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November 1, 1982AJP Heart and Circulatory Physiology

Active standing evokes an immediate, large, bimodal increase of heart rate of about 20 seconds duration that far exceeds the gradual heart rate rise induced by 70 degrees head-up tilt.

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Why the study?

What are the afferent mechanisms of the initial heart rate response to standing in healthy subjects?

Population

43 healthy subjects

Comparison

Postural change maneuvers including free… vs Comparison between different maneuvers

Design

Other

Follow-up

Immediate (up to ~20 seconds)

Key result

Active standing evokes an immediate, large, bimodal increase of heart rate of about 20 seconds duration that far exceeds the gradual heart rate rise induced by 70 degrees head-up tilt.

Authors

CBC. BorstWWWouter WielingJBJ. F. van Brederode

Discussion

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Overview

Active and passive posture changes differ in early CV effects; extends reflex research but leaves mechanisms and clinical relevance open.

Structured PICO

What are the afferent mechanisms of the initial heart rate response to standing in healthy subjects?

P
Population
43 healthy subjects evaluated for the afferent mechanisms of initial heart rate response to standing.
E
Exposure
Postural change maneuvers including free standing, 70 degrees head-up tilt, handgrip, and contraction of abdominal and leg muscles
C
Comparator
Comparison between different maneuvers (e.g., free standing vs. 70 degrees head-up tilt)
O
Outcome
Initial heart rate responsesurrogate

Active and passive changes of posture result in fundamentally different cardiovascular effects for about 20 seconds, involving multiple reflex mechanisms.

Cite This Study

Borst et al. (1982) studied Healthy (n=43). Active standing vs. 70 degrees head-up tilt, handgrip, and contraction of abdominal and leg muscles was evaluated on Initial heart rate response. Active standing evokes an immediate, large, bimodal increase of heart rate of about 20 seconds duration that far exceeds the gradual heart rate rise induced by 70 degrees head-up tilt.

synapsesocial.com/papers/6a61dc606e9a4038e37d8fdfhttps://doi.org/10.1152/ajpheart.1982.243.5.h676
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