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Lower body negative pressure: A test of cardiovascular autonomic function
Author(s) -
Patel Akash R.,
Engstrom Jennifer E.,
Tusing Lora D.,
McNeeley Kevin J.,
Chelimsky Thomas C.
Publication year - 2001
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.1030
Subject(s) - heart rate , blood pressure , medicine , lower body , autonomic function , valsalva maneuver , cardiology , autonomic nervous system , heart rate variability , anesthesia
Lower body negative pressure (LBNP) may provide an alternative test of cardiovascular autonomic function for patients unable to perform the Valsalva maneuver (VM). LBNP at −40 mmHg for 30 s was compared to the VM at 40 mmHg for 15 s with heart rate and blood pressure measured continuously in three age groups: 10–25 years; 26–40 years; and 41–55 years. Heart rate and blood pressure responses were comparable, with moderately diminished changes in blood pressure and heart rate in the LBNP test. When heart response to LBNP was converted to a ratio similar to that calculated for the VM, a high degree of correlation was found ( R 2 = 0.5711). The LBNP test shows promise as an alternative test of cardiovascular autonomic function based on studies in normal subjects. The less marked changes may relate to the more passive nature of the applied stress. Future work should improve the device's accessibility and establish values for patients with autonomic disorders. © 2001 John Wiley & Sons, Inc. Muscle Nerve 24: 481–487, 2001