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September 29, 2006The Journal of PhysiologyOpen Access

Vasomotor sympathetic neural control is maintained during sustained upright posture in humans

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Why the study?

Does sustained upright posture alter vasomotor sympathetic neural control and muscle sympathetic nerve activity compared to the supine position in healthy individuals?

Population

13 healthy individuals

Comparison

45 min 60 deg upright tilt vs Supine position

Design

Other

Follow-up

45 minutes

Key result

Upright posture increased sympathetic baroreflex sensitivity compared to supine (-718 vs -292 units beat-1 mmHg-1; P<0.01), which was maintained without significant change during 45 minutes of tilt.

Authors

QFQi FuRSRobin P. ShookKOKazunobu Okazaki

Discussion

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Member takes

Overview

No immediate clinical implications for orthostatic management; leaves open baroreflex dynamics in patients with autonomic or cardiovascular disease.

Structured PICO

Does sustained upright posture alter vasomotor sympathetic neural control and muscle sympathetic nerve activity compared to the supine position in healthy individuals?

P
Population
13 healthy individuals undergoing 45 minutes of 60-degree upright tilt to assess vasomotor sympathetic neural control.
E
Exposure
45 min 60 deg upright tilt
C
Comparator
Supine position
O
Outcome
Muscle sympathetic nerve activity (MSNA) and sympathetic baroreflex sensitivitysurrogate

Main Result

Absolute Event Rate: -718% vs -292%

p-value: p=<0.01

Vasoconstriction initiated by sympathetic adrenergic nerves is maintained by ongoing sympathetic activation during sustained orthostasis without obvious changes in vasomotor sympathetic neural control.

Cite This Study

Fu et al. (2006) studied Healthy (n=13). 60 degree upright tilt vs. Supine posture was evaluated on Sympathetic baroreflex sensitivity (p=<0.01). Upright posture increased sympathetic baroreflex sensitivity compared to supine (-718 vs -292 units beat-1 mmHg-1; P<0.01), which was maintained without significant change during 45 minutes of tilt.

synapsesocial.com/papers/6a23c8be96b50e6ae79f0b69https://doi.org/10.1113/jphysiol.2006.118158
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