Document Detail


Cardiopulmonary receptor and arterial baroreceptor reflexes after acute myocardial infarction.
MedLine Citation:
PMID:  1550015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The baroreceptor-heart rate reflex in human is impaired 2 days after a myocardial infarction but it improves 10 days after the acute coronary event. This study investigated whether (1) the baroreceptor-heart rate reflex improvement takes the reflex back to normal, and (2) the cardiopulmonary reflex is affected by myocardial infarction. In subjects studied 8 to 11 days after a transmural anterior or inferior myocardial infarction the baroreceptor-heart rate reflex sensitivity (slope of the linear regression between negative neck chamber pressures and lengthenings in RR interval) was similar to that seen in control subjects (-6.2 +/- 0.8 vs -6.0 +/- 0.6 ms/mm Hg, mean +/- SEM) and did not change when reassessed 10 days later. In contrast, the cardiopulmonary reflex sensitivity (changes in forearm vascular resistance induced by changing central venous pressure through nonhypotensive lower body suction and leg raising) was markedly less in subjects studied 8 to 11 days after myocardial infarction than in control subjects; the reduction amounted to 58.1 +/- 8% (p less than 0.01). The cardiopulmonary reflex sensitivity greatly improved when reassessed 28 to 45 days later. Thus, the baroreflex is normal about 10 days after myocardial infarction. This condition markedly impairs the cardiopulmonary reflex, but the impairment is also transient.
Authors:
G Grassi; C Giannattasio; G Seravalle; G Osculati; F Valagussa; A Zanchetti; G Mancia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  69     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-04-17     Completed Date:  1992-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  873-8     Citation Subset:  AIM; IM; S    
Affiliation:
Clinica Medica Generale, Università di Milano, Italy.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure*
Carotid Sinus
Central Venous Pressure
Exercise
Female
Heart Rate*
Humans
Linear Models
Lower Body Negative Pressure
Male
Myocardial Infarction / physiopathology*
Pressoreceptors / physiopathology*
Reflex*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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