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Received March 6, 2007
Revised April 2, 2007
Accepted after revision May 3, 2007
1 Colorado State University
2 Heart Center of the Rockies
* To whom correspondence should be addressed. E-mail: fdinenno{at}cahs.colostate.edu.
We tested the hypothesis that mechanical deformation of
forearm blood vessels via acute increases in
extravascular pressure elicits rapid vasodilatation in
humans. In healthy adults, we measured forearm blood
flow (Doppler ultrasound) and calculated forearm
vascular conductance (FVC) responses to whole forearm
compressions and isometric muscle contractions with the
arm above heart level. We used several experimental
protocols to gain insight into how mechanical factors
contribute to contraction-induced rapid vasodilatation.
The findings from the present study clearly indicate
that acute increases in extravascular pressure (200 mmHg
for 2 sec) elicit a significant rapid vasodilatation in
the human forearm (peak
FVC ~155%). Brief, 6
second sustained compressions evoked the greatest
vasodilatation (
FVC ~260%), whereas the
responses to single (2 sec) and repeated compressions (5
repeated 2 sec compressions) were not significantly
different (
FVC ~155% vs ~115%, respectively).
This mechanically-induced vasodilatation peaks within 1-2 cardiac cycles, and thus is dissociated from the temporal pattern normally observed in response to brief muscle contractions (~4-7 cardiac cycles). A non-linear relation was found between graded increases in extravascular pressure and both the immediate and peak rapid vasodilatory response, such that the responses increased sharply from 25 to 100 mmHg, with no significant further dilatation until 300 mmHg (maximal
FVC ~185%). This was in contrast to the linear intensity-dependent relation observed with muscle contractions. Our collective findings indicate that mechanical influences contribute largely to the immediate vasodilatation (first cardiac cycle) observed in response to a brief, single contraction. However, it is clear that there are additional mechanisms related to muscle activation that continue to cause and sustain vasodilatation for several more cardiac cycles post-contraction. Additionally, the potential contribution of mechanical influences to the total contraction-induced hyperaemia appears greatest for low to moderate intensity single muscle contractions, and this contribution becomes less significant for sustained and repeated contractions. Nevertheless, this mechanically-induced vasodilatation could serve as a feedforward mechanism to increase muscle blood flow at the onset of exercise, as well as to changes in contraction intensity, prior to alterations in local vasodilating substances that influence vascular tone.
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