Key result
Cold pressor-induced sympathetic activation attenuates femoral but not carotid vascular responsiveness during passive leg movement.
Why the study?
Vascular responsiveness due to passive leg movement on the brain remained unknown.
Does cold-induced sympathetic activation alter femoral and carotid artery vascular responsiveness evoked by passive leg movement?
RCT (n=13)
Randomized session
Does cold-induced sympathetic activation alter femoral and carotid artery vascular responsiveness evoked by passive leg movement?
Cold pressor-induced sympathetic activation attenuates femoral but not carotid artery vascular responsiveness to passive leg movement.
May blunt femoral but spare carotid vascular responses during sympathetic stress; hypothesis-generating for regional control, needs clinical confirmation.
Vascular responsiveness due to passive leg movement (PLM) on the brain remains unknown. This study aimed to evaluate the effects of cold-induced sympathetic activation (CPT) on femoral and ipsilateral and contralateral carotid arteries' vascular responsiveness evoked by PLM. Thirteen participants (seven males and six females; age: 27.0 ± 2.3 years) undertook a randomized session in which PLM was performed on the right leg at rest and during CPT. Right femoral (fBF) and right (ipsilateral) and left (contralateral) carotid (cBF) blood flows were measured by ultrasounds, and heart hemodynamics were assessed via photoplethysmography and impedance cardiograph. Systolic arterial pressure (SAP) time series were used to infer sympathetic modulation to the vessels. Femoral (fVC) and carotid (cVC) vascular conductance (BF/MAP) were calculated. CPT evoked changes in PLM on cBF, fBF, and fVC (interaction and time effect). cBF peak and cBF and cVC area under the curve were higher in the contralateral carotid in the two interventions. Low-frequency power of SAP was higher in PLM-CPT than in PLM; all p < 0.05. These results suggest that the CPT-induced increases in sympathetic modulation attenuate the vascular responsiveness in the femoral, but not the carotid, arteries. Also, the contralateral carotid increased blood flow during PLM, regardless of the CPT.
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Speretta et al. (2025) reported an RCT. Cold pressor test (CPT) during passive leg movement (PLM) vs. Passive leg movement (PLM) at rest was evaluated on Femoral and carotid arteries' vascular responsiveness (blood flow and vascular conductance) (p=<0.05). Cold pressor-induced sympathetic activation attenuated vascular responsiveness in the femoral, but not the carotid, arteries during passive leg movement (p < 0.05).
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