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J Physiol Volume 548, Number 3, 666-, May 1, 2003 DOI: 10.1113/jphysiol.2003.040535
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J Physiol (2003), 548.3, p. 666
© Copyright 2003 D 2003 The Physiological Society
DOI: 10.1113/jphysiol.2003.040535

Has the phoenix risen?

Marc P. Kaufman

Division of Cardiovascular Medicine, University of California, Davis, Davis, CA 95616, USA

Both static and dynamic exercise increase the activity of postganglionic sympathetic fibres innervating the vasculature of limb muscles. This increase in sympathetic activity is believed to serve two purposes. The first is to increase perfusion pressure in the vessels supplying exercising muscles, and the second is to counter excessive vasodilatation in muscles where metabolism is greatly increased over resting levels. Two neural mechanisms have been investigated as the cause of the exercise-induced increase in muscle sympathetic nerve activity (MSNA). The first is the exercise pressor reflex (Mitchell et al. 1983), which arises from both mechanical and metabolic stimuli in the contracting muscles. The second is central command, which is defined as the parallel activation of motor, autonomic and ventilatory neuronal circuits in the brainstem. Central command does not depend on sensory input from exercising muscles (Eldridge et al. 1985).




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