Acute Cardiovascular Responses Research Articles

Effects of Resistance Exercise with and without Blood Flow Restriction on Acute Hemodynamic Responses: A Systematic Review and Meta-Analysis.

Low-load intensity resistance exercise with blood flow restriction (BFR) is an alternative method for enhancing strength and muscle mass. However, acute cardiovascular responses to a complete training session remain uncertain compared to high-load intensity resistance exercise (HI). Therefore, the objective of this study to examine acute and post-exercise hemodynamic responses to low-load BFR and HI protocols. This systematic review and meta-analysis (RD42022308697) followed PRISMA guidelines to investigate whether the responses of heart rate (HR), blood systolic (SBP), blood diastolic pressure (DBP), and rate pressure product (RPP) immediately after and up to 60 min post-exercise from BFR were consistent with those reported after resistance exercises performed at HI in healthy individuals. Searches using PICO descriptors were conducted in databases from January 2011 to December 2023, and effect sizes were determined by Hedge's g. The selected studies involved 160 participants in nine articles, for which the responses immediately after BFR and HI exercises showed no differences in HR (p = 0.23) or SBP (p = 0.57), but significantly higher DBP (p < 0.01) and lower RPP (p < 0.01) responses were found when comparing BFR to HI. Furthermore, the BFR and HI protocols showed no differences regarding SBP (p = 0.21) or DBP (p = 0.68) responses during a 15 to 60 min post-exercise period. Thus, these results indicated that hemodynamic responses are similar between BFR and HI, with a similar hypotensive effect up to 60 min following exercise.

Acute cardiovascular and muscular response to rowing ergometer exercise in artificial gravity – a pilot trial

Prolonged immobilization and spaceflight cause cardiovascular and musculoskeletal deconditioning. Combining artificial gravity through short-arm centrifugation with rowing exercise may serve as a countermeasure. We aimed to compare the tolerability, muscle force production, cardiovascular response, and power output of rowing on a short-arm centrifuge and under terrestrial gravity. Twelve rowing athletes (4 women, aged 27.2 ± 7.4 years, height 179 ± 0.1 cm, mass 73.7 ± 9.4 kg) participated in two rowing sessions, spaced at least six weeks apart. One session used a short-arm centrifuge with +0.5 Gz, while the other inclined the rowing ergometer by 26.6° to mimic centrifugal loading. Participants started self-paced rowing at 30 W, increasing by 15 W every three minutes until exhaustion. We measured rowing performance, heart rate, blood pressure, ground reaction forces, leg muscle activation, and blood lactate concentration. Rowing on the centrifuge was well-tolerated without adverse events. No significant differences in heart rate, blood pressure, or blood lactate concentration were observed between conditions. Inclined rowing under artificial gravity resulted in lower power output (−33%, p < 0.001) compared to natural gravity, but produced higher mean and peak ground reaction forces (p < 0.0001) and increased leg muscle activation. Muscle activation and ground reaction forces varied with rotational direction. Rowing in artificial gravity shows promise as a strategy against cardiovascular and muscular deconditioning during long-term spaceflight, but further investigation is required to understand its long-term effects.

Comparison of Acute Physiological Responses to Different Passive Heating Modalities

The repeated use of passive heating has gained popularity as a therapeutic approach toward promoting health and wellness. Passive heating elicits a rise in core body temperature and subsequent cardiovascular demand that can result in physiological adaptations beneficial to health. Hot water immersion, traditional sauna, and far-infrared sauna are three common modalities of passive heating; however, current literature lacks a direct comparison between these modalities. The purpose of this study is to characterize and compare the acute thermoregulatory and cardiovascular responses to a single bout of hot water immersion (HWI), traditional sauna (TRAD), and far-infrared sauna (FIR). We hypothesized that HWI will induce more pronounced thermoregulatory and cardiovascular responses when compared to both TRAD and FIR. In a randomized cross-over study design, nineteen healthy adults (9 F; age 24±4 years; body mass index 26.47±5 kg/m2) completed three bouts of acute passive heating: HWI (45 minutes at 40°C), TRAD (3x10 minutes at 80°C, separated by 5 min of thermoneutral rest), and FIR (45 minutes at 45-65°C) separated by at least 1 week. These temperatures and durations were chosen based on previous research and reflect typical use of these modalities. Measurements of arterial pressure, core temperature (Tc), and heart rate (HR) were collected at pre-heating baseline and at 5-min intervals during passive heating. Cardiac output (Q) was measured before, halfway, and at the end of heating using the open-circuit acetylene wash-in method. Mean arterial pressure (MAP) was calculated as 1/3 systolic + 2/3 diastolic and stroke volume (SV) and systemic vascular resistance (SVR) were calculated by Q/HR and MAP/Q. Data were analyzed using one-way ANOVAs to compare the changes from baseline to end of heating and are presented as mean with 95% confidence intervals. The change in Tc from baseline to end of heating was greater in HWI [+1.1°C (1.0, 1.3)] vs TRAD [+0.4°C (0.2, 0.6), p&lt;0.0001], HWI vs FIR [+0.1°C (-0.1,0.2), P &lt;0.0001], and TRAD vs FIR (P=0.0291). The increase in HR was greater in HWI [+39 bpm (35, 43)] vs. FIR [+26 bpm (21, 32), P=0.0017], with no differences in HWI vs. TRAD [+34 bpm (28, 40), P=0.4247] or TRAD vs. FIR (P=0.0793). Cardiac output increased to a greater extent in HWI [+3.9 L (3.3, 4.4)] vs. TRAD [+2.4 L (1.8, 2.9), P=0.0003)] and HWI vs. FIR [+1.7 L (1.2, 2.1), p&lt;0.0001], with no difference between TRAD vs FIR (P=0.1379). MAP decreased in HWI [-14 mmHg (-20, -9)] vs TRAD [-3 mmHg (-8, 1), P=0.0058] and HWI vs FIR [-0.5 mmHg (-5, 4), P=0.0003], with no difference between TRAD vs FIR (P= 0.7506). Conclusion: A single bout of HWI elicits the greatest thermoregulatory challenge and cardiovascular strain compared to both TRAD and FIR. Funded by American Heart Association (19TPA34890033) and NIH (R01HL144128). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Effects of Acute and Chronic Gabapentin Treatment on Cardiovascular Function of Rats

Gabapentin (GBP), a GABA analogue, is primarily used as an anticonvulsant to treat partial seizures and neuropathic pain. While a majority of the side effects are associated with the nervous system, emerging evidence suggests a high risk for heart disease in the patients taking GBP. Given GBP can bind with high affnity to the α2δ subunits of voltage-gated Ca2+ channels (VGCCs) to block Ca2+ influx of cardiomyocytes, we hypothesize GBP suppresses cardiac function by evoking calcium signaling dysfunction. By using a preclinical rat model treated with GBP, we investigated (1) the acute cardiovascular responses to GBP (bolus i.v. injection; 50 mg/kg, 100 mg/ml x 0.1 ml in 3 min) and (2) the effects of chronic GBP treatment (i.p. 100 mg/kg/day x 7 days) on cardiovascular function and the myocardial proteome. Under isoflurane-anesthesia, blood pressure (BP), heart rate (HR), and left ventricular (LV) hemodynamics of the rats were measured using two Millar pressure transducers; one was implanted in abdominal aorta via right femoral artery, and the another was implanted in the LV chamber via right carotid artery. The LV myocardium was analyzed by proteomics, bioinformatics, and western blot to explore the molecular mechanisms underlying GBP-induced cardiac dysfunction, with the brain cortex used as a control tissue. In experiment (1), we found that i.v. GBP treatment significantly decreased BP, HR, maximal LV pressure, and maximal and minimal dP/dt, whereas it increased IRP-AdP/dt, Tau, systolic, diastolic, and cycle durations (*p &lt; 0.05 and **p &lt; 0.01 vs baseline; n = 4/group). This cardiovascular inhibition started at the injection time point and lasted at least 60 min, with a maximal effect appearing at 30 min post injection. In experiment (2), we found that chronic GBP treatment resulted in hypotension, bradycardia, and LV systolic dysfunction, with no change in plasma norepinephrine. In the myocardium of these rats, we used mass spectra to identify 109 differentially expressed proteins involved in calcium pathways, cholesterol metabolism, and galactose metabolism. Particularly, we found that calmodulin, a key protein of intracellular calcium signaling, was significantly upregulated by GBP in the heart but not in the brain, suggesting a myocardium-specific dysregulation of calcium signaling pathway, which may play a critical role in GBP-induced cardiac inhibition. Subsequent bioinformatics assays revealed a reduced Ca2+ release of sarcoplasmic reticulum (SR) and increased electrophoretic Ca2+ uptake into the matrix of mitochondria in the hearts of GBP-treated rats. In summary, we found that acute and chronic GBP treatments suppressed cardiovascular function in rats, which is attributed to abnormal calcium signaling in cardiomyocytes where GBP binds to VGCCs to reduce extracellular Ca2+ influx and cytosolic Ca2+ release from SR, resulting in blockage of excitation-contraction coupling. These data reveal a novel side effect of GBP independent of the nervous system, providing important translational evidence to suggest that GBP can evoke adverse cardiovascular events by depression of myocardial function. This project is funded by NIH R01 HL 160820. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

The effect of underwater massage during hot water immersion on acute cardiovascular and mood responses

PurposeThere is emerging evidence that demonstrates the health benefits of hot water immersion including improvements to cardiovascular health and reductions in stress and anxiety. Many commercially available hot tubs offer underwater massage systems which purport to enhance many benefits of hot water immersion, however, these claims have yet to be studied. MethodsTwenty participants (4 females) completed three, 30-min sessions of hot-water immersion (beginning at 39 °C) in a crossover randomized design: with air massage (Air Jet), water massage (Hydro Jet) or no massage (Control). Cardiovascular responses comprising; heart rate, blood pressure and superficial femoral artery blood flow and shear rate were measured. State trait anxiety, basic affect, and salivary cortisol were recorded before and after each trial. Data were analysed using a mixed effects model. ResultsPost immersion, heart rate increased (Δ31bpm, P < 0.001, d = 1.38), mean arterial blood pressure decreased (Δ16 mmHg, P < 0.001, d = −0.66), with no difference between conditions. Blood flow and mean shear rate increased following immersion (P < 0.001, Δ362 ml/min, d = 1.20 and Δ108 s−1, d = 1.00), but these increases were blunted in the Air Jet condition (P < 0.001,Δ171 ml/min, d = 0.43 and Δ52 s−1, d = 0.52). Anxiety and salivary cortisol were reduced (P = 0.003, d = −0.20, P = 0.014, d = −0.11), but did not vary between conditions. Enjoyment did not vary between conditions. ConclusionThese data demonstrate positive acute responses to hot water immersion on markers of cardiovascular function, anxiety, and stress. There was no additional benefit of water-based massage, while air-based massage blunted some positive vascular responses due to lower heat conservation of the water.

Abstract MP64: Cardiovascular Responses to Occupational Physical Activity Are Exaggerated by Work-Related Stress and Low Fitness

Introduction: Proposed mechanisms explaining the link between high occupational physical activity (OPA) and cardiovascular disease hypothesize that high work-related stress and low worker fitness may exacerbate cardiovascular responses to OPA. Hypothesis: Direct associations between OPA and acute cardiovascular responses will be stronger under high work-related stress and in workers with lower fitness. Methods: 19 male workers (age=46.6±7.9, 68.4% White) with high OPA jobs were observed for seven days. Steps, light (LPA), and moderate-to-vigorous physical activity (MVPA) during work were measured using a thigh-worn activPAL3 micro, hip-worn Actigraph GT3X-BT, and time-use diary. Heart rate (HR) was measured continuously with a Polar chest strap. 24-hour blood pressure (BP) was measured using an ambulatory BP monitor on one workday. Rate-pressure product (RPP), an indirect measure of cardiac workload, was calculated as systolic BP x HR. Daily work-related stress was measured with the Stress in General Scale (scores=-3-21 where higher scores indicate more stress). Worker fitness was estimated as VO 2 max (ml·kg -1 ·min -1 ) using a submaximal treadmill test. Effect modification by stress and fitness on the associations between OPA and RPP was examined using mixed effects models with interaction terms. Results: Work-related stress was directly associated with 24-hour RPP (β=94.10 mmHg*bpm/stress point, p=0.024) while worker fitness was not (β=-33.0 mmHg*bpm/VO 2 max, p=0.561). Direct association between RPP and occupational MVPA were stronger with higher work-related stress and lower fitness (Table 1, p-for-interaction&lt;0.05 for all). Lower intensity OPA (steps and LPA) were also associated with exacerbated RPP responses outside of work with higher work-related stress (Table 1, p-for-interaction&lt;0.001 for all). Conclusions: OPA performed under high stress or by workers with low fitness may exaggerate cardiovascular responses and contribute to OPA's paradoxical cardiovascular health associations.

The athlete's heart: allometric considerations on published papers and relation to cardiovascular variables.

To evaluate the morphology of the "athlete's heart", left ventricular (LV) wall thickness (WT) and end-diastolic internal diameter (LVIDd) at rest were addressed in publications on skiers, rowers, swimmers, cyclists, runners, weightlifters (n = 927), and untrained controls (n = 173) and related to the acute and maximal cardiovascular response to their respective disciplines. Dimensions of the heart at rest and functional variables established during the various sport disciplines were scaled to body weight for comparison among athletes independent of body mass. The two measures of LV were related (r = 0.8; P = 0.04) across athletic disciplines. With allometric scaling to body weight, LVIDd was similar between weightlifters and controls but 7%-15% larger in the other athletic groups, while WT was 9%-24% enlarged in all athletes. The LVIDd was related to stroke volume, oxygen pulse, maximal oxygen uptake, cardiac output, and blood volume (r = ~ 0.9, P < 0.05), while there was no relationship between WT and these variables (P > 0.05). In conclusion, while cardiac enlargement is, in part, essential for the generation of the cardiac output and thus stroke volume needed for competitive endurance exercise, an enlarged WT seems important for the development of the wall tension required for establishing normal arterial pressure in the enlarged LVIDd.

Effects of Acute and Chronic Gabapentin Treatment on Cardiovascular Function of Rats.

Gabapentin (GBP), a GABA analogue, is primarily used as an anticonvulsant for the treatment of partial seizures and neuropathic pain. Whereas a majority of the side effects are associated with the nervous system, emerging evidence suggests there is a high risk of heart diseases in patients taking GBP. In the present study, we first used a preclinical model of rats to investigate, firstly, the acute cardiovascular responses to GBP (bolus i.v. injection, 50 mg/kg) and secondly the effects of chronic GBP treatment (i.p. 100 mg/kg/day × 7 days) on cardiovascular function and the myocardial proteome. Under isoflurane anesthesia, rat blood pressure (BP), heart rate (HR), and left ventricular (LV) hemodynamics were measured using Millar pressure transducers. The LV myocardium and brain cortex were analyzed by proteomics, bioinformatics, and western blot to explore the molecular mechanisms underlying GBP-induced cardiac dysfunction. In the first experiment, we found that i.v. GBP significantly decreased BP, HR, maximal LV pressure, and maximal and minimal dP/dt, whereas it increased IRP-AdP/dt, Tau, systolic, diastolic, and cycle durations (* p < 0.05 and ** p < 0.01 vs. baseline; n = 4). In the second experiment, we found that chronic GBP treatment resulted in hypotension, bradycardia, and LV systolic dysfunction, with no change in plasma norepinephrine. In the myocardium, we identified 109 differentially expressed proteins involved in calcium pathways, cholesterol metabolism, and galactose metabolism. Notably, we found that calmodulin, a key protein of intracellular calcium signaling, was significantly upregulated by GBP in the heart but not in the brain. In summary, we found that acute and chronic GBP treatments suppressed cardiovascular function in rats, which is attributed to abnormal calcium signaling in cardiomyocytes. These data reveal a novel side effect of GBP independent of the nervous system, providing important translational evidence to suggest that GBP can evoke adverse cardiovascular events by depression of myocardial function.

Comparison Of Acute Cardiovascular And Thermoregulatory Responses To Differentpassive Heating Modalities

Comparison Of Acute Cardiovascular And Thermoregulatory Responses To Differentpassive Heating Modalities

Acute and chronic cardiovascular responses to concentric and eccentric exercise in older adults with knee osteoarthritis

PurposeMuscle contraction type in resistance exercise training may confer benefits besides strength in individuals with osteoarthritis and cardiovascular disease (CVD) risks. The purpose of the study was to explore whether Eccentric-resistance training (RT) improved hemodynamic responses to acute walking exercise stress compared to Concentric-RT among individuals with knee OA over four months.MethodsThis was a secondary analysis from a randomized, controlled, single-blinded study. Participants (N = 88; 68.3 ± 6.4 yrs; 67.4% female) were randomized to one of two work-matched resistance training (RT) programs against a non-RT control group. Pre-training and month four, participants completed a self-paced Six-Minute Walk Test (6MWT) and progressive treadmill exercise test. Heart rates, blood pressures and mean arterial pressures (MAP) were captured during each test. Antihypertensive medications use was documented at each time point.ResultsLeg strength improved in both training groups by month four (p < .05). Changes in 6MWT distance and progressive treadmill test time were not different across groups over four months. Neither Concentric or Eccentric RT produced different hemodyamic responses during the 6MWT compared to the control group post-training. However, Concentric RT was associated with 6.0%-7.4% reductions in systolic blood pressure during the graded treadmill walking test at 50%, 75% and 100% of the test time compared to Eccentric RT and the controls (p = .045). MAP values were lower at 75% and 100% of the treadmill test after Concentric RT (5.7%-6.0% reductions) compared to Eccentric RT (1.0%-2.4% reductions) and controls (1.5% and 4.0% elevations) post-training (p = .024). Antihypertensive medication use did not change in any group.ConclusionsThe repeated, progressive exposures of Concentric RT-induced blunted the hypertensive responses to acute exercise compared to Eccentric-RT. Among people with knee OA, Concentric-RT may confer strength benefits to manage OA and possibly reduce cardiovascular stress during exercise.

Impact of traffic-related air pollution on the blood pressure response to exercise in individuals with hypertension

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): Natural Sciences and Engineering Research Council of Canada and B.C. Sports &amp; Exercise Medicine Research Foundation. Background The epidemiologic evidence suggests that the health benefits of exercise in healthy adults outweigh the adverse effects of air pollution in all but the most extreme concentrations. However, no studies have examined the acute response to exercise in air pollution in individuals with hypertension, a subgroup particularly susceptible to the cardiovascular effects of air population. Purpose The purpose of this study was to determine the impact of traffic-related air pollution on the acute cardiovascular response to exercise in patients with hypertension. We hypothesized that exposure to higher levels of traffic-related air pollution during exercise would attenuate, but not eliminate, acute post-exercise reductions in blood pressure and arterial stiffness. Methods Fourteen patients with hypertension (62.4±6.8 years; 81% male) completed a real-world, randomized, crossover study. Two 30-minute exercise bouts at 40-59% heart rate reserve were performed: once along a commercial street (high traffic) and once in an urban plaza (low traffic). Blood pressure (BP) and arterial stiffness (i.e., carotid-femoral pulse wave velocity [cfPWV]) were examined prior to, 30 minutes after, and 2 hours following exercise. 24-hour ambulatory BP monitoring was immediately completed following each visit. Black carbon, noise, relative humidity, and temperature were measured during each exercise bout (Figure 1). Results No differences were found for baseline cardiovascular measures between high and low traffic visits. At 30 minutes and 2 hours post-exercise, systolic BP was significantly reduced relative to baseline in the low-traffic condition only; diastolic BP was not significantly reduced at any timepoint. Based on linear mixed-effects analyses, exercising at the low traffic site was associated, relative to the high traffic site, with a significant (p = 0.04) reduction in systolic BP (-4.30 mm Hg [95% CI -8.09 to -0.54]) up to 2 hours following exercise after adjusting for exercise intensity, temperature, and noise; no differences were found for diastolic BP (-1.56 mm Hg [95% CI -4.87 to 1.83], p = 0.39). Each interquartile increase in black carbon (1168 ng/m³) was significantly associated with a 2.33 mm Hg (95% CI 0.37 to 4.17) increase in systolic BP up to 2 hours following exercise. No associations were observed between traffic site and BP for any ambulatory periods (i.e., 24-hour average, daytime, nighttime, or evening). The acute cfPWV response to exercise was also similar between traffic sites (p &amp;gt; 0.05). Conclusion Our findings suggest that exposure to traffic-related air pollution during exercise may adversely impact the beneficial short-term BP response to exercise in patients with hypertension. While the long-term implications of these changes to the acute BP response to exercise must be further explored, patients with hypertension can employ the prudent strategy of maximizing their distance from major roadways when exercising.

Cardiovascular and Perceptual Responses to Resistance Training with Practical Blood Flow Restriction Induced by a Non-Elastic Band vs. Pneumatic Cuff: A Crossover Randomized Study.

Our purpose in this study was to analyze perceptual and cardiovascular responses in low-load resistance training (RT) sessions associated with a fixed non-elastic band compressed to the proximal region of the arms (p-BFR) versus a pneumatic cuff inflated to a pressure of 150 mmHg (t-BFR). Participants (16 healthy trained men) were randomly assigned to two conditions of low-load RT (20% one repetition maximum [1RM]) with BFR (p-BFR or t-BFR). In both conditions, the participants performed five exercises (4 sets/30-15-15-15) for the upper-limbs, but in one of the conditions, the exercises were performed with a p-BFR induced by a non-elastic band, while in the other, the exercises were performed with a t-BFR using a device with similar width. The devices used to generate the BFR had similar widths (5cm). Brachial blood pressure (bBP) and heart rate (HR) were measured before, after each exercise and after the experimental session (5-, 10-, 15-, and 20min post-session). Rating of perceived exertion (RPE) and rating of pain perception (RPP) were reported after each exercise and 15minutes post-session. HR increased during the training session in both conditions, with no differences between p-BFR and t-BFR. Neither intervention increased diastolic BP (DBP) during training, but there was a significant post-session reduction in DBP in the p-BFR, with no differences observed between conditions. There were no significant differences in RPE and RPP in the two training conditions, with both conditions associated with higher RPE and RPP at the end versus beginning of the experimental session. We conclude that when BFR device width and material are similar, low-load training with t-BFR and p-BFR promotes similar acute perceptual and cardiovascular responses in healthy trained men.

Past strong experiences determine acute cardiovascular autonomic responses to acoustic stress

Stress is a major risk factor for cardiovascular (CV) disease. We hypothesized that past strong experiences might modulate acute CV autonomic responses to an unexpected acoustic stimulus. A i m: The study's aim was to compare acute CV autonomic responses to acoustic stress between students with and without a past strong experience associated with the acoustic stimulus. Twenty five healthy young volunteers - medical and non-medical students - were included in the study. CV hemodynamic parameters, heart rate (HR), and blood pressure (BP) variability were assessed for 10 min at rest and for 10 min after two different acoustic stimuli: a standard sound signal and a specific sound signal used during a practical anatomy exam (so-called "pins"). Both sounds stimulated the autonomic nervous system. The "pins" signal caused a stronger increase in HR in medical students (69 ± 10 vs. 73 ± 13 bpm, p = 0.004) when compared to non-medical students (69 ± 6 vs. 70 ± 10, p = 0.695). Rises in diastolic BP, observed 15 seconds after sound stressors, were more pronounced after the "pins" sound than after the standard sound signal only in medical students (3.1% and 1.4% vs. 3% and 4.4%), which was also reflected by low-frequency diastolic BP variability (medical students: 6.2 ± 1.6 vs. 4.1 ± 0.8 ms2, p = 0.04; non-medical students: 6.0 ± 4.3 vs. 4.1 ± 2.6 ms2, p = 0.06). The "pins" sound, which medical students remembered from their anatomy practical exam, provoked greater sympathetic activity in the medical student group than in their non-medical peers. Thus, past strong experiences modulate CV autonomic responses to acute acoustic stress.

Acute cardiovascular responses to unilateral bicep curls with blood flow restriction

Background/ObjectivesA consensus on the acute cardiovascular responses to low intensity (LI) resistance exercise (RE) combined with blood flow restriction (BFR) has not yet been reached. This study was designed to compare acute cardiovascular responses to a single bout of LIRE, high intensity (HI) RE, and LIRE with BFR in physically active young males. MethodsParticipants completed 3 RE sessions in random order, where each session consists of 4 sets of unilateral dumbbell bicep curls. Cardiovascular hemodynamics were measured at baseline and right after each set of RE. ResultsAortic augmentation index (AIx) was significantly higher after set 2,3,4 of RE in LI + BFR session compared to LI session (P < 0.05). Brachial systolic blood pressure (SBP), heart rate (HR), brachial rate pressure product (RPP), and central RPP responses did not differ between LI and LI + BFR sessions (P > 0.05). HI session had a higher central SBP, brachial RPP, central RPP, and aortic AIx compared to LI session after each set of RE (P < 0.05), but not brachial SBP (P > 0.05). ConclusionsTaken together, this study showed that LIRE combined with BFR acutely augmented aortic stiffness, as also observed in HI session, but myocardial oxygen consumption was only higher in HI session when compared to LI session. Thus, although BFR did not exaggerate cardiovascular responses nor cause extra myocardial oxygen consumption, it should be prescribed with caution when control of acute aortic stiffening is necessary during RE.

Cardiovascular responses to isometric handgrip exercise in young adults: Does gender matter?

Background: Substantial physiological and morphological differences between the gender may influence the cardiovascular adaptation and adjustment to static exercise. Aims and Objectives: The aim of the study was to determine gender differences in acute cardiovascular responses to isometric handgrip (IHG) exercise at 30% of maximum voluntary contraction (MVC). Materials and Methods: An observational and cross-sectional study was conducted on 60 apparently healthy young adults of both sexes (M: 30, F: 30) aged between 18 and 22 years. Participants performed IHG exercise at 30% of MVC for 3 min or till fatigue. Systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse rate and oxygen saturation (SpO2) were recorded at rest, 1st min of exercise, at 3rd min of exercise, and 2 min after the end of exercise. Mean arterial pressure (MAP), pulse pressure (PP), and rate pressure product (RPP) were calculated. To find out gender differences, all pre- and post-exercise parameters were compared between the groups using unpaired Student’s t-test with significant P &lt; 0.05 at 95% confidence interval. Results: At rest and during IHG exercise, SBP, DBP, PP, MAP, and RPP were significantly higher in males. While heart rate and SpO2 was not affected by gender during IHG exercise. Conclusion: Research, therapeutic, and diagnostic approaches should take gender differences in physiological cardiovascular adaptation to static exercise into account.

Valuation of emotion underlies cultural variation in cardiovascular stress responses.

Cultural context shapes individuals' valuation of emotions. Although studies have documented cultural differences in beliefs about the utility of negative emotions, little is known about how such cultural valuation is associated with physiological stress responses. In the present work, we examined whether East Asians and European Americans differ in how they value nervousness in a demanding situation and whether such valuation predicts acute cardiovascular responses. We found that East Asians were more likely than European Americans to believe feeling nervous in a demanding situation was useful. Furthermore, greater valuation of negative emotion predicted attenuated cardiovascular responses to a laboratory mental stressor and partially mediated the relationship between culture and cardiovascular stress responses. The present results highlight the importance of valuation of emotions as a psychological mechanism underlying cultural as well as individual differences in stress-evoked cardiovascular responses. We discuss one implication for this line of research, unpacking how cross-cultural differences in valuation of negative emotions may lead to cultural variation in physiological patterns related to health outcomes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Acutemuscular and cardiovascular responses to high load training with pre-exercise blood flow restriction.

The purpose of this study is to examine the acute muscular and cardiovascular responses to applying blood flow restriction (BFR) before high-load training. Forty trained individuals visited the lab on three occasions. On Visit 1, participants completed paperwork and performed strength assessments. During Visits 2 and 3, participants completed four exercise conditions (one in each arm during each visit) as follows: (1) traditional resistance training (TRAD),(2) low load training with BFR (LLBFR),(3) low repetition high load training with pre-exercise BFR (PreBFR),and (4) low repetition traditional training (LRTRAD). Blood pressure, muscle thickness (MT), and isometric strength (ISO) were measured before and after exercise. Data aredisplayed as means (SD). Immediately following exercise, MT in TRAD was greater compared withPreBFR (mean difference = 0.18[0.30] cm, p < 0.001) and LRTRAD (mean difference = 0.28[0.30] cm, p < 0.001). In addition, LLBFR demonstrated greater MT compared withPreBFR (mean difference = 0.24[0.30] cm,p < 0.001]. Immediately following exercise, ISO was lower in TRAD compared withPreBFR (mean difference = 33.8[46.9]N,p < 0.001) and the LRTRAD condition (mean difference = 32.8[50.4]N,p < 0.001). In addition, ISO was lower in LLBFR compared withPreBFR (mean difference = 43.9 [47.4]N,p < 0.001)and LRTRAD (mean difference = 42.9 [43.8]N, p < 0.001). Immediately following exercise, systolic blood pressure was greater in TRAD compared withPreBFR and LRTRAD. The application of BFR before engaging in high-load training does not seem to augment the muscular responses to exercise when compared withtraditional high loads alone; however, it may pose less demand on the cardiovascular system.

Abstract 11674: Acute Effects of Nicotine-Containing Product Challenges on Cardiovascular and Autonomic Function Among Electronic Cigarette Vapers, Combustible Cigarette Smokers, and Controls: The CLUES Study

Background: The acute cardiovascular effects of electronic nicotine delivery devices (ENDs) have not been well-characterized. We hypothesized differences in acute cardiovascular and autonomic function responses to use of ENDS by chronic ENDs users (“vapers”), use of combustible cigarettes by chronic “smokers,” and no product use among non-smoking/non-vaping controls. Methods: CLUES (HL1393301) was a cross-sectional study of 395 individuals: 164 exclusive vapers (exhaled carbon monoxide [CO] &lt;5 ppm, positive urine NicCheck I test), 117 exclusive smokers (CO &gt;5 ppm, positive urine NicCheck), and 114 non-vaping/non-smoking controls (CO &lt;5 ppm, negative urine NicCheck). We measured systolic and diastolic blood pressure (BP), heart rate (HR), brachial artery diameter, and time domain HR variability (root mean square differences in successive normal intervals [RMSSD]; % adjacent normal intervals &gt;50 ms [PNN50]) before and 15’ after a product use challenge. Linear mixed models were created to predict outcome measures from group, time, and group*time with age, sex, and race as covariates, followed by group contrasts via post-hoc t-tests with Bonferroni-corrected p values. Results: Vapers were a mean (SD) 27.4 (10.6) years old (39% female, 86% white) and had vaped for 4.1 (2.7) years. Smokers were 42.8 (13.8) years old (44% female, 56% white) and had smoked for 23.0 (13.0) years. Controls were 30.8 (11.9) years old (50% female, 69% white). Model-adjusted mean (95% CIs) outcomes and p values for between group differences in challenge responses are in the Figure. Compared to controls, vapers had greater increases in systolic BP, diastolic BP, and HR (all p &lt; 0.002) and greater reductions in brachial artery diameter, RMSSD, and PNN50 (all p &lt; 0.003) than controls, with values similar to smokers. Conclusion: Chronic vapers showed acute increases in BP and HR, vasoconstriction, and reductions in time domain HR variability after using ENDS, similar to cigarette use by smokers.

Effect of cold water hardening on the lipid profile, subclinical atherosclerosis, fat distribution, inflammation and other selected parameters of volunteers

Background and Aims : Short time cold water hardening (CWH) is associated with significant acute cardiovascular, metabolic and endocrinological responses. Many mostly observational studies have shown the possitive effect of one-time CWH in sport medicine and rehabilitation. There is however no available study following the long-term effect of repeated CWH on atherogenesis, lipid profile and lipid particles changes, inflammation and fat distribution. This study was aimed to explore the suggested possivite effects.

Autonomic and cardiovascular responses on post-eccentric exercise recovery with blood flow restriction at different loads: Randomized controlled trial

Resistance training with blood flow restriction (BFR) has emerged as an method to gain strength and hypertrophy. However, the autonomic and cardiovascular repercussions of BFR and whether there is a dose-response relationship considering the load of the exercise when applied by means of eccentric contractions are not yet known. The objective was compare acute autonomic and cardiovascular responses following different loads of eccentric exercise with and without BFR. Sixty men were randomized into four groups: low and high load eccentric exercise (LLEE and HLEE); LLEE and HLEE with BFR (LLEE-BFR and HLEE-BFR). The participants underwent a single session of eccentric exercise for the quadriceps muscle in the dynamometer. Cardiovascular repercussions and heart rate variability were analyzed at baseline and for 60 min post-exercise. Variance analysis for a repeated measures model in the two-factor scheme was used with p<0.05. There were no interactions (group vs. moments) for any of the cardiovascular variables and autonomic indices analyzed, and there were no differences between groups. Differences between moments were observed only for the respiratory rate variable in the LLEE-BFR and HLEE-BFR in the first minute of recovery (21.13±5.00 and 21.25±4.55 irpm, respectively) in relation to the baseline (17.07±2.81 and 18.00±2.92 irpm, respectively). Increase in vagal indices was observed in the final moments of recovery for the LLEE-BFR and HLEE-BFR. In conclusion, eccentric exercise with or without BFR with different load was not enough to cause autonomic and cardiovascular imbalance in post-exercise recovery. Clinicaltrials.gov - NCT03942510