitored, and how these methodologies and technologies translate into a potential for better understanding of astronauts' potential incapacitation during space flight operations.

17.
Hippokratia ; 12 Suppl 1: 78-83, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19048097

RESUMO

Human factors centered aviation accident analyses report that skill based errors are known to be cause of 80% of all accidents, decision making related errors 30% and perceptual errors 6%1. In-flight decision making error is a long time recognized major avenue leading to incidents and accidents. Through the past three decades, tremendous and costly efforts have been developed to attempt to clarify causation, roles and responsibility as well as to elaborate various preventative and curative countermeasures blending state of the art biomedical, technological advances and psychophysiological training strategies. In-flight related statistics have not been shown significantly changed and a significant number of issues remain not yet resolved. Fine Postural System and its corollary, Postural Deficiency Syndrome (PDS), both defined in the 1980's, are respectively neurophysiological and medical diagnostic models that reflect central neural sensory-motor and cognitive controls regulatory status. They are successfully used in complex neurotraumatology and related rehabilitation for over two decades. Analysis of clinical data taken over a ten-year period from acute and chronic post-traumatic PDS patients shows a strong correlation between symptoms commonly exhibited before, along side, or even after error, and sensory-motor or PDS related symptoms. Examples are given on how PDS related central sensory-motor control dysfunction can be correctly identified and monitored via a neurophysiological ocular-vestibular-postural monitoring system. The data presented provides strong evidence that a specific biomedical assessment methodology can lead to a better understanding of in-flight adaptive neurophysiological, cognitive and perceptual dysfunctional status that could induce in flight-errors. How relevant human factors can be identified and leveraged to maintain optimal performance will be addressed.

18.
Fish Physiol Biochem ; 5(1): 21-30, 1988 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24226468

RESUMO

A hypothesis is developed that activation of motility in rainbow trout spermatozoa is a result of membrane hyperpolarization. This hypothesis was developed to explain experimental observations of a relationship between membrane potential and motility as revealed by the use of voltage sensitive fluorescent dyes. The results lead to the following conclusions: a) Transmembrane potential hyperpolarizes with decreasing KCl concentration in 100 mM NaCl. b) Transmembrane potential hyperpolarizes with decreasing NaCl concentration. c) NaCl is three time less effective in changing transmembrane potential and two orders of magnitude less effective in inhibiting activation of motility than KCl. d) Chloride ions have little effect on transmembrane potential or motility. e) Increases in osmotic pressure with the non-ionic molecule sucrose increased the amount of KCl required to inhibit activation. f) The major effect of Na(+) on K(+) inhibition may be osmotic.It is suggested that while sperm cells are in the seminal plasma in the reproductive tract of the male rainbow trout their transmembrane potential is maintained above an activation threshold, probably through Na/K pumps which are found in almost all animal cells. Since K(+) is the most important ion in determining the transmembrane potential, hyperpolarization of the plasma membrane below an activation threshold occurs when the sperm cells are diluted, during spawning, into the low K(+) environment of freshwater.

19.
Am J Physiol ; 268(4 Pt 2): H1688-93, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7733372

RESUMO

We have investigated the hypothesis that beat-by-beat interaction of systolic blood pressure (SBP) to R-R interval (the spontaneous baroreflex) is dependent on the length of the R-R interval. Data were collected from eight healthy men while heart rate was slow (R-R interval 1,043 +/- 34 ms) and accelerated (R-R interval 804 +/- 18 ms) by application of lower body negative pressure (LBNP greater than or equal to -40 mmHg). Time series data of SBP and R-R interval were searched for spontaneous baroreflex sequences in which R-R interval changed in the same (lag 0), next (lag 1), or next following (lag 2) beat as SBP. This phase relationship was also quantified by cross-spectral analysis. At rest, 85% of all spontaneous baroreflex sequences occurred with no lag (lag 0). With LBNP, there was a significant reduction in the number of lag 0 sequences (26%), whereas lag 1 and lag 2 sequences increased (10-26% and 5-29%, respectively). Cross-spectral phase also changed significantly from -2.3 +/- 6.3 degrees at rest to 70.5 +/- 7.4 degrees during LBNP. These data supported the hypothesis that the lag of a baroreflex event was dependent on the prevailing R-R interval.


Assuntos
Barorreflexo , Pressão Sanguínea , Pressão Negativa da Região Corporal Inferior , Adulto , Eletrocardiografia , Frequência Cardíaca , Humanos , Masculino , Sístole
20.
Am J Physiol ; 268(4 Pt 2): H1682-7, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7733371

RESUMO

We tested the hypothesis that the spontaneous beat-by-beat interactions of systolic blood pressure (SBP) and R-R interval reflected true baroreflex events rather than chance interactions. Original data sets of 1,024 heartbeats obtained in seated rest from six healthy subjects [R-R interval = 953 +/- 94 (+/- SE) ms] were compared with isospectral [generated by a windowed (inverse) Fourier transform with phase randomization] and isodistribution (data points randomly shuffled) surrogate data sets. The isospectral data set was used to test for random phase relationships, and the isodistribution data set was used for effects of white noise between SBP and R-R interval. Spontaneous baroreflex sequences were defined as three or more beats in which SBP and the R-R interval of the same (lag 0), next (lag 1), or next following (lag 2) beat changed in the same direction. The total number of baroreflex sequences in the original data was significantly greater than the surrogates (P < 0.001). In the original data, there were significantly (P < 0.001) more lag 0 than lag 1 or lag 2 baroreflex sequences. Therefore, these results indicated that spontaneous baroreflex sequences represented physiological rather than chance interactions and that baroreflex responses can occur within the same beat.


Assuntos
Barorreflexo/fisiologia , Cardiologia/métodos , Adulto , Pressão Sanguínea , Eletrocardiografia , Feminino , Frequência Cardíaca , Humanos , Masculino
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