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J Appl Physiol (October 8, 2009). doi:10.1152/japplphysiol.00711.2009
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Submitted on July 6, 2009
Revised on September 15, 2009
Accepted on September 30, 2009

Effect of whole-body heat stress on peripheral vasoconstriction during leg dependency

R. Matthew Brothers1, Jonathan E. Wingo2, Kimberly A. Hubing1, Juan Del Coso3, and Craig G. Crandall1*

1 Texas Health Presbyterian Hospital Dallas
2 University of Alabama
3 Texas Health Presbyterian Hospital Dalla

* To whom correspondence should be addressed. E-mail: craigcrandall{at}texashealth.org.

The venoarteriolar response (VAR) increases vascular resistance when venous transmural pressure reaches and / or exceeds 25 mm Hg in cutaneous, subcutaneous, and muscle vascular beds. During orthostasis, it has been proposed that up to 45% of the increase in systemic vascular tone is due to VAR-related local mechanism(s). The objective of this project was to test the hypothesis that heat stress attenuates VAR-mediated cutaneous and whole-leg vasoconstriction. During normothermic conditions, measurements of cutaneous blood flow (laser-Doppler flowmetry) and femoral artery blood flow (Doppler ultrasound) were obtained in both legs during supine and leg dependent conditions. These measurements were repeated following a whole-body heat stress (increase in internal temperature of 1.4 ± 0.2 °C). Prior to leg dependency, cutaneous (CVC) and femoral vascular conductances (FVC) were significantly elevated in both legs during heat-stress relative to normothermia (P<0.001). During leg dependency the absolute decrease in CVC was attenuated during heat stress (P<0.01) while the absolute decrease in FVC was unaffected (P=0.90). When CVC and FVC data were analyzed as a relative change from their respective baseline values, heat stress significantly attenuated the magnitude of vasoconstriction due to leg dependency in the cutaneous and femoral circulations (P<0.001 for both variables). These data suggest that an attenuated local vasoconstriction, evoked via the venoarteriolar response, may contribute to reduced blood pressure control and thus reduced orthostatic tolerance that occurs in heat-stressed individuals.







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