Increased hypoxic ventilatory response during hypovolemic stress imposed through head-up-tilt and lower-body negative pressure

2000 ◽  
Vol 81 (6) ◽  
pp. 470-478 ◽  
Author(s):  
Wulf Hildebrandt ◽  
Andy Ottenbacher ◽  
Markus Schuster ◽  
Friedhelm Baisch ◽  
Peter Bärtsch
Keyword(s):  
Negative Pressure ◽  
Lower Body Negative Pressure ◽  
Ventilatory Response ◽  
Lower Body ◽  
Hypoxic Ventilatory Response ◽  
Head Up Tilt

Lower body negative pressure exercise plus brief postexercise lower body negative pressure improve post-bed rest orthostatic tolerance

2007 ◽  
Vol 103 (6) ◽  
pp. 1964-1972 ◽  
Author(s):  
Donald E. Watenpaugh ◽  
Deborah D. O'Leary ◽  
Suzanne M. Schneider ◽  
Stuart M. C. Lee ◽  
Brandon R. Macias ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Acute Exercise ◽  
Treadmill Exercise ◽  
Orthostatic Intolerance ◽  
Lower Body Negative Pressure ◽  
Bed Rest ◽  
Orthostatic Tolerance ◽  
Lower Body ◽  
Before And After ◽  
Head Up Tilt

Orthostatic intolerance follows actual weightlessness and weightlessness simulated by bed rest. Orthostasis immediately after acute exercise imposes greater cardiovascular stress than orthostasis without prior exercise. We hypothesized that 5 min/day of simulated orthostasis [supine lower body negative pressure (LBNP)] immediately following LBNP exercise maintains orthostatic tolerance during bed rest. Identical twins (14 women, 16 men) underwent 30 days of 6° head-down tilt bed rest. One of each pair was randomly selected as a control, and their sibling performed 40 min/day of treadmill exercise while supine in 53 mmHg (SD 4) [7.05 kPa (SD 0.50)] LBNP. LBNP continued for 5 min after exercise stopped. Head-up tilt at 60° plus graded LBNP assessed orthostatic tolerance before and after bed rest. Hemodynamic measurements accompanied these tests. Bed rest decreased orthostatic tolerance time to a greater extent in control [34% (SD 10)] than in countermeasure subjects [13% (SD 20); P < 0.004]. Controls exhibited cardiac stroke volume reduction and relative cardioacceleration typically seen after bed rest, yet no such changes occurred in the countermeasure group. These findings demonstrate that 40 min/day of supine LBNP treadmill exercise followed immediately by 5 min of resting LBNP attenuates, but does not fully prevent, the orthostatic intolerance associated with 30 days of bed rest. We speculate that longer postexercise LBNP may improve results. Together with our earlier related studies, these ground-based results support spaceflight evaluation of postexercise orthostatic stress as a time-efficient countermeasure against postflight orthostatic intolerance.

Carotid arterial haemodynamics after mild degrees of lower-body negative pressure in man

1992 ◽  
Vol 83 (5) ◽  
pp. 535-540 ◽  
Author(s):  
P. J. Lacolley ◽  
B. M. Pannier ◽  
M. A. Slama ◽  
J. L. Cuche ◽  
A. P. G. Hoeks ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Negative Pressure ◽  
Lower Body Negative Pressure ◽  
Weight Bearing ◽  
Normal Subjects ◽  
Lower Body ◽  
Head Up Tilt ◽  
Cardiopulmonary Receptors ◽  
Carotid Arterial

1. Pulsatile changes in the diameter of the common carotid artery were studied transcutaneously using an echo-tracking technique in 15 normal subjects: eight subjects before and during application of graded lower-body negative pressure from −5 to −15 mmHg, and seven subjects before and during weight-bearing head-up tilt at 30 and 60 degrees. 2. In concomitant studies of changes in forearm vascular resistance, it was seen that mild lower-body negative pressure produced deactivation of cardiopulmonary receptors without changes in systemic blood pressure or heart rate. 3. After lower-body negative pressure, a significant decrease in carotid arterial diastolic diameter [from 0.662 ± 0.028 to 0.624 ± 0.033 cm (lower-body negative pressure −10 mmHg) and 0.640 ± 0.030 cm lower-body negative pressure −15 mmHg), P<0.001 and <0.05] was observed. 4. After head-up tilt, carotid arterial diameter was also significantly decreased at 30 and 60 degrees, whereas a significant increase in heart rate occurred only at 60 degrees and mean blood pressure did not change. 5. The study provides evidence that the geometry of the arterial wall is substantially modified by noninvasive manoeuvres such as head-up tilting and lower-body negative pressure. The latter is assumed to selectively deactivate human cardiopulmonary receptors, but the present data suggest that local changes may also influence carotid baroreceptors.

Volume regulating hormone responses to repeated head-up tilt and lower body negative pressure

2011 ◽  
Vol 41 (8) ◽  
pp. 863-869 ◽  
Author(s):  
Andreas Roessler ◽  
Nandu Goswami ◽  
Bernd Haditsch ◽  
Jack A. Loeppky ◽  
Friedrich C. Luft ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Lower Body Negative Pressure ◽  
Lower Body ◽  
Head Up Tilt ◽  
Hormone Responses

Combined Head-Up Tilt and Lower Body Negative Pressure as an Experimental Model of Orthostatic Syncope

2003 ◽  
Vol 14 (9) ◽  
pp. 920-924 ◽  
Author(s):  
PAUL LELORIER ◽  
GEORGE J. KLEIN ◽  
ANDREW KRAHN ◽  
RAYMOND YEE ◽  
ALLAN SKANES ◽  
...  
Keyword(s):  
Experimental Model ◽  
Negative Pressure ◽  
Lower Body Negative Pressure ◽  
Lower Body ◽  
Head Up Tilt

scholarly journals The cerebrovascular response to lower-body negative pressure vs. head-up tilt

2017 ◽  
Vol 122 (4) ◽  
pp. 877-883 ◽  
Author(s):  
Anne-Sophie G. T. Bronzwaer ◽  
Jasper Verbree ◽  
Wim J. Stok ◽  
Mat J. A. P. Daemen ◽  
Mark A. van Buchem ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Negative Pressure ◽  
Cerebral Blood Flow Velocity ◽  
Lower Body Negative Pressure ◽  
Orthostatic Stress ◽  
Lower Body ◽  
Head Up Tilt ◽  
End Tidal ◽  
Pronounced Reduction

Lower-body negative pressure (LBNP) has been proposed as a MRI-compatible surrogate for orthostatic stress. Although the effects of LBNP on cerebral hemodynamic behavior have been considered to reflect those of orthostatic stress, a direct comparison with actual orthostasis is lacking. We assessed the effects of LBNP (−50 mmHg) vs. head-up tilt (HUT; at 70°) in 10 healthy subjects (5 female) on transcranial Doppler-determined cerebral blood flow velocity (CBF v) in the middle cerebral artery and cerebral perfusion pressure (CPP) as estimated from the blood pressure signal (finger plethysmography). CPP was maintained during LBNP but decreased after 2 min in response to HUT, leading to an ~15% difference in CPP between LBNP and HUT ( P ≤ 0.020). Mean CBF v initially decreased similarly in response to LBNP and for HUT, but, from minute 3 on, the decline became ~50% smaller ( P ≤ 0.029) during LBNP. The reduction in end-tidal Pco2 partial pressure (PetCO2) was comparable but with an earlier return toward baseline values in response to LBNP but not during HUT ( P = 0.008). We consider the larger decrease in CBF v during HUT vs. LBNP attributable to the pronounced reduction in PetCO2 and to gravitational influences on CPP, and this should be taken into account when applying LBNP as an MRI-compatible orthostatic stress modality. NEW & NOTEWORTHY Lower-body negative pressure (LBNP) has the potential to serve as a MRI-compatible surrogate of orthostatic stress but a comparison with actual orthostasis was lacking. This study showed that the pronounced reduction in end-tidal Pco2 together with gravitational effects on the brain circulation lead to a larger decline in cerebral blood flow velocity in response to head-up tilt than during lower-body negative pressure. This should be taken into account when employing lower-body negative pressure as MRI-compatible alternative to orthostatic stress.

Modeling of Orthostatic Intolerance During Lower Body Negative Pressure

2010 ◽  
Author(s):  
Karen E. Etter ◽  
M. Keith Sharp
Keyword(s):  
Negative Pressure ◽  
Orthostatic Intolerance ◽  
Lower Body Negative Pressure ◽  
Poor Performance ◽  
Lower Body ◽  
Capillary Filtration ◽  
Arterial Blood ◽  
Long Duration ◽  
Head Up Tilt ◽  
The Many

Postflight orthostatic intolerance (POI) afflicts a significant fraction of male astronauts and nearly all female astronauts when they first stand on Earth after spaceflight. Symptoms include dizziness and fainting, which can impact their abilities to perform critical tasks during the post-landing period. On the Moon or Mars, poor performance or accidents resulting from POI may have potentially catastrophic consequences due to the more hazardous conditions and lack of medical facilities. In addition, the long duration flights necessary to reach Mars may elicit adaptations that increase the risk of POI. Of the many factors that may influence POI, one of the few that may explain the gradual decline in arterial blood pressure experienced by many subjects during stand tests is the loss of blood volume by capillary filtration. Previous simulations suggest that elevated capillary filtration rates distinguish nonfinishers from finishers of stand tests [1, 2]. In this investigation, further computer modeling was undertaken to compare modeled orthostatic response to that of volunteers during graded orthostatic stress (GOS) involving head up tilt (HUT) and lower body negative pressure (LBNP), which reliably produces presyncope and is a candidate training countermeasure for preventing POI.

Comparison of cardiovascular responses between lower body negative pressure and head-up tilt

2005 ◽  
Vol 98 (6) ◽  
pp. 2081-2086 ◽  
Author(s):  
Asami Kitano ◽  
J. Kevin Shoemaker ◽  
Masashi Ichinose ◽  
Hiroyuki Wada ◽  
Takeshi Nishiyasu
Keyword(s):  
Blood Flow ◽  
Vascular Resistance ◽  
Upper Limb ◽  
Negative Pressure ◽  
Lower Limb ◽  
Lower Body Negative Pressure ◽  
Cardiovascular Responses ◽  
Left Ventricular ◽  
Lower Body ◽  
Head Up Tilt

To investigate local blood-flow regulation during orthostatic maneuvers, 10 healthy subjects were exposed to −20 and −40 mmHg lower body negative pressure (LBNP; each for 3 min) and to 60° head-up tilt (HUT; for 5 min). Measurements were made of blood flow in the brachial (BFbrachial) and femoral arteries (BFfemoral) (both by the ultrasound Doppler method), heart rate (HR), mean arterial pressure (MAP), cardiac stroke volume (SV; by echocardiography), and left ventricular end-diastolic volume (LVEDV; by echocardiography). Comparable central cardiovascular responses (changes in LVEDV, SV, and MAP) were seen during LBNP and HUT. During −20 mmHg LBNP, −40 mmHg LBNP, and HUT, the following results were observed: 1) BFbrachial decreased by 51, 57, and 41%, and BFfemoral decreased by 40, 53, and 62%, respectively, 2) vascular resistance increased in the upper limb by 110, 147, and 85%, and in the lower limb by 76, 153, and 250%, respectively. The increases in vascular resistance were not different between the upper and lower limbs during LBNP. However, during HUT, the increase in the lower limb was much greater than that in the upper limb. These results suggest that, during orthostatic stimulation, the vascular responses in the limbs due to the cardiopulmonary and arterial baroreflexes can be strongly modulated by local mechanisms (presumably induced by gravitational effects).

Neurohormonal responses to oscillatory lower body negative pressure in healthy subjects

2021 ◽  
Author(s):  
Akanksha Singh ◽  
Shival Srivastav ◽  
Kavita Yadav ◽  
Dinu S. Chandran ◽  
Ashok Kumar Jaryal ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Healthy Subjects ◽  
Lower Body Negative Pressure ◽  
Lower Body
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