Szimulalt orthostasis okozta hemodinamikai valtozasok

Translated title of the contribution: Hemodynamic changes during simulated orthostasis

Z. László, R. Andreas, H. S G Helmut

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - 'Lower body negative pressure' (LBNP, simulated orthostasis) is an experimental method to simulate orthostatic stress METHODS - The aim of this study was to quantitate hemodynamic and thoracic bioimpedance changes with four levels of LBNP (-15, -35, -55, -65 mmHg) in 7 healthy men in supine position 20 min before (pre-LBNP), 30 min during, and 20 min after suction as well as without suction (rest control). RESULTS - Thoracic bioimpedance computed stroke volume index continuously decreased with time by the end of simulated orthostasis of -15, -35, -55 and -65 mmHg. The decrease of cardiac index was largest at LBNP of -15 and -35, where the highest relative increase of total peripheral resistance index occurred. Mean arterial pressure did not change in any systematic way with lower LBNP levels, but increased at the end of LBNP -55 and -65. Heart rate remained unchanged at LBNP-15, but increased continuously with simulated orthostasis duration at higher levels by the end of LBNP-35, -55, and -65. Having finished simulated orthostasis, heart rate fell below pre-stimulus levels and also below rest control levels for ≥5 min; computed stroke volume index transiently returned to pre-stimulus levels, whereas mean arterial pressure increased above pre-LBNP level after finishing the stimulus. CONCLUSIONS - Different levels of lower body negative pressure produced quantitatively different time course and dose-response patterns and subjects remained non- hypotensive up to -65 mmHg suction. The heart rate was depressed after simulated orthostasis, while arterial blood pressure and impedance computed total peripheral resistance exceeded pre-stimulus levels indicating an altered cardiovascular (neuro-humoral) state after 30 min of simulated orthostasis.

Original languageHungarian
Pages (from-to)422-431
Number of pages10
JournalLege Artis Medicinae
Volume10
Issue number5
Publication statusPublished - 2000

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Lower Body Negative Pressure
Dizziness
Hemodynamics
Suction
Arterial Pressure
Heart Rate
Vascular Resistance
Stroke Volume
Thorax
Supine Position
Electric Impedance

ASJC Scopus subject areas

  • Medicine(all)

Cite this

László, Z., Andreas, R., & Helmut, H. S. G. (2000). Szimulalt orthostasis okozta hemodinamikai valtozasok. Lege Artis Medicinae, 10(5), 422-431.

Szimulalt orthostasis okozta hemodinamikai valtozasok. / László, Z.; Andreas, R.; Helmut, H. S G.

In: Lege Artis Medicinae, Vol. 10, No. 5, 2000, p. 422-431.

Research output: Contribution to journalArticle

László, Z, Andreas, R & Helmut, HSG 2000, 'Szimulalt orthostasis okozta hemodinamikai valtozasok', Lege Artis Medicinae, vol. 10, no. 5, pp. 422-431.
László, Z. ; Andreas, R. ; Helmut, H. S G. / Szimulalt orthostasis okozta hemodinamikai valtozasok. In: Lege Artis Medicinae. 2000 ; Vol. 10, No. 5. pp. 422-431.
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AB - INTRODUCTION - 'Lower body negative pressure' (LBNP, simulated orthostasis) is an experimental method to simulate orthostatic stress METHODS - The aim of this study was to quantitate hemodynamic and thoracic bioimpedance changes with four levels of LBNP (-15, -35, -55, -65 mmHg) in 7 healthy men in supine position 20 min before (pre-LBNP), 30 min during, and 20 min after suction as well as without suction (rest control). RESULTS - Thoracic bioimpedance computed stroke volume index continuously decreased with time by the end of simulated orthostasis of -15, -35, -55 and -65 mmHg. The decrease of cardiac index was largest at LBNP of -15 and -35, where the highest relative increase of total peripheral resistance index occurred. Mean arterial pressure did not change in any systematic way with lower LBNP levels, but increased at the end of LBNP -55 and -65. Heart rate remained unchanged at LBNP-15, but increased continuously with simulated orthostasis duration at higher levels by the end of LBNP-35, -55, and -65. Having finished simulated orthostasis, heart rate fell below pre-stimulus levels and also below rest control levels for ≥5 min; computed stroke volume index transiently returned to pre-stimulus levels, whereas mean arterial pressure increased above pre-LBNP level after finishing the stimulus. CONCLUSIONS - Different levels of lower body negative pressure produced quantitatively different time course and dose-response patterns and subjects remained non- hypotensive up to -65 mmHg suction. The heart rate was depressed after simulated orthostasis, while arterial blood pressure and impedance computed total peripheral resistance exceeded pre-stimulus levels indicating an altered cardiovascular (neuro-humoral) state after 30 min of simulated orthostasis.

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KW - Cardiopulmonary baroreceptors

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KW - Impedance cardiography

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