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1 School of Kinesiology, University of Western Ontario, London, Ontario N6A 3K7; and 2 Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1
Arterial hypocapnia has been associated with
orthostatic intolerance. Therefore, we tested the hypothesis that
hypocapnia may be detrimental to increases in muscle sympathetic nerve
activity (MSNA) and total peripheral resistance (TPR) during head-up
tilt (HUT). Ventilation was increased ~1.5 times above baseline for each of three conditions, whereas end-tidal
PCO2 (PETCO2) was clamped at normocapnic (Normo), hypercapnic (Hyper; +5 mmHg relative to
Normo), and hypocapnic (Hypo;
5 mmHg relative to Normo) conditions. MSNA (microneurography), heart rate, blood pressure (BP, Finapres), and
cardiac output (Q, Doppler) were measured continuously during supine
rest and 45° HUT. The increase in heart rate when changing from
supine to HUT (P < 0.001) was not different across
PETCO2 conditions. MSNA burst
frequency increased similarly with HUT in all conditions
(P < 0.05). However, total MSNA and the increase in
total amplitude relative to baseline (%
MSNA) increased more when
changing to HUT during Hypo compared with Hyper (P < 0.05). Both BP and Q were higher during Hyper than both Normo and Hypo (main effect; P < 0.05). Therefore, the MSNA response
to HUT varied inversely with levels of
PETCO2. The combined data suggest that augmented cardiac output with hypercapnia sustained blood pressure during HUT leading to a diminished sympathetic response.
muscle sympathetic nerve activity; head-up tilt; end tidal CO2; cardiac output; total peripheral vascular resistance
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