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July 1, 1959Circulation Research171 citations

Mechanisms of Cardiac Control in Exercise

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RRRobert F. RushmerOSOrville A. SmithDFDean Franklin

Key Points

  • To determine the physiological, hormonal, and neural mechanisms that regulate left ventricular cardiac performance during spontaneous treadmill exercise.
  • Continuously measured left ventricular diameter and effective pressure in intact, unanesthetized dogs during spontaneous treadmill running.

Structured PICO

P
Population
Intact unanesthetized dogs
I
Intervention
Experimentally induced responses including increased venous return, reduced peripheral resistance, autonomic hormones, isopropyl arterenol, combined epinephrine/norepinephrine with experimental tachycardia, sympathetic nerve stimulation, and diencephalon stimulation
C
Comparator
Spontaneous treadmill exercise response in the same dog on the same day
O
Outcome
Left ventricular performance (diameter, effective pressure, and other parameters)surrogate

The cardiovascular response to spontaneous exercise in dogs is best reproduced by central stimulation of the diencephalon rather than isolated peripheral or hormonal changes.

Abstract

Left ventricular performance during spontaneous exercise has been continuously analyzed in terms of direct recordings of diameter, effective pressure and other parameters derived by electronic computors. The changes in left ventricular performance during treadmill exercise have been compared with a number of experimentally induced responses in the same intact unanesthetized dog on the same day. These direct comparisons revealed that experimentally-induced increased venous return, reduced peripheral resistance, or administration of autonomic hormones do not reproduce the spontaneous exercise response. Better reproductions of the exercise response could be achieved by careful administration of isopropyl arterenol (Isuprel), by combined administration of epinephrine or norepinephrine) and experimental tachycardia or by stimulating sympathetic nerves to the heart. Stimulation of discrete areas in the diencephalon reproduced the exercise response with remarkable accuracy without movement or evidence of distress.

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Cite This Study

Rushmer et al. (1959) studied this question.

synapsesocial.com/papers/6a154134a2352da3478223achttps://doi.org/10.1161/01.res.7.4.602
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