Key result
Lowering the arm in a supine position induced regional myogenic vasoconstriction, increasing systolic blood pressure from 85 mmHg to 133 mmHg without heart rate changes, demonstrating in vivo segregation from baroreceptor reflexes.
Observational (n=10)
No
This study demonstrates that myogenic and baroreceptor vasoconstriction can be separated in vivo using postural and limb position changes.
Answers are grounded in this paper and cite their sources.
Offers noninvasive separation of myogenic and baroreflex vasoconstriction; leaves open clinical translation or therapeutic relevance.
Myogenic vascular response is a form of systemic and regional vasoconstriction produced increasing the intra-arterial pressure by gravity. Here, the vasoconstriction due to the myogenic response, induced by the gravitational action in a dependent limb, is separated from that caused by the baroreceptor reflex. Regional changes of skin blood flow (SBF), total blood volume of the finger (TBVF), pulse pressure (PP), heart rate (HR), systolic, and diastolic blood pressure (BP) were analyzed in 10 healthy young subjects in supine and upright positions. By lowering the arm in supine position, SBF decreased compared to its basal measurement, PR increased, and PP contracted, indicating arterial vasoconstriction that rise BP TBVF increased, demonstrating an increment in venous volume. HR did not change, reflecting no action of the baroreceptor reflex. In upright position with lowered arm, there was an additional increase in BP variables, demonstrating vasoconstriction. Moreover, BP and HR showed oscillations at 0.1 Hz reflecting the entrance of the baroreceptor reflex. The action of gravity in a dependent limb in supine position induces a regional vasoconstriction and an increase of BP due to activation of the myogenic response, while the baroreceptor reflex or other neural factors do not appear to operate. In the upright position with the arm dependent, there is a further increase in regional vasoconstriction and BP with reciprocal changes in HR, indicating the entrance of the baroreceptor superimposed to the myogenic response. This study demonstrates that the myogenic and baroreceptor vasoconstriction can be separated in vivo.
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Estañol et al. (2016) conducted an observational in Healthy (n=10). Postural maneuvers (lowering arm in supine position) vs. Supine position with hand at heart level was evaluated on Systolic blood pressure (p=<0.05). Lowering the arm in a supine position induced regional myogenic vasoconstriction, increasing systolic blood pressure from 85 mmHg to 133 mmHg without heart rate changes, demonstrating in vivo segregation from baroreceptor reflexes.
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