Splanchnic hyperemia and hypervolemia during Valsalva maneuver in postural tachycardia syndrome

American Journal of Physiology - Heart and Circulatory Physiology

Volumn 289, Issue 5 58-5, 2005, Pages

  Stewart, Julian M ^a   Medow, Marvin S ^a   Montgomery, Leslie D ^a,b   Glover, June L ^a   Millonas, Mark M ^b  

^a NEW YORK MEDICAL COLLEGE   (United States)

^b NASA AMES RESEARCH CENTER   (United States)

Author keywords

Autonomic dysfunction; Mesenteric artery; Orthostatic intolerance; Splanchnic arterial resistance; Vasoconstriction

Indexed keywords

ADOLESCENT; ADULT; ARTERY RESISTANCE; ARTICLE; AUTONOMIC DYSFUNCTION; BLOOD VOLUME; BODY POSTURE; CLINICAL ARTICLE; FEMALE; HUMAN; HYPEREMIA; HYPERVOLEMIA; MALE; MESENTERIC ARTERY; PLETHYSMOGRAPHY; POSTURAL TACHYCARDIA SYNDROME; PRIORITY JOURNAL; SPLANCHNIC BLOOD FLOW; STANDING; SUPINE POSITION; TACHYCARDIA; VALSALVA MANEUVER; VASOCONSTRICTION;

ADOLESCENT; ADULT; ARTERIES; BLOOD PRESSURE; BLOOD VOLUME; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; HYPEREMIA; MALE; POSTURE; REGIONAL BLOOD FLOW; SPLANCHNIC CIRCULATION; TACHYCARDIA; VALSALVA MANEUVER; VASCULAR RESISTANCE;

EID: 27144542998     PISSN: 03636135     EISSN: None     Source Type: Journal    
DOI: 10.1152/ajpheart.00194.2005     Document Type: Article

References (39)

1. Bloomfield DA. Dye Curves: The Theory and Practice of Indicator Dye Dilution. Baltimore, MD: University Park Press, 1974.
2. 2max. Aviat Space Environ Med 55: 702-708, 1984.
3. Ebert TJ, Smith JJ, Barney JA, Merrill DC, and Smith GK. The use of thoracic impedance for determining thoracic blood volume changes in man. Aviat Space Environ Med 57: 49-53, 1986.
4. Elisberg EI, Goldberg H, and Snider GL. Value of intraoral pressure as a measure of intrapleural pressure. J Appl Physiol 4: 171-176, 1951.
5. Fritsch-Yelle JM, Convertino VA, and Schlegel TT. Acute manipulations of plasma volume alter arterial pressure responses during Valsalva maneuvers. J Appl Physiol 86: 1852-1857, 1999.
6. Geddes LA and Baker LE. Detection of physiological events by impedance. In: Principles of Applied Biomedical Instrumentation. New York: Wiley, 1989, p. 594-600.
7. Geddes LA and Kidder H. Specific resistance of blood at body temperature II. Med Biol Eng 14: 180-185, 1976.
8. Greenfield AD, Whitney RJ, and Whitney RJ. Methods for the investigation of peripheral blood flow. Br Med Bull 19: 101-109, 1963.
9. Gyoda Y, Tsukada Y, Saito A, and Goto K. Role of nitric oxide and neuropeptides in neurogenic vasodilatation of the guinea pig mesenteric artery. Eur J Pharmacol 279: 83-92, 1995.
10. Hamilton WF, Woodbury RA, and Harper HT Jr. Arterial, cerebrospinal, and venous pressures in man during cough and strain. Am J Physiol 141: 42-50, 1944.
11. He YL, Tanigami H, Ueyama H, Mashimo T, and Yoshiya I. Measurement of blood volume using indocyanine green measured with pulse-spectrophotometry: its reproducibility and reliability. Crit Care Med 26: 1446-1451, 1998.
12. Hirshoren N, Tzoran I, Makrienko I, Edoute Y, Plawner MM, Itskovitz-Eldor J, and Jacob G. Menstrual cycle effects on the neurohumoral and autonomic nervous systems regulating the cardiovascular system. J Clin Endocrinol Metab 87: 1569-1575, 2002.
13. Iijima T, Aoyagi T, Iwao Y, Masuda J, Fuse M, Kobayashi N, and Sankawa H. Cardiac output and circulating blood volume analysis by pulse dye-densitometry. J Clin Monit 13: 81-89, 1997.
14. Itoh T, Sasaguri T, Makita Y, Kanmura Y, and Kuriyama H. Mechanisms of vasodilation induced by vasoactive intestinal polypeptide in rabbit mesenteric artery. Am J Physiol Heart Circ Physiol 249: H231-H240, 1985.
15. Jacob G, Robertson D, Mosqueda-Garcia R, Ertl AC, Robertson RM, and Biaggioni I. Hypovolemia in syncope and orthostatic intolerance role of the renin-angiotensin system. Am J Med 103: 128-133, 1997.
16. Kolo LL, Westfall TC, and Macarthur H. Nitric oxide decreases the biological activity of norepinephrine resulting in altered vascular tone in the rat mesenteric arterial bed. Am J Physiol Heart Circ Physiol 286: H296-H303, 2004.
17. Low PA, Novak V, Spies JM, Novak P, and Petty GW. Cerebrovascular regulation in the postural orthostatic tachycardia syndrome (POTS). Am J Med Sci 317: 124-133, 1999.
18. Low PA, Opfer-Gehrking TL, Textor SC, Benarroch EE, Shen WK, Schondorf R, Suarez GA, and Rummans TA. Postural tachycardia syndrome (POTS). Neurology 45: S19-S25, 1995.
19. Luster EA, Baumgartner N, Adams WC, and Convertino VA. Effects of hypovolemia and posture on responses to the Valsalva maneuver. Aviat Space Environ Med 67: 308-313, 1996.
20. Matheson PJ, Wilson MA, and Garrison RN. Regulation of intestinal blood flow. J Surg Res 93: 182-196, 2000.
21. Montgomery LD, Hanish HM, and Marker RA. An impedance device for study of multisegment hemodynamic changes during orthostatic stress. Aviat Space Environ Med 60: 1116-1122, 1989.
22. Patterson RP and Zhang J. Impedance cardiographic measurement of the physiological response to the Valsalva manoeuvre. Med Biol Eng Comput 41: 40-43, 2003.
23. Rowell LB. Reflex control of regional circulations in humans. J Auton Nerv Syst 11: 101-114, 1984.
24. Sandroni P, Novak V, Opfer-Gehrking TL, Huck CA, and Low PA. Mechanisms of blood pressure alterations in response to the Valsalva maneuver in postural tachycardia syndrome. Clin Auton Res 10: 1-5, 2000.
25. Sandroni P, Opfer-Gehrking TL, McPhee BR, and Low PA. Postural tachycardia syndrome: clinical features and follow-up study. Mayo Clin Proc 74: 1106-1110, 1999.
26. Schoemaker RC, Burggraaf J, and Cohen AF. Assessment of hepatic blood flow using continuous infusion of high clearance drugs. Br J Clin Pharmacol 45: 463-469, 1998.
27. Shepherd JT and Vanhoutte PM. Role of the venous system in circulatory control. Mayo Clin Proc 53: 247-255, 1978.
28. Sieber C, Beglinger C, Jager K, and Stalder GA. Intestinal phase of superior mesenteric artery blood flow in man. Gut 33: 497-501, 1992.
29. Singer W, Opfer-Gehrking TL, McPhee BR, Hilz MJ, and Low PA. Influence of posture on the Valsalva manoeuvre. Clin Sci (Colch) 100: 433-440, 2001.
30. Stewart JM, Lavin J, and Weldon A. Orthostasis fails to produce active limb venoconstriction in adolescents. J Appl Physiol 91: 1723-1729, 2001.
31. Stewart JM, Medow MA, Bassett B, and Montgomery LD. Effects of thoracic blood volume on Valsalva maneuver. Am J Physiol Heart Circ Physiol 287: H798-H804, 2004.
32. Stewart JM and Montgomery LD. Reciprocal thoracic-splanchnic blood volume changes during the Valsalva maneuver. Am J Physiol Heart Circ Physiol 288: H752-H758, 2005.
33. Stewart JM and Montgomery LD. Regional blood volume and peripheral blood flow in postural tachycardia syndrome. Am J Physiol Heart Circ Physiol 287: H1319-H1327, 2004.
34. Stewart JM and Weldon A. Contrasting neurovascular findings in chronic orthostatic intolerance and neurocardiogenic syncope. Clin Sci (Lond) 104: 329-340, 2003.
35. Takenaga M and Kawasaki H. Endogenous calcitonin gene-related peptide suppresses vasoconstriction mediated by adrenergic nerves in rat mesenteric resistance blood vessels. Eur J Pharmacol 367: 239-245, 1999.
36. Tanaka M, Sato M, Umehara S, and Nishikawa T. Influence of menstrual cycle on baroreflex control of heart rate: comparison with male volunteers. Am J Physiol Regul Integr Comp Physiol 285: R1091-R1097, 2003.
37. Tani H, Singer W, McPhee BR, Opfer-Gehrking TL, Haruma K, Kajiyama G, and Low PA. Splanchnic-mesenteric capacitance bed in the postural tachycardia syndrome (POTS). Auton Neurosci 86: 107-113, 2000.
38. Tyden G. Aspects of cardiovascular reflex control in man. An experimental study. Acta Physiol Scand Suppl 448: 1-62, 1977.
39. White DD and Montgomery LD. Pelvic blood pooling of men and women during lower body negative pressure. Aviat Space Environ Med 67: 555-559, 1996.