Carotid Baroreceptor Magnetic Activation and Beat-to-Beat Blood Pressure Variability, Implications to Treat Abrupt Blood Pressure Elevation in Labile Hypertension

被引:3
作者
Gmitrov, Juraj [1 ]
机构
[1] Agel SK Inc, Diabetol Clin, Krompachy Hosp, Krompachy, Slovakia
关键词
arterial baroreflex sensitivity; microcirculation; static magnetic field; very short-term blood pressure variability; cardiovascular risk; HEART-RATE-VARIABILITY; NITRIC-OXIDE; BAROREFLEX SENSITIVITY; FIELD EXPOSURE; SINOCAROTID BARORECEPTORS; CEREBROVASCULAR-DISEASE; HEMODYNAMIC-RESPONSES; OCCUPATIONAL-EXPOSURE; MORNING SURGE; MICROCIRCULATION;
D O I
10.1002/bem.22425
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Mounting evidence suggests enhanced blood pressure (BP) variability (BPV) independent role in cardiovascular (CV) damage. The goal was to estimate the effect of the carotid baroreceptor (CB) magnetic stimulation on sudden high BP elevation. Mean femoral arterial BP (MAP), heart rate (HR), baroreflex sensitivity (BRS), and ear lobe skin microcirculatory blood flow, by microphotoelectric plethysmography (MPPG), were simultaneously recorded in conscious rabbits sedated by pentobarbital intravenous (i.v.) infusion (5 mg/kg/h) after 40 min CB exposure to 350 mT static magnetic field (SMF), by Nd-2-Fe-14-B magnets (n = 14), or sham magnets exposure (n = 14). BRS was assessed from HR and MAP responses to abrupt hypotension induced by i.v. bolus injections of nitroprusside (Ni) and abrupt MAP elevation (MAP(AE)) by i.v. bolus of phenylephrine (Ph). Beat-to-beat BPV was estimated by MAP standard deviation. SMFC B exposure significantly increased BRSNi (74.5 +/- 17.8%, P < 0.001) and microcirculation (23.8% +/- 11.0%, P = 0.039); decreased MAP (-5.7 +/- 1.7%, P < 0.014) and phenylephrine-induced MAP(AE) (-19.1%, P = 0.043). MAP(AE) positively correlated with resting MAP (r = 0.342, P = 0.0383) and MAP SD (r = 0.383, P = 0.0194), and inversely with BRSPh (r = -0.47, P = 0.0156). SMF CB exposure enhanced the nitroprusside, which acts by releasing nitric oxide (NO), vasodilatory effect. This indicates arterial baroreflex to improve vessel sensitivity to NO, which is a new physiology with BP buffering effect. A positive correlation of MAP SD to phenylephrine BP ramps suggests a causal relationship and BPV prognostic significance to forecast abrupt BP elevation. Mechano/baroreceptor magnetosensing property proposed to be the basic physiology by which SMFs boost CV autonomic regulation with potential implementation in high CV risk labile arterial hypertensive disease. (C) 2022 Bioelectromagnetics Society.
引用
收藏
页码:413 / 425
页数:13
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