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Cardiovascular changes during an isometric contraction combined to a cold pressor test.

Fifteen normotensive male subjects (age, 27.9 +/- 1.3 years) performed isometric contractions (handgrip) at 15, 30 and 50% maximal voluntary contraction respectively for 7, 3 and 1 min. The contractions were sustained with or without a cold pressor test of the same duration (immersion of one foot in water of 5.2 +/- 0.1 degrees C). At rest, under the influence of a cold pressor test for 3 min, the heart rate increased from 74.3 +/- 2.2 to 83.3 +/- 2.1 beats min-1 (P < 0.001) in less than 10 s, and returned to the control value in 3 min; on the contrary, at the end of 3 min of cold pressor test, the systolic blood pressure was still above the control value (135.5 +/- 4.2 and 121.0 +/- 3.2 mmHg, P < 0.001). During the contractions, there was no significant difference between heart rate and systolic blood pressure values obtained with or without cold pressor test. Similarly, there was no significant change in the concentrations of plasma catecholamines. This absence of cardiovascular effect of cold pressor test associated with isometric contraction (for three relative force levels) is probably due to the increasing importance of sympathetic cardiac activation produced by the contraction with respect to that produced by the cold pressor test, the absence of supplementary changes in total peripheral resistance and a partial reciprocal inhibition of pain produced by the simultaneous performance of these two tests.

Adult↗

Muscle afferent contributions to the cardiovascular response to isometric exercise.

The cardiovascular response to isometric exercise is governed by both central and peripheral mechanisms. Both metabolic and mechanical stresses on the exercising skeletal muscle produce cardiovascular change, yet it is often overlooked that the afferent signal arising from the muscle can be modified by factors other than exercise intensity. This review discusses research revealing that muscle fibre type, muscle mass and training status are important factors in modifying this peripheral feedback from the active muscles. Studies in both animals and humans have shown that the pressor response resulting from exercise of muscle with a faster contractile character and isomyosin content is greater than that from a muscle of slower contractile character. Athletic groups participating in training programmes that place a high anaerobic load on skeletal muscle groups show attenuated muscle afferent feedback. Similarly, longitudinal studies have shown that specific local muscle training also blunts the pressor response to isometric exercise. Thus it appears that training may decrease the metabolic stimulation of muscle afferents and in some instances chronic exposure to the products of anaerobic metabolism may blunt the sensitivity of the muscle metaboreflex. There may be surprising parallels between the local muscle conditions induced in athletes training for longer sprint events (e.g. 400 m) and by the low-flow conditions in, for example, the muscles of chronic heart failure patients. Whether their similar attenuations in muscle afferent feedback during exercise are due to decreased metabolite accumulation or to a desensitization of the muscle afferents is not yet known.

Animals↗

Maximal motor unit firing rates during isometric resistance training in men.

This study measured changes in maximal voluntary contraction (MVC) force, percentage maximal activation, maximal surface EMG, M-wave amplitude and average motor unit firing rates during the initial 3 weeks of isometric resistance training of the quadriceps muscle. Ten men participated in a resistance training programme three times a week for 3 weeks and 10 men participated as a control group. In the training group, MVC increased by 35% (from 761 +/- 77 to 1031 +/- 78 N) by the end of the 3 weeks. There were no changes in mean motor unit firing rates during submaximal or maximal voluntary contractions of 50 (15.51 +/- 1.48 Hz), 75 (20.23 +/- 1.85 Hz) or 100% MVC (42.25 +/- 2.72 Hz) with isometric resistance training. There was also no change in maximal surface EMG relative to the M-wave amplitude. However, there was a small increase in maximal activation (from 95.7 +/- 1.83 to 98.44 +/- 0.66%) as measured by the twitch interpolation technique. There were no changes in any of the parameters measured in the control group. It is suggested that mechanisms other than increases in average motor unit firing rates contributed to the increase in maximal force output with resistance training. Such mechanisms may include a combination of increased motor unit recruitment, enhanced protein synthesis, and changes in motor unit synchronization and muscle activation patterns across the quadriceps synergy.

Adult↗

Redistribution of sarcomere length during isometric contraction of frog muscle fibres and its relation to tension creep.

Changes in length of successive 0.5-0.8 mm segments along single muscle fibres of Rana temporaria were recorded during 3 s isometric (fixed fibre ends) tetani at 2.15 and 2.60 micron sarcomere length. The measurements were performed by means of a photo-electric detector system which recorded the distance between opaque markers (ca. 60 microns in width) that were attached to the upper surface of the fibre. The segment length change had an initial rapid phase (1) which coincided with the steep rise of force and a subsequent slow phase (2) which coincided with the upper, rounded portion of the force myogram and the 'plateau' of the tetanus. At 2.15 micron sarcomere length the majority of the central segments (comprising approximately 90% of the fibre) shortened to various degrees during phase 1. A considerable redistribution of length occurred during phase 2 in that some segments shortened at the expense of others which were forcibly stretched. The central region, taken as a whole, shortened by 0.1-0.5% during phase 2. The end segments were consistently found to elongate during phase 1. However, they were able to hold the tension, without further elongation, during phase 2. The pattern of length changes within the central region of the fibre observed at 2.15 micron sarcomere spacing remained largely the same after increasing the sarcomere length to 2.60 micron. However, in contrast to the situation at 2.15 micron sarcomere length there was an over-all (0.4-1.5%) elongation of the central region of the fibre during phase 2 at the great fibre length. This elongation of the central region was associated with marked shortening of the end segments. The sarcomere length of the end segments (s.1.e) was compared to that of the central region of the fibre (s.l.c) at various fibre rest lengths. There was no significant difference between s.l.e and s.l.c when the fibre was just taut, i.e. at approximately 2.1 micron sarcomere length. The following relationship between s.l.e and s.l.c was found to apply for values of s.l.c ranging between 2.2 and 2.7 micron: s.l.e = 0.636 s.l.c + 0.744 (correlation coefficient, 0.93). The possibility was explored that redistribution of sarcomere length along the fibre causes the slow climb of force ('tension creep') that occurs during a tetanus at great (greater than 2.2 micron) sarcomere lengths. Tension creep could be reproduced, after peak force had been attained, during an isometric tetanus by releasing the fibre to shorten within the range 2.6-2.3 micron sarcomere length.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Behaviour of motor units of human arm muscles: differences between slow isometric contraction and relaxation.

The behaviour of motor units in the m. biceps brachii (long head), in the m. brachialis and in the m. supinator during slow isometric contraction and relaxation was studied when subjects were performing different motor tasks. These tasks were: flexion of the elbow joint, supination of the forearm and exorotation of the humerus. Motor unit activity was recorded by means of bipolar fine wire electrodes. In the long head of the biceps, motor unit activity was recorded at medial, central and lateral sites. When the subject relaxed from flexion, the firing rate of motor units located in the biceps and the brachialis was always found to be lower than that at the corresponding level of flexion force during contraction. The firing rate during relaxation decreased slowly and almost linearly with force. However, during relaxation from supination or exorotation, the firing rate of motor units at medial and central locations in the biceps was more or less constant until decruitment. The firing rate of motor units of the supinator during relaxation from supination decreased slowly and was lower than during contraction. Motor units located medially and centrally in the biceps had decruitment thresholds for flexion that were lower than their recruitment thresholds. Motor units on the lateral side of the biceps did not show such a difference. In the brachialis decruitment thresholds for flexion were usually higher than the recruitment thresholds. Differences between decruitment and recruitment thresholds for motor units in the biceps were much more pronounced for supination and exorotation than for flexion. For motor units in the supinator the decruitment threshold during relaxation from supination was higher than the recruitment threshold. The time that had passed after the onset of firing of a motor unit did not influence its decruitment threshold. If, after complete relaxation, the exerted force was increased again, it appeared that the recruitment threshold was changed. It took about 4 s to reach the original recruitment threshold. It is concluded that the relation between the firing rate of a motor unit and total exerted force depends on the phase of contraction. This relation varies within a muscle and between muscles. Furthermore, the results indicate an interchange of activity within the motoneurone pools of the synergists involved in isometrical motor tasks.

Action Potentials↗

Redox state changes in human skeletal muscle after isometric contraction.

Subjects maintained an isometric contraction of the quadriceps femoris muscle at two-thirds maximal voluntary contraction (m.v.c.) force for 5 s (5.0 +/- 0.3 s; mean +/- S.E. of mean; n = 6) or until fatigue (52 +/- 4 s; n = 13). Muscle biopsies were obtained at rest, immediately after the contractions and also at 1 and 4 min of recovery after contraction to fatigue. In all subjects 5 s isometric contraction resulted in an increase of muscle NADH (0.084 +/- 0.012 at rest to 0.203 +/- 0.041 mmol/kg dry wt.) and a decrease of phosphocreatine (PC; change in concentration = -17.3 +/- 3.8 mmol/kg dry wt.). Glucose-6-phosphate concentration was more than doubled whereas lactate increased in only four of the six subjects. The two subjects who did not show any increase in lactate also had the lowest increase in NADH. At fatigue NADH increased to 0.226 +/- 0.032 mmol/kg dry wt. which was not significantly different from the value after 5 s contraction. Muscle PC was nearly depleted and lactate increased 12-fold above resting levels. The major part (65%) of the NADH increase at fatigue had reverted after 1 min recovery but only a slight further decrease occurred between 1 and 4 min of recovery. In relative terms the time course of the changes in muscle NADH during the first minute of recovery was similar to that of PC resynthesis, suggesting a common regulator such as O2 availability. In contrast to the delayed return of NADH concentration, PC resynthesis continued during the later part of the recovery period and PC concentration was almost fully restored after 4 min of recovery. It is concluded that muscle NADH is already maximally increased in the first seconds of muscle contraction at two-thirds m.v.c. Indirect evidence indicates that this increase reflects a reduction of the mitochondrial NAD-NADH redox couple. The rapid establishment of a reduced mitochondrial redox state at the start of muscle contraction will probably lead to a reduction of the redox state in the cytoplasm also and therefore be important for enhancing lactate formation.

Adult↗

Repriming and reversal of the isometric unexplained enthalpy in frog skeletal muscle.

1. heat production and high-energy phosphate hydrolysis by frog sartorius muscles in 6 s isometric tetani were measured to test the hypothesis that the isometric unexplained enthalpy (u.e.) and labile maintenance heat (l.m.h.) were of similar origin. Muscles were first given a conditioning tetanus to deplete the u.e. and l.m.h. A second (test) 6 s tetanus was given 6-300 s later to ascertain the extent to which l.m.h. and u.e. had recovered (reprimed). 2. The labile maintenance heat repriming was biphasic: 42% of the conditioning l.m.h. reprimed with a time constant of 10 s, the remainder with a time constant of 500 s. 3. The u.e. produced in the test tetanus 6 s after the conditioning tetanus was reduced to 18% of its conditioning value. By 30 s, u.e. had returned to conditioning values even though the amount of high-energy phosphate splitting was 17% less than that in the conditioning tetanus. 4. This observation is supported by measurements revealing that during the 30 s following a 6 s tetanus an amount of enthalpy was absorbed (less heat produced than expected from the measured metabolic changes) whose absolute value (after correction for oxygen consumption) was not different from the amount of unexplained enthalpy liberated during the tetanus. 5. The difference in repriming time course shows that l.m.h. and u.e. are not produced by the same reactions. The data are consistent with the hypothesis that calcium binding to troponin and parvalbumin produce u.e. while calcium binding to troponin and a non-linear time course of ATP hydrolysis produce l.m.h.

Animals↗

Effect of muscle mass on the pressor response in man during isometric contractions.

1. Changes in blood pressure and heart rate were measured in six healthy male subjects during voluntary isometric contractions of the forearm and quadriceps muscles. Arterial pressure was measured directly via a catheter inserted into the radial artery of the non-contracting arm. Each subject exerted two types of contractions: (a) sustained contractions at 70% of the maximum voluntary contraction (MVC) until fatigue occurred and (b) sustained contractions starting at maximum tension (100% MVC), held for a total duration of 1 min. 2. During fatiguing contractions at 70% MVC, there was a progressive increase in blood pressure, reaching a peak level at fatigue. The same level of mean arterial pressure was achieved during contractions of the same relative tension, regardless of the muscle mass. The same trend was observed for the changes in heart rate. 3. During contractions which started with the maximum tension, where tension fell continuously during the 60 s of maximal effort, mean arterial pressure rapidly increased to high levels within a few seconds, and then increased further by 20-30 mmHg during the sustained maximal effort. There was no difference in the initial rapid increases in mean arterial pressure, nor in the final mean arterial pressures reached between contractions of the forearm or quadriceps muscles. There were no differences in the heart rates achieved during these contractions either. 4. There was no significant difference between the mean arterial pressures observed at fatigue of a 70% MVC contraction or at the end of the 60 s maximum effort during handgrip contractions, or during contractions with the quadriceps muscles. 5. These results support the view that muscle mass is not a determinant of the magnitude of the cardiovascular reflexes during fatiguing isometric contractions in man.

Adult↗

Birefringence changes associated with isometric contraction and rapid shortening steps in frog skeletal muscle fibres.

1. Muscle birefringence, the difference between the refractive indices of light polarized parallel and perpendicular to the muscle fibre axis, was measured at 3 degrees C in intact single fibres isolated from frog muscle. Resting birefringence was 2.20 +/- 0.02 x 10(-3) (mean +/- S.E.M., n = 44) at sarcomere length 2.4-2.7 microns and 2.35 +/- 0.03 x 10(-3) (n = 19) at 3.5-3.8 microns. 2. Birefringence decreased during isometric twitch or tetanic contractions. The peak change in a twitch at sarcomere length 2.6 microns, determined by two independent methods, was 0.150 +/- 0.017 x 10(-3) (mean +/- S.E.M., n = 6). The corresponding value after 0.4 s of tetanic stimulation was 0.167 +/- 0.012 x 10(-3) (n = 6). 3. The birefringence change had a shorter latency than tension and reached its half-maximum value earlier than tension. The difference in time to half-maximum in tetani was 11.5 +/- 1.3 ms (mean +/- S.E.M., n = 6) at 3 degrees C. After stimulation birefringence recovered to its pre-stimulus baseline more slowly than tension. 4. The birefringence decrease after 0.4 s of tetanic stimulation was linearly related to the expected degree of overlap between actin and myosin filaments in the sarcomere length range 2.6-3.6 microns. The amplitude of the birefringence decrease at full filament overlap (sarcomere length 2.2 microns) was estimated to be 0.235 +/- 0.015 x 10(-3). 5. Birefringence changes associated with shortening steps of 0.9% fibre length at sarcomere length 2.6 microns exhibited four phases corresponding to those of the tension transient. There was no consistent birefringence change during the length step itself. During the rapid tension recovery birefringence increased by 0.014 +/- 0.001 x 10(-3) (n = 3), measured from the end of the length step to 2 ms later. Birefringence continued to increase as tension recovery slowed, reaching a peak about 10 ms after the step, then recovered with a rate similar to that of the final tension recovery. 6. These birefringence changes are likely to be caused by axial rotation of the head domain of the myosin cross-bridge. During isometric contraction heads bind to actin with their long axes more perpendicular to the fibre axis than in resting muscle, although there is likely to be a wide range of head orientations during contraction.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Myofibrillar ATPase activity during isometric contraction and isomyosin composition in rat single skinned muscle fibres.

1. Myofibrillar ATPase activity, isometric tension (Po) and unloaded shortening velocity (Vo) were determined in single skinned fibres isolated from rat hindlimb muscles during maximal calcium activation at 12 degrees C. In each fibre, myosin heavy chain (MHC) isoforms were identified using electrophoresis and immunocytochemistry. ATPase activity was determined spectrophotometrically from NADH oxidation in a coupled enzyme assay. 2. On the basis of their MHC isoform composition, the fibres (n = 102) were divided into five groups containing the slow isoform, I MHC, or one of the fast isoforms, IIB MHC, IIA MHC, IIX MHC, or a mixture of the latter three. ATPase activity was significantly higher in IIB than in 2X and IIA fibres (0.230 +/- 0.010, 0.178 +/- 0.023 and 0.168 +/- 0.026 nmol mm-3 s-1, respectively). Mixed fibres had intermediate values. ATPase activity in slow fibres was considerably less (0.045 +/- 0.006 nmol mm-3 s-1). 3. The ratio between ATPase activity and Po, i.e. tension cost, was found to be 2.90 +/- 0.09, 2.56 +/- 0.14, 1.89 +/- 0.22, 1.52 +/- 0.13 and 0.66 +/- 0.004 pmol ATP nM-1 mm-1 s-1 in IIB, mixed, IIX, IIA and slow fibres, respectively. All the differences were statistically significant except that between IIA and IIX fibres. 4. Within each group of fibres with the same MHC composition, ATPase activity was found to correlate with Po, but not Vo. However, ATPase activity was found to correlate with Vo when all the fibre types were pooled together. 5. In thirty-seven fast fibres the MLC ratio, i.e. the proportion of the fast alkali light chain isoform, MLC3f, to the amount of the regulatory light chain, MLC2f, was determined. IIB fibres had the highest proportion of MLC3f and IIA fibres, the lowest. 6. A multiple regression analysis, used to distinguish between the effects of MHC and MLC composition, showed that ATPase activity was insensitive to the MLC ratio, whereas it had a significant impact on Vo. 7. The results obtained in this study indicate that in rat skeletal muscle fibres: (a) ATPase activity during isometric contractions and tension cost are strongly dependent on MHC isoform composition, and (b) there is no evidence that the alkali MLC ratio is a determinant of ATPase activity.

Adenosine Triphosphate↗

The time course and direction of lower limb vascular conductance changes during voluntary and electrically evoked isometric exercise of the contralateral calf muscle in man.

This study aimed to clarify the direction and timing of the change of non-active lower limb vascular conductance at the onset of contralateral limb isometric exercise and to examine the mechanisms controlling this change. Fifteen human subjects performed 2 min of electrically evoked (Stim) or voluntary (Vol) ischaemic isometric calf plantar flexor exercise at 30 % maximum voluntary contraction (MVC). Blood pressure (BP) and heart rate were continuously recorded and blood flow in the non-active contralateral lower limb was recorded at 15 s intervals. In subsets of subjects the presence of inadvertent muscle contraction was monitored by calf muscle EMG and the effects of the sensation of electrical stimulation without muscle contraction (sham) were investigated. After 10-15 s conductance had increased significantly (P < 0.05) in Vol and Stim by a mean of 15 and 12 %, respectively, whilst BP was unchanged. Following this initial increase conductance decreased progressively during Stim and Vol whilst blood pressure rose. No EMG activity was seen during either protocol. In the sham stimulation experiments where no contraction was evoked the conductance change at the onset of stimulation replicated that seen during Stim exercise. Increases in conductance were independent of central command and muscle force generation, were not activated in anticipation of exercise but could be activated secondarily to peripheral sensations associated with expected exercise. The explanation for our results might involve sympathetic withdrawal related to mental stress; however, a central pathway, which directly activates a vasodilator mechanism in passive calf muscle, remains a possibility.

Adult↗

The structural basis of the increase in isometric force production with temperature in frog skeletal muscle.

X-ray diffraction patterns were recorded from isolated single fibres of frog skeletal muscle during isometric contraction at temperatures between 0 and 17 degrees C. Isometric force was 43 +/- 2% (mean +/- S.E.M., n = 10) higher at 17 degrees C than 0 degrees C. The intensity of the first actin layer line increased by 57 +/- 18% (n = 5), and the ratio of the intensities of the equatorial 1,1 and 1,0 reflections by 20 +/- 7% (n = 10), signalling radial or azimuthal motions of the myosin head domains. The M3 X-ray reflection from the axial repeat of the heads along the filaments was 27 +/- 4% more intense at 17 degrees C, suggesting that the heads became more perpendicular to the filaments. The ratio of the intensities of the higher and lower angle peaks of the M3 reflection (R(M3)) was 0.93 +/- 0.02 (n = 5) at 0 degrees C and 0.77 +/- 0.02 at 17 degrees C. These peaks are due to interference between the two halves of each myosin filament, and the R(M3) decrease shows that heads move towards the midpoint of the myosin filament at the higher temperature. Calculations based on a crystallographic model of the heads indicated that the observed R(M3) change corresponds to tilting of their light-chain domains by 9 deg, producing an axial displacement of 1.4 nm, which is equal to that required to strain the actin and myosin filaments under the increased force. We conclude that the higher force generated by skeletal muscle at higher temperature can be accounted for by axial tilting of the myosin heads.

Actins↗

Current distribution in skeletal muscle activated by functional electrical stimulation: image-series formulation and isometric recruitment curve.

The present work develops an analytical model that allows one to estimate the current distribution within the whole muscle and the resulting isometric recruitment curve (IRC). The quasistatic current distribution, expressed as an image series, i.e., a collection of properly weighted and shifted point-source responses, outlines an extension for more than three layers of the classical image theory in conductive plane-stratified media. Evaluation of the current distribution via the image series expansions requires substantially less computational time than the standard integral representation. The expansions use a unique recursive representation for Green's function, that is a generic characteristic of the stratification. This approach permits one to verify which of the tissue electrical properties are responsible for the current density distribution within the muscle, and how significant their combinations are. In addition, the model permits one to study the effect of different electrode placement on the shape and the magnitude of the potential distribution. A simple IRC model was used for parameter estimation and model verification by comparison with experimentally obtained isometric recruitment curves. Sensitivity of the model to different parameters such as conductivity of the tissues and activation threshold was verified. The resulting model demonstrated characteristic features that were similar to those of experimentally obtained data. The model also quantitatively confirmed the differences existing between surface (transcutaneous) and implanted (percutaneous) electrode stimulation.

Biomedical Engineering↗

Myofilament kinetics in isometric twitch dynamics.

To better understand the relationship between kinetic processes of contraction and the dynamic features of an isometric twitch, studies were conducted using a mathematical model that included: (1) kinetics of cross bridge (XB) cycling; (2) kinetics of thin filament regulatory processes; (3) serial and feedback interactions between these two kinetic processes; and (4) time course of calcium activation. Isometric twitch wave forms were predicted, morphometric features of the predicted twitch wave form were evaluated, and sensitivities of wave form morphometric features to model kinetic parameters were assessed. Initially, the impulse response of the XB cycle alone was analyzed with the findings that dynamic constants of the twitch transient were much faster than turnover number of steady-state XB cycling, and, although speed and duration of the twitch wave form were sensitive to XB cycle kinetic constants. parameters of wave shape were not. When thin filament regulatory unit (RU) kinetics were added to XB cycle kinetics, the system impulse response was slowed with only little effect on wave shape. When cooperative neighbor interactions between RU and XB were added, twitch wave shape (as well as amplitude, speed and duration) proved to be sensitive to variation in cooperativity. Importantly, persistence and shape of the falling phase could be strongly modified. When kinetic coefficients of XB attachment were made to depend on sarcomere length, changes in wave shape occurred that did not occur when only sliding filament mechanisms were operative. Indeed, the force-length relationship proved to be highly sensitive to length-dependent XB attachment in combination with cooperative interactions. These model findings are the basis of hypotheses for the role of specific kinetic events of contraction in generating twitch wave form features.

Actin Cytoskeleton↗

Muscle synergies at the elbow in static and oscillating isometric torque tasks with dual degrees of freedom.

This study's aim was to identify the effect of oscillation of torques in isometric tasks under identical mechanical conditions on the muscle synergies used. It was hypothesized that bi-functional muscles would play a lesser role in torque oscillation, because they would also generate an undesired oscillation. Thus, changes in muscle synergies were expected as a consequence of oscillation in torque generation. The effect of the trajectory of torque generation was investigated in dual-degrees-of-freedom submaximal isometric oscillation torque tasks at the elbow. The torques were flexion-extension and supination-pronation. Oscillation torques were compared with static torque generations at four torque positions during oscillation. Muscle activity was determined with surface electromyography. Compared with the static torque tasks, the oscillation tasks showed an overall increased muscle activity. The oscillation tasks, however, showed similar activity patterns and muscle synergies compared to the static composite tasks. It was found that the motor system is well able to control different orthogonal combinations of slow torque oscillations and constant torques by employing a single oscillating muscle synergy.

Adolescent↗

How useful are the cold pressor test and sustained isometric handgrip exercise with radionuclide ventriculography in the evaluation of patients with coronary artery disease?

The feasibility of using the cold pressor test and the sustained isometric handgrip test as alternatives to dynamic exercise for stressing the heart was investigated. Serial changes in heart rate, blood pressure, and left ventricular performance induced by these tests were studied by radionuclide ventriculography in patients with coronary artery disease and in normal volunteers. Both tests significantly increased heart rate and blood pressure. The reproducibility of serial evaluation of ejection fraction response to cold pressor and isometric handgrip stresses was satisfactory but the sensitivity for detecting coronary artery disease was not. Both stress tests are valuable interventions for the serial evaluation of left ventricular function by radionuclide ventriculography, but they should not be used to detect coronary artery disease.

Adult↗

Beneficial effects of isometric strength training on endothelial dysfunction in rats.

Using female 4-week-old Sprague-Dawley rats, we investigated the effects of 14 weeks of progressive strength isometric training on endothelium dysfunction after estrogen deficiency. We also proposed possible mechanism(s) by which such training acted on endothelium-dependent vasodilation in thoracic aortic rings. Rats were randomly divided into 4 groups of 8 rats: a sham operated group, an ovariectomized sedentary group receiving 17beta-estradiol vehicle s.c. daily, an ovariectomized sedentary group receiving a daily injection of 20 microg.kg(-1) 17beta-estradiol s.c., and an ovariectomized exercised group receiving daily s.c. vehicle. Vascular reactivity of aortic rings have been evaluated by a cumulative dose of acetylcholine (ACh), in the presence or absence of L-NAME (N-nitro-L-arginine methyl ester), indomethacin, thapsigargin, iberiotoxin, apamin, and tetraethylammonium. Ovariectomy markedly decreased the relaxation caused by ACh, whereas 17beta-estradiol treatment induced a significant increase in the relaxation elicited by ACh. Isometric exercise enhanced relaxation due to ACh. This enhancement was attenuated in the presence of L-NAME, indomethacin, thapsigargin, iberiotoxin, and apamin. Our data indicated, for the first time, that the endothelium-dependent relaxant response to ACh was markedly improved in trained ovariectomized rats. This increased vasodilation is mediated by nitric oxide, cyclooxygenase, sarco-endoplasmic reticulum Ca2+-ATPase pathways, and endothelium-derived hyperpolarizing factor. Finally, this study suggested that resistance training may provide benefits in addressing vascular dysfunction consequent to a decline in estrogen levels after menopause. However, any benefits for age-related vascular dysfunction remain to be demonstrated.

Acetylcholine↗

Tissue oxygenation by near-infrared spectroscopy and muscle blood flow during isometric contractions of the forearm.

The relationship between tissue oxygenation measured by near-infrared spectroscopy (NIRS) and forearm muscle blood flow (FBF) measured by Doppler ultrasound was tested during isometric contractions at 10 and 30% maximal voluntary contraction (MVC) under conditions of normoxia and hypoxia (14% inspired O2). Six subjects maintained contractions at 10% MVC for 5 min and 30% for 2 min in both gas conditions. FBF was elevated during exercise at 10% MVC in hypoxia compared to normoxia, but there was no further increase in flow at 30% MVC. Median power frequency calculations from electromyographic recordings suggested progressive development of fatigue throughout both 10 and 30% MVC contractions. NIRS indicated no change in muscle oxygenation at 10% MVC, but deep venous blood O2 saturation was reduced in normoxia and more so in hypoxia. At 30% MVC, both NIRS and venous O2 saturation were reduced, with no effect of hypoxia on the NIRS signal. While NIRS might provide an indication of muscle oxygenation during isometric exercise, the conflicting findings for NIRS and direct venous blood sampling at 10 vs 30% MVC suggest caution in the application of this noninvasive technique.

Adult↗