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Articles in PresS, published online ahead of print March 22, 2002
Am J Physiol Regu Physiol, 10.1152/ajpregu.00014.2002
Submitted on January 11, 2002
Accepted on March 20, 2002
1 Department of Physiology & Pharmacology, Oregon Health & Science University, Portland, OR, USA
2 Department of Physiology, Midwestern University, Downers Grove, IL, USA
* To whom correspondence should be addressed. E-mail: brooksv{at}ohsu.edu.
To test hypothesis that acute resetting of baroreflex control of heart rate (HR) is enhanced during pregnancy, it was determined if the rightward shift in the baroreflex relationship between arterial pressure and HR after arterial pressure is raised [~25 mmHg for 30 min, due to infusion of phenylephrine (PE) or methoxamine (METH)] is greater in late pregnant compared to nonpregnant conscious rabbits. Baroreflex function was assessed by monitoring HR responses to both step-wise, steady-state changes (n=14), and rapid ramp changes (n=10), in arterial pressure. Pregnancy decreased reflex gain, increased reflex minimum HR and shifted the curves to a lower pressure level, when either the steady-state or ramp method was used (all changes, p<0.05). When PE was used to increase pressure, resetting of steady-state curves was observed both before and during pregnancy, but the magnitude of the resetting was less in the pregnant rabbits. Further inspection of the data revealed that the size of the shift in pregnant rabbits was inversely related to the dose of PE. Because the pressure rise was the same in all experiments, PE appears to nonspecifically counteract acute resetting. When METH was used instead to increase pressure, resetting of steady-state curves was similar in pregnant and nonpregnant rabbits, and was unrelated to dose. Similarly, when reflex curves were generated using the ramp method, and either METH or low doses of PE were used to increase pressure, no differences in the degree of resetting were observed between pregnant and nonpregnant rabbits. In summary, high doses of PE counteract acute resetting of baroreflex control of heart rate. More importantly, while baroreflex function is depressed, the ability of the baroreflex to reset appears to be preserved during pregnancy.
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