Effects of transmural pressure on brachial artery mean blood velocity dynamics in humans

2002 ◽  
Vol 93 (6) ◽  
pp. 2137-2146 ◽  
Author(s):  
Mary E. J. Lott ◽  
Michael D. Herr ◽  
Lawrence I. Sinoway
Keyword(s):  
Brachial Artery ◽  
Pressure Change ◽  
Blood Velocity ◽  
Voluntary Contraction ◽  
Transmural Pressure ◽  
Positive Pressure ◽  
Myogenic Response ◽  
Vascular Responses ◽  
Pressure Changes ◽  
Handgrip Contractions

The effects of changes in transmural pressure on brachial artery mean blood velocity (MBV) were examined in humans. Transmural pressure was altered by using a specially designed pressure tank that raised or lowered forearm pressure by 50 mmHg within 0.2 s. Brachial MBV was measured with Doppler directly above the site of forearm pressure change. Pressure changes were evoked during resting conditions and after a 5-s handgrip contraction at 25% maximal voluntary contraction. The handgrip protocol selected was sufficiently vigorous to limit flow and sufficiently brief to prevent autonomic engagement. Changes in transmural pressure evoked directionally similar changes in MBV within 2 s. This was followed by large and rapid adjustments [−2.14 ± 0.24 cm/s (vasoconstriction) during negative pressure and +2.14 ± 0.45 cm/s (vasodilatation) during positive pressure]. These adjustments served to return MBV to resting levels. This regulatory influence remained operative after 5-s static handgrip contractions. Of note, changes in transmural pressure were capable of altering the timing of the peak MBV response (5 ± 0, 2 ± 0, 6 ± 1 s ambient, negative, and positive pressure, respectively) as well as the speed of MBV adjustment (−2.03 ± 0.18, −2.48 ± 0.15, −0.84 ± 0.19 cm · s−1 · s−1ambient, negative, and positive pressure, respectively) after handgrip contractions. Vascular responses, seen with changes in transmural pressure, provide evidence that the myogenic response is normally operative in the limb circulation of humans.

Effects of age on brachial artery myogenic responses in humans

2004 ◽  
Vol 287 (3) ◽  
pp. R586-R591 ◽  
Author(s):  
Mary E. J. Lott ◽  
Michael D. Herr ◽  
Lawrence I. Sinoway
Keyword(s):  
Brachial Artery ◽  
Animal Studies ◽  
Pressure Change ◽  
Transmural Pressure ◽  
Myogenic Response ◽  
Local Blood Flow ◽  
Men And Women ◽  
Younger Men ◽  
Older Subjects ◽  
Older Men And Women

The myogenic response, the inherent ability of blood vessels to rapidly respond to changes in transmural pressure, is involved in local blood flow autoregulation. Animal studies suggest that aging impairs the myogenic response. The purpose of this study was to compare the effects of changes in transmural pressure on mean blood velocity (MBV, cm/s) in young and older subjects. Twelve younger men and women (25 ± 1 yr) were gender and body composition matched to twelve older men and women (65 ± 1 yr). A specially designed tank raised or lowered forearm pressure by 50 mmHg within 0.2 s. Brachial artery MBV was measured directly above the site of forearm pressure change using Doppler methods. In response to increasing transmural pressure (i.e., release of +50 mmHg), older subjects compared with younger subjects had significantly lower peak MBV (Δ 12.43 ± 1.16 vs. Δ 17.97 ± 2.01 cm/s; P < 0.05), reduced rates in the dynamic fall of MBV after peak values were achieved (vasoconstriction) (−1.88 ± 0.17 vs. −2.90 ± 0.28 cm·s−1·s−1; P < 0.05), and lower MBV values with sustained suction. In response to decreasing transmural pressure (i.e., change to +50 mmHg), there was a significantly greater increase in MBV (Δ peak flow from trough 7.71 ± 1.32 vs. 4.38 ± 0.71 cm/s; P < 0.05) and a trend toward a greater rate of rise in MBV (vasodilation; 1.61 ± 0.29 vs. 0.96 ± 0.21 cm·s−1·s−1; P = 0.08) in the older subjects. Older subjects compared with the younger subjects exhibited decreased dynamic vasoconstriction, enhanced steady-state constriction, as well as evidence for enhanced dynamic vasodilation responses to sustained alterations in forearm transmural pressure.

Study of Toynbee Phenomenon by Combined Intranasopharyngeal and Tympanometric Measurements

1988 ◽  
Vol 97 (2) ◽  
pp. 199-206 ◽  
Author(s):  
Yehuda Finkelstein ◽  
Yuval Zohar ◽  
Yoav P. Talmi ◽  
Nelu Laurian
Keyword(s):  
Middle Ear ◽  
Negative Pressure ◽  
Pressure Change ◽  
Positive Pressure ◽  
New Information ◽  
Pressure Changes ◽  
Rapid Pressure

The Toynbee maneuver, swallowing when the nose is obstructed, leads in most cases to pressure changes in one or both middle ears, resulting in a sensation of fullness. Since first described, many varying and contradictory comments have been reported in the literature concerning the type and amount of pressure changes both in the nasopharynx and in the middle ear. In our study, the pressure changes were determined by catheters placed into the nasopharynx and repeated tympanometric measurements. New information concerning the rapid pressure variations in the nasopharynx and middle ear during deglutition with an obstructed nose was obtained. Typical individual nasopharyngeal pressure change patterns were recorded, ranging from a maximal positive pressure of + 450 to a negative pressure as low as −320 mm H2O.

The Distribution of P O2 and Hydrostatic Pressure Changes Within the Branchial Chambers in Relation to GILL VENTILATION OF THE SHORE CRAB CARCINUS MAENAS L

1969 ◽  
Vol 51 (1) ◽  
pp. 203-220
Author(s):  
G. M. HUGHES ◽  
B. KNIGHTS ◽  
C. A. SCAMMELL
Keyword(s):  
Hydrostatic Pressure ◽  
Ventilation System ◽  
Carcinus Maenas ◽  
Pressure Change ◽  
Shore Crab ◽  
Positive Pressure ◽  
Transparent Plastic ◽  
Gill Lamellae ◽  
Minimum Disturbance ◽  
Pressure Changes

1. A technique is described for replacing part of the branchiostegite of Carcinus maenas by a transparent plastic ‘window’ for direct observation of the gills in situ with minimum disturbance. 2. Observation of dye streams shows that most water enters the hypobranchial space through the Milne-Edwards openings above the chelae, flowing anteriorly and/or posteriorly to ventilate most of gills 3-8. Water also enters above the pereiopods to ventilate the rest of the gills. Water passes from the hypobranchial to the epibranchial space, confirming that there is a counterflow with respect to the circulation of blood through the gill lamellae. 3. By sampling water at different points in the branchial system, patterns of oxygen removal were studied. The gradients confirmed the direction of water flow observed by the use of dyes. 4. Rhythmic changes in hydrostatic pressure in normal forward-pumping of 3-12 mm. H2O were recorded from the branchial cavities, superimposed on a maintained negative pressure relative to that outside the crab of 0-10 mm. H2O. Reversals produced a brief positive pressure change of 0-22 mm. H2O. 5. The possible relationships of the rhythmic pressure changes to scaphognathite movements are discussed. 6. The role of reversals is discussed and it is concluded that their primary function during ventilation is in helping to clean the ventrally facing gill surfaces. But they are also important in respiration under certain special conditions which arise during the normal life of the animal. 7. The utilization of O2 during its passage over the gills is low (7-23%) in spite of the counterflow. Possible explanations of this are discussed in relation to a model of the whole ventilation system.

Modulation of bat wing venule contraction by transmural pressure changes

1992 ◽  
Vol 262 (3) ◽  
pp. H625-H634 ◽  
Author(s):  
M. J. Davis ◽  
X. Shi ◽  
P. J. Sikes
Keyword(s):  
Venous Pressure ◽  
Transmural Pressure ◽  
The Body ◽  
Intraluminal Pressure ◽  
Positive Pressure ◽  
Cross Sectional ◽  
Series Of Experiments ◽  
Pressure Changes ◽  
Bat Wing

We tested the hypothesis that the frequency and amplitude of spontaneous venular contractions in the bat wing could be modulated by changes in transmural pressure. In one series of experiments, venous pressure in the wing was elevated by pressurizing a box containing the body of the animal while the wing was exposed to atmospheric pressure. During this time, venular diameters were continuously recorded using intravital microscopic techniques while venular pressures were measured through servo-null micropipettes. In another series of experiments, single venular segments were dissected from the wing, cannulated, and pressurized in vitro. The results from both experimental protocols were qualitatively similar; alterations in venous pressure over a narrow range (+/- 5 cmH2O from control) produced substantial changes in contraction frequency and amplitude. The product of frequency and cross-sectional area was maximal over the venous pressure range between 10 and 15 cmH2O. Venules demonstrated a rate-sensitive component in their reaction to rapid pressure changes, because contraction bursts occurred immediately after positive pressure steps and quiescent periods often occurred after negative pressure steps. We conclude that venular vasomotion in the bat wing is modulated by intraluminal pressure and involves a bidirectional, rate-sensitive mechanism. In addition, comparisons with arteriolar vasomotion studies suggest that venules are more sensitive to luminal pressure changes than arterioles.

A rate-sensitive component to the myogenic response is absent from bat wing arterioles

1989 ◽  
Vol 256 (1) ◽  
pp. H32-H40 ◽  
Author(s):  
M. J. Davis ◽  
P. J. Sikes
Keyword(s):  
Transmural Pressure ◽  
The Body ◽  
Myogenic Response ◽  
Transient Pressure ◽  
Arteriolar Resistance ◽  
Pressure Changes ◽  
Bat Wing ◽  
Microscopic Techniques ◽  
Rapid Pressure ◽  
Made In

The responses of three sequential branching orders of arterioles in the bat wing to rapid and slow changes in transmural pressure were studied. Arterial and venous pressures to the wing were elevated simultaneously by pressurizing a box containing the body of the animal, while the wing was exposed to atmospheric pressure. Box pressure was elevated from 0 to +48 mmHg at two rates: 24 and 0.6 mmHg/s. During this time, continuous recordings of hydrostatic pressure and diameter were made in single arterioles using intravital microscopic techniques. Second-order arterioles and arcuate arterioles from skin and skeletal muscle constricted in response to elevated transmural pressure but did not show an enhanced response to rapid pressure changes. There was a trend for terminal arterioles to show a transient peak constriction during rapid stretch, but this response was always associated with a biphasic change in arteriolar pressure. These results suggest that the transient arteriolar resistance changes associated with rapid transmural pressure increases in previous experiments may be primarily a result of transient pressure changes in small arterioles. We find no evidence that arterioles in this preparation exhibit a rate-sensitive component to their myogenic response.

Heart Rate Signal Decomposition

2000 ◽  
Vol 39 (02) ◽  
pp. 200-203
Author(s):  
H. Mizuta ◽  
K. Yana
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Pressure Change ◽  
Normal Subjects ◽  
Signal Decomposition ◽  
Large Individual ◽  
Heart Rate Fluctuations ◽  
Type Pattern ◽  
Signal Cancellation ◽  
Pressure Changes

Abstract:This paper proposes a method for decomposing heart rate fluctuations into background, respiratory and blood pressure oriented fluctuations. A signal cancellation scheme using the adaptive RLS algorithm has been introduced for canceling respiration and blood pressure oriented changes in the heart rate fluctuations. The computer simulation confirmed the validity of the proposed method. Then, heart rate fluctuations, instantaneous lung volume and blood pressure changes are simultaneously recorded from eight normal subjects aged 20-24 years. It was shown that after signal decomposition, the power spectrum of the heart rate showed a consistent monotonic 1/fa type pattern. The proposed method enables a clear interpretation of heart rate spectrum removing uncertain large individual variations due to the respiration and blood pressure change.

Failure of prostaglandins to modulate the time course of blood flow during dynamic forearm exercise in humans

1996 ◽  
Vol 81 (4) ◽  
pp. 1516-1521 ◽  
Author(s):  
J. K. Shoemaker ◽  
H. L. Naylor ◽  
Z. I. Pozeg ◽  
R. L. Hughson
Keyword(s):  
Blood Flow ◽  
Brachial Artery ◽  
Time Course ◽  
Forearm Blood Flow ◽  
Voluntary Contraction ◽  
Double Blind ◽  
Rate Of Increase ◽  
Forearm Exercise ◽  
Blind Manner ◽  
Exercise In Humans

Shoemaker, J. K., H. L. Naylor, Z. I. Pozeg, and R. L. Hughson. Failure of prostaglandins to modulate the time course of blood flow during dynamic forearm exercise in humans. J. Appl. Physiol. 81(4): 1516–1521, 1996.—The time course and magnitude of increases in brachial artery mean blood velocity (MBV; pulsed Doppler), diameter ( D; echo Doppler), mean perfusion pressure (MPP; Finapres), shear rate (γ˙ = 8 ⋅ MBV/ D), and forearm blood flow (FBF = MBV ⋅ π r 2) were assessed to investigate the effect that prostaglandins (PGs) have on the hyperemic response on going from rest to rhythmic exercise in humans. While supine, eight healthy men performed 5 min of dynamic handgrip exercise by alternately raising and lowering a 4.4-kg weight (∼10% maximal voluntary contraction) with a work-to-rest cycle of 1:1 (s/s). When the exercise was performed with the arm positioned below the heart, the rate of increase in MBV and γ˙ was faster compared with the same exercise performed above the heart. Ibuprofen (Ibu; 1,200 mg/day, to reduce PG-induced vasodilation) and placebo were administered orally for 2 days before two separate testing sessions in a double-blind manner. Resting heart rate was reduced in Ibu (52 ± 3 beats/min) compared with placebo (57 ± 3 beats/min) ( P < 0.05) without change to MPP. With placebo, D increased in both arm positions from ∼4.3 mm at rest to ∼4.5 mm at 5 min of exercise ( P < 0.05). This response was not altered with Ibu ( P > 0.05). Ibu did not alter the time course of MBV or forearm blood flow ( P > 0.05) in either arm position. The γ˙ was significantly greater in Ibu vs. placebo at 30 and 40 s of above the heart exercise and for all time points after 25 s of below the heart exercise ( P < 0.05). Because PG inhibition altered the time course ofγ˙ at the brachial artery, but not FBF, it was concluded that PGs are not essential in regulating the blood flow responses to dynamic exercise in humans.

Anatomical Effects of Sudden Middle Ear Pressure Changes

1979 ◽  
Vol 88 (3) ◽  
pp. 368-376 ◽  
Author(s):  
A. Axelsson ◽  
J. Miller ◽  
M. Silverman
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Round Window ◽  
Applied Pressure ◽  
Positive Pressure ◽  
Air Bubbles ◽  
Scala Tympani ◽  
Middle Ear Pressure ◽  
Contralateral Ear ◽  
Pressure Changes

Acute middle ear (ME) and inner ear changes following brief unilateral phasic ME pressure changes (up to ± 6000/mm H2O) were studied in the guinea pig. Middle ear findings included perforation of the tympanic membrane, serous and serosanguinous exudate and hemorrhage of tympanic membrane and periosteal vessels. Changes were related to magnitude of applied pressure. Perforation and hemorrhage were more commonly seen with negative rather than positive pressure. Air bubbles behind the round window were seen with positive pressures. Occasional distortion, but never perforation of the round window, was noted. Hemorrhage of the scala tympani was observed with both positive and negative pressures; scala vestibuli hemorrhage was found with negative ME pressure. In some instances pressure direction and magnitude related changes were seen in the contralateral ear.

Association between ibrutinib treatment and hypertension

Heart ◽  
2021 ◽  
pp. heartjnl-2021-319110
Author(s):  
Dae Hyun Lee ◽  
Fahad Hawk ◽  
Kieun Seok ◽  
Matthew Gliksman ◽  
Josephine Emole ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Repeated Measures ◽  
Treatment Initiation ◽  
Kinase Inhibitor ◽  
Pressure Change ◽  
Exact Test ◽  
N 93 ◽  
Pressure Changes ◽  
Over Time

BackgroundIbrutinib is a tyrosine kinase inhibitor most commonly associated with atrial fibrillation. However, additional cardiotoxicities have been identified, including accelerated hypertension. The incidence and risk factors of new or worsening hypertension following ibrutinib treatment are not as well known.MethodsWe conducted a retrospective study of 144 patients diagnosed with B cell malignancies treated with ibrutinib (n=93) versus conventional chemoimmunotherapy (n=51) and evaluated their effects on blood pressure at 1, 2, 3 and 6 months after treatment initiation. Descriptive statistics were used to compare baseline characteristics for each treatment group. Fisher’s exact test was used to identify covariates significantly associated with the development of hypertension. Repeated measures analyses were conducted to analyse longitudinal blood pressure changes.ResultsBoth treatments had similar prevalence of baseline hypertension at 63.4% and 66.7%, respectively. There were no differences between treatments by age, sex and baseline cardiac comorbidities. Both systolic and diastolic blood pressure significantly increased over time with ibrutinib compared with baseline, whereas conventional chemoimmunotherapy was not associated with significant changes in blood pressure. Baseline hypertensive status did not affect the degree of blood pressure change over time. A significant increase in systolic blood pressure (defined as more than 10 mm Hg) was noted for ibrutinib (36.6%) compared with conventional chemoimmunotherapy (7.9%) at 1 month after treatment initiation. Despite being hypertensive at follow-up, 61.2% of patients who were treated with ibrutinib did not receive adequate blood pressure management (increase or addition of blood pressure medications). Within the ibrutinib group, of patients who developed more than 20 mm Hg increase in systolic blood pressure, only 52.9% had hypertension management changes.ConclusionsIbrutinib is associated with the development of hypertension and worsening of blood pressure. Cardiologists and oncologists must be aware of this cardiotoxicity to allow timely management of blood pressure elevations.

scholarly journals The structure and dynamics of patch-clamped membranes: a study using differential interference contrast light microscopy.

1990 ◽  
Vol 111 (2) ◽  
pp. 599-606 ◽  
Author(s):  
M Sokabe ◽  
F Sachs
Keyword(s):  
Cell Surface ◽  
Transmural Pressure ◽  
Positive Pressure ◽  
Radius Of Curvature ◽  
Pressure Gradients ◽  
Structure And Motion ◽  
Excised Patches ◽  
Glass Interface ◽  
Pipette Tip ◽  
Flow Through

We have developed techniques for micromanipulation under high power video microscopy. We have used these to study the structure and motion of patch-clamped membranes when driven by pressure steps. Patch-clamped membranes do not consist of just a membrane, but rather a plug of membrane-covered cytoplasm. There are organelles and vesicles within the cytoplasm in the pipette tip of both cell-attached and excised patches. The cytoplasm is capable of active contraction normal to the plane of the membrane. With suction applied before seal formation, vesicles may be swept from the cell surface by shear stress generated from the flow of saline over the cell surface. In this case, patch recordings are made from membrane that was not originally present under the tip. The vesicles may break, or fuse and break, to form the gigasealed patch. Patch membranes adhere strongly to the wall of the pipette so that at zero transmural pressure the membranes tend to be normal to the wall. With transmural pressure gradients, the membranes generally become spherical; the radius of curvature decreasing with increasing pressure. Some patches have nonuniform curvature demonstrating that forces normal to the membrane may be significant. Membranes often do not respond quickly to changes in pipette pressure, probably because viscoelastic cytoplasm reduces the rate of flow through the tip of the pipette. Inside-out patches may be peeled from the walls of the pipette, and even everted (with positive pressure), without losing the seal. This suggests that the gigaseal is a distributed property of the membrane-glass interface.

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