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Published on: February 14, 2021
Open-loop dynamic and static characteristics of the carotid sinus baroreflex in rats with chronic heart failure after
Toru Kawada1, Meihua Li, Atsunori Kamiya
1Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center Research Institute, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan. torukawa@res.ncvc.go.jp
Insights
Chronic heart failure (CHF) impairs the baroreflex
Area of Science:
- Cardiovascular Physiology
- Autonomic Nervous System Regulation
- Heart Failure Pathophysiology
Background:
- The carotid sinus baroreflex is crucial for maintaining arterial pressure homeostasis.
- Chronic heart failure (CHF) is associated with autonomic dysfunction.
- Dynamic baroreflex function in CHF requires further elucidation.
Purpose of the Study:
- To estimate the open-loop dynamic characteristics of the carotid sinus baroreflex in rats with CHF.
- To compare neural and peripheral arc dynamics between normal control and CHF rats.
- To assess the impact of CHF on arterial pressure buffering capacity.
Main Methods:
- Assessment of neural arc transfer function (carotid sinus pressure to splanchnic sympathetic nerve activity).
- Assessment of peripheral arc transfer function (splanchnic sympathetic nerve activity to arterial pressure).
- Simulation study to evaluate arterial pressure recovery and buffering reserve.
Main Results:
- Neural arc steady-state response was attenuated in CHF, but dynamic characteristics were preserved.
- Peripheral arc steady-state response and initial slope were reduced in CHF, indicating impaired end-organ responses.
- CHF rats showed a reduced arterial pressure recovery and buffering reserve, especially with larger disturbances.
Conclusions:
- The neural component of the baroreflex is relatively preserved in CHF.
- The peripheral component and end-organ responsiveness are impaired in CHF.
- CHF leads to a loss of arterial pressure buffering capacity despite maintained baseline arterial pressure.
Abstract:
We estimated open-loop dynamic characteristics of the carotid sinus baroreflex in normal control rats and chronic heart failure (CHF) rats after myocardial infarction. First, the neural arc transfer function from carotid sinus pressure to splanchnic sympathetic nerve activity (SNA) and its corresponding step response were examined. Although the steady-state response was attenuated in CHF, the negative peak response and the time to peak did not change significantly, suggesting preserved neural arc dynamic characteristics. Next, the peripheral arc transfer function from SNA to arterial pressure (AP) and its corresponding step response were examined. The steady-state response and the initial slope were reduced in CHF, suggesting impaired end-organ responses. In a simulation study based on the dynamic and static characteristics, the percent recovery of AP was reduced progressively as the size of disturbance increased in CHF, suggesting that a reserve for AP buffering is lost in CHF despite relatively maintained baseline AP.
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