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Noll Physiological Research Center, The Pennsylvania State University, University Park, Pennsylvania 16802-6900
During upright tilting, blood is translocated to the dependent
veins of the legs and compensatory circulatory adjustments are
necessary to maintain arterial pressure. For examination of the effect
of age on these responses, seven young (23 ± 1 yr) and seven older
(70 ± 3 yr) men were head-up tilted to 60° in a thermoneutral
condition and during passive heating with water-perfused suits.
Measurements included heart rate (HR), cardiac output
(
c; acetylene
rebreathing technique), central venous pressure (CVP), blood pressures,
forearm blood flow (venous occlusion plethysmography), splanchnic and
renal blood flows (indocyanine green and p-aminohippurate clearance), and esophageal and mean skin temperatures. In response to
tilting in the thermoneutral condition, CVP and stroke volume decreased
to a greater extent in the young men, but HR increased more, such that
the fall in
c
was similar between the two groups in the upright posture. The rise in
splanchnic vascular resistance (SVR) was greater in the older men, but
the young men increased forearm vascular resistance (FVR) to a greater
extent than the older men. The fall in
c during
combined heat stress and tilting was greater in the young compared with
older men. Only four of the young men versus six of the older men were
able to finish the second tilt without becoming presyncopal. In
summary, the older men relied on a greater increase in SVR to
compensate for a reduced ability to constrict the skin and muscle
circulations (as determined by changes in FVR) during head-up tilting.
aging; splanchnic vascular resistance; renal vascular resistance; gravity; orthostatic challenge
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