Effects of inspiratory impedance on hemodynamic responses to a squat-stand test in human volunteers: Implications for treatment of orthostatic hypotension

European Journal of Applied Physiology

Volumn 94, Issue 4, 2005, Pages 392-399

  Convertino, Victor A ^a   Ratliff, Duane A ^b   Crissey, Jacqueline ^b   Doerr, Donald F ^b   Idris, Ahamed H ^c   Lurie, Keith G ^d  

^a US ARMY INSTITUTE OF SURGICAL RESEARCH   (United States)

^b KENNEDY SPACE CENTER   (United States)

^c UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^d UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Blood pressure; Cardiac output; Heart rate; Peripheral vascular resistance; Respiration; Stroke volume

Indexed keywords

ADULT; AIRWAY RESISTANCE; ARTICLE; BREATHING; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEVICE; DIASTOLIC BLOOD PRESSURE; FEMALE; HEART OUTPUT; HEART RATE; HEART STROKE VOLUME; HEMODYNAMIC PARAMETERS; HUMAN; HUMAN EXPERIMENT; INSPIRATORY IMPEDANCE; MALE; MEAN ARTERIAL PRESSURE; NORMAL HUMAN; ORTHOSTATIC HYPERTENSION; PHOTOELECTRIC PLETHYSMOGRAPHY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; REDUCTION; SCORING SYSTEM; SEX DIFFERENCE; SINGLE BLIND PROCEDURE; SYSTOLIC BLOOD PRESSURE; VASCULAR RESISTANCE;

ADULT; BLOOD PRESSURE; CARDIAC OUTPUT; CARDIOGRAPHY, IMPEDANCE; DOUBLE-BLIND METHOD; FEMALE; HUMANS; HYPOTENSION, ORTHOSTATIC; INHALATION; MALE; MASKS; PROSPECTIVE STUDIES;

EID: 22144440471     PISSN: 14396319     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00421-005-1344-1     Document Type: Article

References (35)

1. Blomqvist CG, Stone HL (1982) Cardiovascular adjustments to gravitational stress. In: Shepherd JT, Abboud FM (eds) Handbook of physiology, Chapter 28. The cardiovascular system, vol III. Peripheral circulation and organ blood flow, Part 2. Arnerican Physiological Society, Bethesda, pp 1025-1063
2. Buckey JC Jr, Lane LD, Levine BD, Watenpaugh DE, Wright SJ, Moore WE, Gaffney FA, Blomqvist CG (1996) Orthostatic intolerance after spaceflight. J Appl Physiol 81:7-18
3. 2 consumption during inspiratory threshold loaded breathing. J Appl Physiol 64:1624-1628 1:STN:280:BieB2czmsVI%3D
4. Convertino VA (1998) Gender differences in autonomic functions associated with blood pressure regulation. Am J Physiol 275:R1909-R1920 1:CAS:528:DyaK1MXht1Oluw%3D%3D
5. Convertino VA (1999) G-factor as a tool in basic research: Mechanisms of orthostatic tolerance. J Gravit Physiol 6:P73-P76 1:STN:280:DC%2BD3MnmtFKitw%3D%3D
6. Convertino VA (2002) Mechanisms of microgravity-induced orthostatic intolerance and implications of effective countermeasures: Overview and future directions. J Gravit Physiol 9:1-12 14638455
7. Convertino VA, Cooke WH (2002) Relationship between stroke volume and sympathetic nerve activity: New insights about autonomic mechanisms of syncope. J Gravit Physiol 9:P63-P66 15806683
8. Convertino VA, Sather TM (2000) Vasoactive neuroendocrine responses associated with tolerance to lower body negative pressure in humans. Clin Physiol 20:177-184 10.1046/j.1365-2281.2000.00244.x
9. Convertino VA, Tripp LD, Ludwig DA, Duff J, Chellette TL (1998) Female exposure to high G: Chronic adaptations of cardiovascular functions. Aviat Space Environ Med 69:875-882 1:STN:280:DyaK1cvgslOktQ%3D%3D
10. Convertino VA, Ratliff DA, Ryan KL, Cooke WH, Doerr DF, Ludwig DA, Muniz GW, Britton DL, Clah SD, Fernald KB, Ruiz AF, Idris AH, Lurie KG (2004b). Effects of inspiratory impedance on the carotid-cardiac baroreflex response in humans. Clin Auton Res 14:140-148 10.1007/ s10286-004-0180-4
11. Convertino VA, Ratliff D, Ryan KL, Doerr DF, Ludwig DA, Muniz GW, Britton DL, Clah SD, Fernald KB, Ruiz AF, Idris AH, Lurie KG (2004c) Hemodynamics associated with breathing through an inspiratory impedance threshold device in human volunteers. Crit Care Med 32(Suppl):S381-S386 10.1097/01.CCM.0000134348.69165.15
12. Convertino VA, Ludwig DA, Cooke WH (2004a) Stroke volume reductions and sympathetic efferent responses reveal new insight into mechanisms of circulatory shock in humans. Auton Neurosci 111:127-134 10.1016/ j.autneu.2004.02.007
13. Convertino VA, Cooke WH, Lurie KG (2005) Inspiratory resistance as a potential treatment for orthostatic intolerance and hemorrhagic shock. Aviat Space Environ Med 76:319-325 15828629
14. Cooke WH, Lurie KG, Rohrer MJ, Convertino VA (2005) Human autonomic and cerebrovascular responses to inspiratory impedance. J Trauma (in press)
15. DL Eckberg P Sleight 1992 Human baroreflexes in health and disease Oxford University Press New York 256-259
16. Grubb BP, Kosinski DJ, Kanjwal Y (2003) Orthostatic hypotension: Causes, classification, and treatment. Pacing Clin Electrophysiol 26:892-901 10.1046/j.1460-9592.2003.t01-1-00155.x
17. Hellstrom LG, Larsson H, Linnarsson D (1999) Implementation of a respiratory drive monitor on a servo ventilator. J Clin Monit 15:163-170 10.1023/A:1009970913723
18. Imholz BPM, Van Montfrans GA, Settels JJ, Van Der Hoeven GMA, Karemaker JM, Wieling W (1988) Continuous non-invasive blood pressure monitoring: reliability of Finapres device during the Valsalva manoeuvre. Cardiovasc Res 22:390-397 1:STN:280:BiaC3srpsVM%3D
19. Kimberly DS, Shoemaker JK (2002) Hypovolemia and neurovascular control during orthostatic stress. Am J Physiol 282:H645-H655
20. Low PA, Opfer-Gehrking TL, Textor SC, Benarroch EE, Shen WK, Schondorf R, Suarez GA, Rummans TA (1995) Postural tachycardiac syndrome (POTS). Neurology 45:S19-S25 1:STN:280:ByqB28rhsFA%3D
21. Lurie KG, Coffeen PR, Shultz JJ, McKnite SH, Detloff BS (1995) Improving active compression- decompression cardiopulmonary resuscitation with an inspiratory impedance valve. Circulation 91:1629-1632 1:STN:280:ByqC1cfjtFA%3D
22. Lurie KG, Mulligan KA, McKnite S, Detloff B, Lindstrom P, Lindner KH (1998) Optimizing standard cardiopulmonary resuscitation with an inspiratory impedance threshold valve. Chest 113:1084-1090 1:STN:280:DyaK1c3htleksA%3D%3D
23. Lurie KG, Voelckel W, Plaisance P, Zielinski T, McKnite S, Kor D, Sugiyama A, Sukhum P (2000a) Use of an inspiratory impedance threshold valve during cardiopulmonary resuscitation: A progress report. Resuscitation 44:219-230 10.1016/S0300-9572(00)00160-X
24. Lurie KG, Zielinski T, McKnite S, Sukhum P (2000b) Improving the efficiency of cardiopulmonary resuscitation with an inspiratory impedance threshold valve. Crit Care Med 28(Suppl):N207-N209 10.1097/ 00003246-200011001-00009
25. Lurie KG, Voelckel WG, Zielinski T, McKnite S, Lindstrom P, Peterson C, Wenzel V, Lindner KH, Samniah N, Benditt D (2001) Improving standard cardiopulmonary resuscitation with an inspiratory impedance threshold valve in a porcine model of cardiac arrest. Anesth Analg 93:649-655 10.1097/00000539-200109000-00024
26. Lurie KG, Zielinski T, McKnite S, Aufderheide T, Voelckel W (2002a) Use of an inspiratory impedance valve improves neurologically intact survival in a porcine model of ventricular fibrillation. Circulation 105:124-129 10.1161/hc0102.101391
27. Lurie KG, Zielinski T, Voelckel W, McKnite S, Plaisance P (2002b) Augmentation of ventricular preload during treatment of cardiovascular collapse and cardiac arrest. Crit Care Med 30(Suppl):S162-S165 10.1097/ 00003246-200204001-00009
28. Lurie KG, Zielinski TM, McKnite SH, Idris AH, Yannopoulos D, Raedler CM, Sigurdsson G, Benditt DG, Voelckel WG (2004) Treatment of hypotension in pigs with an inspiratory impedance threshold device: A feasibility study. Crit Care Med 32:1555-1562 10.1097/01.CCM.0000131207.29081.A2
29. Plaisance P, Lurie KG, Payen D (2000) Inspiratory impedance during active compression-decompression cardiopulmonary resuscitation. Circulation 101:989-994 1:STN:280:DC%2BD3c7mvFWgtA%3D%3D
30. Raven PB, Potts JT, Shi X (1997) Baroreflex regulation of blood pressure during dynamic exercise. Exerc Sports Sci Rev 25:365-390 1:STN:280:ByiA2Mnms1Y%3D
31. Rowell LB (1986) Human circulation regulation during physical stress. Oxford University Press, New York, chapt 7, pp 147-148
32. Samniah N, Voeickel WG, Zielinski TM, McKnite S, Patterson R, Benditt DG, Lurie KG (2003) Feasibility and effects of transcutaneous phrenic nerve stimulation combined with an inspiratory impedance threshold in a pig model of hemorrhagic shock. Crit Care Med 31:1197-1202 10.1097/ 01.CCM.0000059727.50443.97
33. Shoemaker JK, Hogeman CS, Sinoway LL (1999) Contributions of MSNA and stroke volume to orthostatic intolerance following bed rest. Am J Physiol 277:R1084-R1090
34. Waters W, Ziegler M, Meck J (2002) Postspaceflight orthostatic hypotension occurs mostly in women and is predicted by low vascular resistance. J Appl Physiol 92:586-594 11796668
35. Wesseling KH, Jansen JRC, Settels JJ, Schreuder JJ (1993) Computation of aortic flow from pressure in humans using a nonlinear, three-element model. J Appl Physiol 74:2566-2573 1:STN:280:ByyA38fmt1E%3D