AJP - Regu Journal of Neurophysiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Regul Integr Comp Physiol (November 2, 2006). doi:10.1152/ajpregu.00225.2006
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
292/3/R1146    most recent
00225.2006v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Aslan, S. C.
Right arrow Articles by Evans, J. M
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Aslan, S. C.
Right arrow Articles by Evans, J. M
Submitted on March 30, 2006
Accepted on October 12, 2006

Blood Pressure Regulation in Neurally Intact Human vs. Acutely Injured Paraplegic and Tetraplegic Patients during Passive Tilt

Sevda C. Aslan1, David C. Randall2, Kevin D Donohue3, Charles F. Knapp1, Abhijit R. Patwardhan1, Susan M McDowell4, Robert F Taylor5, and Joyce M Evans1*

1 Center for Biomedical Engineering, University of Kentucky, Lexington, Kentucky, United States
2 Center for Biomedical Engineering, University of Kentucky, Lexington, Kentucky, United States; Dept. of Physiology, University of Kentucky, United Kingdom
3 Electrical and Computer Engineering, University of Kentucky, Lexington, Kentucky, United States
4 Department of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, Kentucky, United States
5 Cardinal Hill Rehap Hospital, United States

* To whom correspondence should be addressed. E-mail: jevans1{at}pop.uky.edu.

We investigated autonomic control of cardiovascular function in able-bodied (AB), paraplegic (PARA) and tetraplegic (TETRA) subjects in response to head up tilt (HUT) following spinal cord injury (SCI). We evaluated spectral power of blood pressure (BP), baroreflex sensitivity (BRS), baroreflex effectiveness index (BEI), occurrence of systolic blood pressure (SBP) ramps, baroreflex sequences and cross correlation of SBP with heart rate (HR) in low (0.04-0.15 Hz) and high (0.15-0.4 Hz) frequency regions. During tilt, AB and PARA effectively regulated BP and HR but TETRA did not. The numbers of SBP ramps and percentages of heartbeats involved in SBP ramps and baroreflex sequences increased in AB, were unchanged in PARA and declined in TETRA. BRS was lowest in PARA and declined with tilt in all groups. BEI was greatest in AB, and declined with tilt in all groups. Low frequency power of BP and the peak of the SBP/HR cross correlation magnitude were greatest in AB, increased during HUT in AB, remained unchanged in PARA, and declined in TETRA. The peak cross correlation magnitude in HF decreased with tilt in all groups. Our data indicate that SCI results in decreased stimulation of arterial baroreceptors and less engagement of feedback control as demonstrated by their lower: 1) spectral power of BP, 2) number (and percentages) of SBP ramps and barosequences 3) cross correlation magnitude of SBP/HR, 4) BEI and 5) changes in delay between SBP/HR. Diminished vasomotion and impaired baroreflex regulation may be major contributors to decreased orthostatic tolerance following injury.




This article has been cited by other articles:


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. Berteotti, V. Asti, V. Ferrari, C. Franzini, P. Lenzi, G. Zoccoli, and A. Silvani
Central and baroreflex control of heart period during the wake-sleep cycle in spontaneously hypertensive rats
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2007; 293(1): R293 - R298.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 2006 by the American Physiological Society.