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April 1, 1997Cardiovascular ResearchOpen Access

Peripheral blood flow and noradrenaline responsiveness: the effect of physiological hyperinsulinemia

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Key result

Regional forearm physiological hyperinsulinemia increased forearm muscle blood flow by a median of 26% after 180 minutes (P<0.05), but did not alter skin blood flow or peripheral venous tone.

Why the study?

Does physiological hyperinsulinemia affect peripheral blood flow and noradrenaline responsiveness in skeletal muscle, skin, and peripheral veins?

Population

n=22 subjects undergoing evaluation of regional/local physiological hyperinsulinemia

Comparison

Insulin infusion with noradrenaline infusion vs Baseline measurements prior to insulin infusion

Design

Other

Follow-up

180 minutes

Authors

CHC. de HaanUniversity of California, Riverside

Discussion

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Implication

Insulin selectively augments muscle perfusion without venous or skin effects; leaves open its role in insulin resistance and metabolic vascular regulation.

Structured PICO

Does physiological hyperinsulinemia affect peripheral blood flow and noradrenaline responsiveness in skeletal muscle, skin, and peripheral veins?

P
Population
n=22 subjects (12 in protocol 1, 10 in protocol 2) undergoing evaluation of regional/local physiological hyperinsulinemia
I
Intervention
Insulin infusion (3.5 mU/min into brachial artery for 180 min, or 1-100 mU/min locally into hand veins) with noradrenaline infusion
C
Comparator
Baseline measurements prior to insulin infusion
O
Outcome
Forearm (muscle) blood flow (FBF), skin blood flow (SBF), and local venous responsiveness to noradrenalinesurrogate

Main Result

p-value: p=< 0.05

Physiological hyperinsulinemia has a slow-onset vasodilator effect on skeletal muscle resistance vessels but does not affect skin vasculature, peripheral veins, or noradrenergic responsiveness.

Cite This Study

C. de Haan (1997) studied this question. Insulin vs. Baseline was evaluated on Forearm (muscle) blood flow (FBF) (p=< 0.05). Regional forearm physiological hyperinsulinemia increased forearm muscle blood flow by a median of 26% after 180 minutes (P<0.05), but did not alter skin blood flow or peripheral venous tone.

synapsesocial.com/papers/6a0808cc1e8b9db648ddeaechttps://doi.org/10.1016/s0008-6363(97)00035-7
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of Insulin on Vascular Tone and Sympathetic Nervous System in NIDDM1996 · 115 citations
  2. 2Effect of Insulin on the Venoconstrictive Response to Norepinephrine in Normal Human Subjects: The Influence of Sodium Status1994 · 3 citations
  3. 3The Effect of Insulin on Vascular Reactivity to Norepinephrine1977 · 93 citations
  4. 4Normal Effect of Insulin to Stimulate Leg Blood Flow in NIDDM1995 · 70 citations
  5. 5Selective Enhancement of α2-Adrenoceptor-Mediated Vasoconstriction in Insulin-Dependent Diabetic Patients with Microalbuminuria1995 · 13 citations