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Feed-forward changes in carotid blood flow velocity during active standing
Kazuyoshi Kitaoka1, Hajime Miura, Mitsuo Kitamura
1Department of Physiology, The University of Tokushima Graduate School, Tokushima 770-8503, Japan. kitaoka@basic.med.tokushima-u.ac.jp
Insights
Anticipatory cardiovascular regulation may occur before standing, indicated by changes in blood flow velocity and cerebral blood volume. This feed-forward mechanism, possibly triggered by central command, helps maintain brain blood flow during the transition to upright posture.
Area of Science:
- Physiology
- Cardiovascular Regulation
- Neuroscience
Background:
- Orthostatic changes transiently disrupt circulatory control.
- Cardiovascular feedback systems activate to counteract instability during postural changes.
Purpose of the Study:
- To investigate anticipatory cardiovascular regulation preceding active standing.
- To determine if central command influences cardiovascular adjustments before postural transition.
Main Methods:
- Continuous recording of common carotid artery blood flow velocity (BFV).
- Measurement of cerebral blood volume (CBV) using oxyhemoglobin levels.
- Comparison of BFV and CBV responses during reaction-time versus self-paced standing in healthy men.
Main Results:
- A significant decrease in maximum BFV occurred before standing in the reaction-time condition, correlating with systolic blood pressure changes.
- Anticipatory BFV decrease was absent during self-paced standing, with subsequent declines in BFV parameters.
- Cerebral blood volume showed a significant increase in oxyhemoglobin before standing in the reaction-time condition.
Conclusions:
- Evidence suggests a feed-forward cardiovascular regulatory mechanism activated by central command before standing.
- This anticipatory regulation may play a role in maintaining cerebral perfusion during the transition to an upright posture.
Abstract:
Orthostatic changes induce temporary loss of circulatory regulation. Feedback systems react to cardiovascular alterations to compensate for the instability. To clarify the existence of anticipatory cardiovascular regulation during active standing, we continuously recorded blood flow velocity (BFV) in the common carotid artery and cerebral blood volume (CBV) in healthy men. The maximum BFV value decreased significantly before standing in the reaction-time condition. The decrease significantly correlated with the change in systolic blood pressure that accompanies upright standing from a supine position. The anticipatory BFV decrease disappeared during self-paced standing, and all BFV parameters significantly declined after the self-paced standing. The CBV recording showed a significant increase in oxyhemoglobin levels before standing in the reaction-time condition. Our study suggests that some feed-forward cardiovascular regulation triggered by central command could be activated before standing, and it may play a functional role in the maintenance of cerebral perfusion during standing.
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