IntroductionComplete spinal cord injury (SCI) above the T3 spinal level is associated impaired left ventricular (LV) systolic function. However, the effect on diastolic structure and function has yet to be examined. Furthermore, high thoracic SCI impairs centrally‐derived cardiovascular responses to postural change, leading to the development of orthostatic hypotension (OH) post‐SCI. While it has been demonstrated that these frequent bouts of OH cause impairments in cerebrovascular function, it is not known whether this hemodynamic instability also impairs cardiac function.MethodsThis study examined the effect of SCI on LV systolic and diastolic function in the presence or absence of daily bouts of acutely induced OH. 22 rats were divided into four groups: 1. Rats with a sham injury and no daily OH (SHAM, n=5), 2. Rats with a sham injury and daily induced OH (SHAM‐OH, n=6), 3. Rats with a complete T3 transection injury and daily induced OH (T3‐OH, n=5), 4. Rats with a complete T3 transection and no daily OH (T3‐SCI, n=6). 9 weeks after surgery, LV pressure‐volume (PV) catheterization was performed to assess LV basal PV indices, as well as cardiac contractility and stiffness. Furthermore, the coupling of the arterial system and the left ventricle was characterized to examine the influence of SCI and/or OH on the efficiency of the interaction between the LV and arterial system.ResultsCompared to both SHAM and SHAM‐OH, the T3‐SCI and T3‐OH groups experienced significant reductions in systolic blood pressure, LV stroke work and cardiac output (all p<0.023). The T3‐OH group demonstrated an increase in arterial elastance compared to both the SHAM‐OH and SHAM groups (p<0.014). T3‐SCI and T3‐OH groups exhibited reduced end‐systolic elastance compared to both SHAM and SHAM‐OH (p<0.04). No difference was found in LV stiffness between the four groups. Finally, the ratio of ventricular‐vascular coupling was found to be significantly increased in the T3‐OH group compared to all other groups (all P<0.019).ConclusionComplete high thoracic and cervical SCI causes a reduction in LV contractile function. Combined high thoracic SCI and daily OH impairs ventricular‐vascular coupling via changes in arterial compliance.Support or Funding InformationHeart and Stroke Foundation of Canada (HSFC), International Collaborations on Repair Discoveries (ICORD), Natural Sciences and Engineering Research Council of Canada (NSERC), Blusson Integrated Cures Partnership (BICP).This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.