Cargando…

Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans

PURPOSE: We tested the vagal withdrawal concept for heart rate (HR) and cardiac output (CO) kinetics upon moderate exercise onset, by analysing the effects of vagal blockade on cardiovascular kinetics in humans. We hypothesized that, under atropine, the φ(1) amplitude (A(1)) for HR would reduce to n...

Descripción completa

Detalles Bibliográficos
Autores principales: Fontolliet, Timothée, Bringard, Aurélien, Adami, Alessandra, Fagoni, Nazzareno, Tam, Enrico, Taboni, Anna, Ferretti, Guido
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8505324/
https://www.ncbi.nlm.nih.gov/pubmed/34390402
http://dx.doi.org/10.1007/s00421-021-04769-3
_version_ 1784581511468548096
author Fontolliet, Timothée
Bringard, Aurélien
Adami, Alessandra
Fagoni, Nazzareno
Tam, Enrico
Taboni, Anna
Ferretti, Guido
author_facet Fontolliet, Timothée
Bringard, Aurélien
Adami, Alessandra
Fagoni, Nazzareno
Tam, Enrico
Taboni, Anna
Ferretti, Guido
author_sort Fontolliet, Timothée
collection PubMed
description PURPOSE: We tested the vagal withdrawal concept for heart rate (HR) and cardiac output (CO) kinetics upon moderate exercise onset, by analysing the effects of vagal blockade on cardiovascular kinetics in humans. We hypothesized that, under atropine, the φ(1) amplitude (A(1)) for HR would reduce to nil, whereas the A(1) for CO would still be positive, due to the sudden increase in stroke volume (SV) at exercise onset. METHODS: On nine young non-smoking men, during 0–80 W exercise transients of 5-min duration on the cycle ergometer, preceded by 5-min rest, we continuously recorded HR, CO, SV and oxygen uptake ([Formula: see text] O(2)) upright and supine, in control condition and after full vagal blockade with atropine. Kinetics were analysed with the double exponential model, wherein we computed the amplitudes (A) and time constants (τ) of phase 1 (φ(1)) and phase 2 (φ(2)). RESULTS: In atropine versus control, A(1) for HR was strongly reduced and fell to 0 bpm in seven out of nine subjects for HR was practically suppressed by atropine in them. The A(1) for CO was lower in atropine, but not reduced to nil. Thus, SV only determined A(1) for CO in atropine. A(2) did not differ between control and atropine. No effect on τ(1) and τ(2) was found. These patterns were independent of posture. CONCLUSION: The results are fully compatible with the tested hypothesis. They provide the first direct demonstration that vagal blockade, while suppressing HR φ(1), did not affect φ(1) of CO.
format Online
Article
Text
id pubmed-8505324
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-85053242021-10-19 Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans Fontolliet, Timothée Bringard, Aurélien Adami, Alessandra Fagoni, Nazzareno Tam, Enrico Taboni, Anna Ferretti, Guido Eur J Appl Physiol Original Article PURPOSE: We tested the vagal withdrawal concept for heart rate (HR) and cardiac output (CO) kinetics upon moderate exercise onset, by analysing the effects of vagal blockade on cardiovascular kinetics in humans. We hypothesized that, under atropine, the φ(1) amplitude (A(1)) for HR would reduce to nil, whereas the A(1) for CO would still be positive, due to the sudden increase in stroke volume (SV) at exercise onset. METHODS: On nine young non-smoking men, during 0–80 W exercise transients of 5-min duration on the cycle ergometer, preceded by 5-min rest, we continuously recorded HR, CO, SV and oxygen uptake ([Formula: see text] O(2)) upright and supine, in control condition and after full vagal blockade with atropine. Kinetics were analysed with the double exponential model, wherein we computed the amplitudes (A) and time constants (τ) of phase 1 (φ(1)) and phase 2 (φ(2)). RESULTS: In atropine versus control, A(1) for HR was strongly reduced and fell to 0 bpm in seven out of nine subjects for HR was practically suppressed by atropine in them. The A(1) for CO was lower in atropine, but not reduced to nil. Thus, SV only determined A(1) for CO in atropine. A(2) did not differ between control and atropine. No effect on τ(1) and τ(2) was found. These patterns were independent of posture. CONCLUSION: The results are fully compatible with the tested hypothesis. They provide the first direct demonstration that vagal blockade, while suppressing HR φ(1), did not affect φ(1) of CO. Springer Berlin Heidelberg 2021-08-14 2021 /pmc/articles/PMC8505324/ /pubmed/34390402 http://dx.doi.org/10.1007/s00421-021-04769-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Fontolliet, Timothée
Bringard, Aurélien
Adami, Alessandra
Fagoni, Nazzareno
Tam, Enrico
Taboni, Anna
Ferretti, Guido
Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans
title Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans
title_full Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans
title_fullStr Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans
title_full_unstemmed Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans
title_short Vagal blockade suppresses the phase I heart rate response but not the phase I cardiac output response at exercise onset in humans
title_sort vagal blockade suppresses the phase i heart rate response but not the phase i cardiac output response at exercise onset in humans
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8505324/
https://www.ncbi.nlm.nih.gov/pubmed/34390402
http://dx.doi.org/10.1007/s00421-021-04769-3
work_keys_str_mv AT fontolliettimothee vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans
AT bringardaurelien vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans
AT adamialessandra vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans
AT fagoninazzareno vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans
AT tamenrico vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans
AT tabonianna vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans
AT ferrettiguido vagalblockadesuppressesthephaseiheartrateresponsebutnotthephaseicardiacoutputresponseatexerciseonsetinhumans