Evaluation of spontaneous baroreflex modulation of sinus node during isometric exercise in healthy humans

The purpose of this study was to 1) evaluate the baroreflex (BR) modulation of the sinus node during isometric exercise in humans by analyzing the variations in pulse interval (PI) in response to beat-by-beat spontaneous changes in systolic arterial pressure (SAP), thus avoiding external intervention to alter arterial pressure (AP); and to 2) evaluate the specific influence of muscle chemoreflex on the SAP-PI relationship. Sixteen healthy males were studied during rest, handgrip at 30% of maximum voluntary contraction [isometric handgrip (IHG)], post-IHG arrested forearm circulation (AFC), and recovery. AP and PI were measured continuously and noninvasively. A BR response was defined by series of at least three consecutive beats in which SAP and PI of the following beat either increased or decreased in a linear fashion. In nine subjects, forearm (FVR) and calf vascular resistances (CVR) were determined. Mean slope (by linear regression) of SAP-PI sequences did not significantly differ between rest, IHG, and AFC (14.1 +/- 2.0, 12.2 +/- 1.6, and 13.2 +/- 1.4 ms/mmHg, respectively), i.e., BR sensitivity was unchanged. IHG resulted in a rightward shift of the regression line relating SAP to PI. The shift was maintained during AFC, when PI returned to control and AP fell slightly but remained significantly elevated. CVR, which did not change during IHG, significantly increased during AFC, whereas FVR increased during both IHG and AFC, but not significantly. The data indicate that arterial BR is "reset" to a higher operating point during isometric exercise. Muscle chemoreflex appears to be partially involved in this modification.(ABSTRACT TRUNCATED AT 250 WORDS)