Persistent splanchnic hyperemia during upright tilt in postural tachycardia syndrome

American Journal of Physiology - Heart and Circulatory Physiology

Volumn 290, Issue 2, 2006, Pages

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

^a NEW YORK MEDICAL COLLEGE   (United States)

^b NASA AMES RESEARCH CENTER   (United States)

Author keywords

Autonomic; Blood volume; Orthostatic intolerance; Vasoconstriction

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; BLOOD FLOW; BLOOD VOLUME; CONTROLLED STUDY; FEMALE; HUMAN; HUMAN EXPERIMENT; HYPEREMIA; LEG BLOOD FLOW; MALE; NORMAL HUMAN; PLETHYSMOGRAPHY; PRIORITY JOURNAL; SPLANCHNIC BLOOD FLOW; STANDING; SUPINE POSITION; TACHYCARDIA; VASOCONSTRICTION; VASODILATATION; VEIN OCCLUSION; BLOOD PRESSURE; BODY POSTURE; CASE CONTROL STUDY; COMPARATIVE STUDY; HEART OUTPUT; HEART RATE; INDICATOR DILUTION CURVE; LEG; PATHOPHYSIOLOGY; THORAX; VASCULARIZATION;

COLORING AGENT; INDOCYANINE GREEN;

ADOLESCENT; ADULT; BLOOD PRESSURE; BLOOD VOLUME; CARDIAC OUTPUT; CASE-CONTROL STUDIES; COLORING AGENTS; FEMALE; HEART RATE; HUMANS; HYPEREMIA; INDICATOR DILUTION TECHNIQUES; INDOCYANINE GREEN; LEG; MALE; PLETHYSMOGRAPHY; POSTURE; REGIONAL BLOOD FLOW; SPLANCHNIC CIRCULATION; SUPINE POSITION; TACHYCARDIA; THORAX;

EID: 33644860815     PISSN: 03636135     EISSN: 15221539     Source Type: Journal    
DOI: 10.1152/ajpheart.00784.2005     Document Type: Article

References (39)

1. Bloomfield DA. Dye Curves: The Theory and Practice of Indicator Dye Dilution. Baltimore, MD: University Park, 1974.
2. Burggraaf J, Schoemaker HC, and Cohen AF. Assessment of changes in liver blood flow after food intake - comparison of ICG clearance and echo-Doppler. Br J Clin Pharmacol 42: 499-502, 1996.
3. 2 max. Aviat Space Environ Med 55: 702-708, 1984.
4. 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.
5. Geddes LA and Baker LE. Detection of physiological events by impedance. In: Principles of Applied Biomedical Instrumentation. New York: Wiley, 1989, p. 594-600.
6. Geddes LA and Kidder H. Specific resistance of blood at body temperature. II. Med Biol Eng 14: 180-185, 1976.
7. Greenfield AD, Whitney RJ, and Whitney RJ. Methods for the investigation of peripheral blood flow. Br Med Bull 19: 101-109, 1963.
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.
13. Jacob G, Costa F, Shannon JR, Robertson RM, Wathen M, Stein M, Biaggioni I, Ertl A, Black B, and Robertson D. The neuropathic postural tachycardia syndrome. N Engl J Med 343: 1008-1014, 2000.
14. 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.
15. 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.
16. 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.
17. Matheson PJ, Wilson MA, and Garrison RN. Regulation of intestinal blood flow. J Surg Res 93: 182-196, 2000.
18. 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.
19. Novak V, Novak P, Opfer-Gehrking TL, O'Brien PC, and Low PA. Clinical and laboratory indices that enhance the diagnosis of postural tachycardia syndrome. Mayo Clin Proc 73: 1141-1150, 1998.
20. Raj SR, Biaggioni I, Yamhure PC, Black BK, Paranjape SY, Byrne DW, and Robertson D. Renin-aldosterone paradox and perturbed blood volume regulation underlying postural tachycardia syndrome. Circulation 111: 1574-1582, 2005.
21. Rothe CF. Venous system: physiology of the capacitance vessels. In: Handbook of Physiology. The Cardiovascular System. Peripheral Circulation and Organ Blood Flow. Bethesda, MD: Am. Physiol. Soc., 1983, sect. 2, vol. III, pt. 1, p. 397-452.
22. Rowell LB. Reflex control of regional circulations in humans. J Auton Nerv Syst 11: 101-114, 1984.
23. 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.
24. 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.
25. Shepherd JT and Vanhoutte PM. Role of the venous system in circulatory control. Mayo Clin Proc 53: 247-255, 1978.
26. Sieber C, Beglinger C, Jager K, and Stalder GA. Intestinal phase of superior mesenteric artery blood flow in man. Gut 33: 497-501, 1992.
27. Stewart JM. Microvascular filtration is increased in postural tachycardia syndrome. Circulation 107: 2816-2822, 2003.
28. Stewart JM. Chronic orthostatic intolerance and the postural tachycardia syndrome (POTS). J Pediatr 145: 725-730, 2004.
29. 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.
30. Stewart JM, Medow MS, and Montgomery LD. Local vascular responses affecting blood flow in postural tachycardia syndrome. Am J Physiol Heart Circ Physiol 285: H2749-H2756, 2003.
31. Stewart JM, Medow MS, Montgomery LD, Glover JL, and Millonas MM. Splanchnic hyperemia and hypervolemia during the Valsalva maneuver in postural tachycardia syndrome. Am J Physiol Heart Circ Physiol 289: H1951-H1959, 2005.
32. 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.
33. Stewart JM and Montgomery LD. Reciprocal splanchnic-thoracic blood volume changes during the Valsalva maneuver. Am J Physiol Heart Circ Physiol 288: H752-H758, 2005.
34. Streeten DH. Pathogenesis of hyperadrenergic orthostatic hypotension. Evidence of disordered venous innervation exclusively in the lower limbs. J Clin Invest 86: 1582-1588, 1990.
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. Vernino S, Low PA, Fealey RD, Stewart JD, Farrugia G, and Lennon VA. Autoantibodies to ganglionic acetylcholine receptors in autoimmune autonomic neuropathies. N Engl J Med 343: 847-855, 2000.
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.