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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Heart+Circ+Physiol
2016 ; 311
(5
): H1170-H1179
Nephropedia Template TP
gab.com Text
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Arterial baroreflex control of sympathetic nerve activity and heart rate in
patients with type 2 diabetes
#MMPMID27591221
Holwerda SW
; Vianna LC
; Restaino RM
; Chaudhary K
; Young CN
; Fadel PJ
Am J Physiol Heart Circ Physiol
2016[Nov]; 311
(5
): H1170-H1179
PMID27591221
show ga
Despite greater blood pressure reactivity to acute cardiovascular stressors and a
higher prevalence of hypertension in type 2 diabetes (T2D) patients, limited
information is available regarding arterial baroreflex (ABR) control in T2D. We
hypothesized that ABR control of muscle sympathetic nerve activity (MSNA) and
heart rate (HR) are attenuated in T2D patients. Seventeen T2D patients (50 ± 2
yr; 31 ± 1 kg/m(2)), 9 weight-matched controls (WM-CON, 46 ± 2 yr; 32 ± 2
kg/m(2)) and 10 lean controls (Lean-CON, 49 ± 3 yr; 23 ± 1 kg/m(2)), underwent
bolus infusions of sodium nitroprusside (100 ?g) followed 60 s later by
phenylephrine (150 ?g) and weighted linear regression performed. No group
differences in overall sympathetic baroreflex gain were observed (T2D: -2.5 ± 0.3
vs. WM-CON: -2.6 ± 0.2 vs. Lean-CON: -2.7 ± 0.4 arbitrary units·beat·mmHg(-1), P
> 0.05) or in sympathetic baroreflex gain when derived separately during blood
pressure (BP) falls (nitroprusside) and BP rises (phenylephrine). In contrast,
overall cardiac baroreflex gain was reduced in T2D patients compared with
Lean-CON (T2D: 8.2 ± 1.5 vs. Lean-CON: 15.6 ± 2.9 ms·mmHg(-1), P < 0.05) and also
tended to be reduced in WM-CON (9.3 ± 1.9 ms·mmHg(-1)) compared with Lean-CON (P
= 0.059). Likewise, during BP rises, cardiac baroreflex gain was reduced in T2D
patients and weight-matched controls compared with lean controls (P < 0.05),
whereas no group differences were found during BP falls (P > 0.05). Sympathetic
and cardiac ABR gains were comparable between normotensive and hypertensive T2D
patients (P > 0.05). These findings suggest preserved ABR control of MSNA in T2D
patients compared with both obese and lean age-matched counterparts, with a
selective impairment in ABR HR control in T2D that may be related to obesity.
|Adult
[MESH]
|Arteries/physiopathology
[MESH]
|Baroreflex/*drug effects
[MESH]
|Blood Pressure/drug effects
[MESH]
|Case-Control Studies
[MESH]
|Diabetes Mellitus, Type 2/complications/*physiopathology
[MESH]