[Changes in heart rate and blood pressure under push pull maneuver simulated on a tilt table]
Related Experiment Video
Updated: Sep 21, 2026

Quantitative Autonomic Testing
Published on: July 19, 2011
Tong-xin Chen1, Ling Wang, Shao-zhi Sun
1Clinical Aviation Medicine Center. PLA. General Hospital of Air Force, Beijing, China.
Abstract:
Objective. Push-pull maneuver (PPM) was simulated using a tilt table to assess detailed cardiovascular responses and the simulation model. Method. Ten healthy fighter pilots were exposed to 3 times transition of body position of head-up tilt (HUT) for 1 min-->head-down tilt (HDT) for 10 s, 15 s and 20 s respectively-->HUT for 1 min in randomized sequences. The rate of tilt table rotation was 45 degrees /s. Heart-level arterial blood pressure was monitored with 4 s intervals, and HR was continuously monitored by ECG. Result. HR and BP fell significantly during HDT compared with those during HUT; upon subsequent HUT, HR and BP were significantly less than those during previous HUT, except BP at 11-15 s. Conclusion. Cardiovascular responses to PPM can be simulated with a tilt table. It is suggested that the tilt table model is valid in simulating the PPM.
Related Concept Videos
Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Measurement of Blood Pressure
Exercise Stress Test
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes

