Key result
Vagal blockade with atropine significantly reduced the phase I heart rate amplitude from 50% to 11% of the total response in the supine position, but did not eliminate the phase I cardiac output response.
Why the study?
To test the vagal withdrawal concept for heart rate and cardiac output kinetics upon moderate exercise onset by analysing the effects of vagal blockade in humans.
Does vagal blockade with atropine suppress the phase I heart rate and cardiac output responses at exercise onset in healthy young men?
Does vagal blockade with atropine suppress the phase I heart rate and cardiac output responses at exercise onset in healthy young men?
Vagal blockade suppresses the initial rapid heart rate response at exercise onset, confirming that the early increase in cardiac output is driven by stroke volume rather than vagal withdrawal.
Partial vagal mediation of supine HR response does not extend to cardiac output; leaves open non-vagal mechanisms in early-phase trials.
Purpose We tested the vagal withdrawal concept for heart rate (HR) and cardiac output (CO) kinetics upon moderate exercise onset, by analysing the effects of vagal blockade on cardiovascular kinetics in humans. We hypothesized that, under atropine, the φ 1 amplitude ( A 1 ) for HR would reduce to nil, whereas the A 1 for CO would still be positive, due to the sudden increase in stroke volume (SV) at exercise onset. Methods On nine young non-smoking men, during 0–80 W exercise transients of 5-min duration on the cycle ergometer, preceded by 5-min rest, we continuously recorded HR, CO, SV and oxygen uptake ( V̇ V ˙ O 2 ) upright and supine, in control condition and after full vagal blockade with atropine. Kinetics were analysed with the double exponential model, wherein we computed the amplitudes ( A ) and time constants ( τ ) of phase 1 ( φ 1 ) and phase 2 ( φ 2 ). Results In atropine versus control, A 1 for HR was strongly reduced and fell to 0 bpm in seven out of nine subjects for HR was practically suppressed by atropine in them. The A 1 for CO was lower in atropine, but not reduced to nil. Thus, SV only determined A 1 for CO in atropine. A 2 did not differ between control and atropine. No effect on τ 1 and τ 2 was found. These patterns were independent of posture. Conclusion The results are fully compatible with the tested hypothesis. They provide the first direct demonstration that vagal blockade, while suppressing HR φ 1 , did not affect φ 1 of CO.
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Fontolliet et al. (2021) studied Healthy (n=9). Atropine vs. Control condition was evaluated on Phase I amplitude (A1) for heart rate (supine, % of total HR response) (p=<0.05). Vagal blockade with atropine significantly reduced the phase I heart rate amplitude from 50% to 11% of the total response in the supine position, but did not eliminate the phase I cardiac output response.
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