Short-term variability of blood pressure: effects of lower-body negative pressure and long-duration bed rest

Aletti F, Ferrario M, Xu D, Greaves DK, Shoemaker JK, Arbeille P, Baselli G, Hughson RL. Short-term variability of blood pressure: effects of lower body negative pressure and long-duration bed rest. Am J Physiol Regul Integr Comp Physiol 303: R77-R85, 2012. First published May 2, 2012; doi:10.1152/ajpregu.00050.2012.-Mild lower-body negative pressure (LBNP) has been utilized to selectively unload cardiopulmonary baroreceptors, but there is evidence that arterial baroreceptors can be transiently unloaded after the onset of mild LBNP. In this paper, a black box mathematical model for the prediction of diastolic blood pressure (DBP) variability from multiple inputs (systolic blood pressure, R-R interval duration, and central venous pressure) was applied to interpret the dynamics of blood pressure maintenance under the challenge of LBNP and in long-duration, head-down bed rest (HDBR). Hemodynamic recordings from seven participants in the WISE (Women's International Space Simulation for Exploration) Study collected during an experiment of incremental LBNP (-10 mmHg, -20 mmHg, -30 mmHg) were analyzed before and on day 50 of a 60-day-long HDBR campaign. Autoregressive spectral analysis focused on low-frequency (LF, similar to 0.1 Hz) oscillations of DBP, which are related to fluctuations in vascular resistance due to sympathetic and baroreflex regulation of vasomotor tone. The arterial baroreflex-related component explained 49 +/- 13% of LF variability of DBP in spontaneous conditions, and 89 +/- 9% (P < 0.05) on day 50 of HDBR, while the cardiopulmonary baroreflex component explained 17 +/- 9% and 12 +/- 4%, respectively. The arterial baroreflex-related variability was significantly increased in bed rest also for LBNP equal to -20 and -30 mmHg. The proposed technique provided a model interpretation of the proportional effect of arterial baroreflex vs. cardiopulmonary baroreflex-mediated components of blood pressure control and showed that arterial baroreflex was the main player in the mediation of DBP variability. Data during bed rest suggested that cardiopulmonary baroreflex-related effects are blunted and that blood pressure maintenance in the presence of an orthostatic stimulus relies mostly on arterial control.