WISE 2005: responses of women to sublingual nitroglycerin before and after 56 days of 6° head-down bed rest

J Appl Physiol (1985). 2012 Aug;113(3):434-41. doi: 10.1152/japplphysiol.00445.2012. Epub 2012 May 31.

Abstract

This study tested the hypothesis that cardiovascular effects of sublingual nitroglycerin (NG) would be exaggerated after 56 days of 6° head-down bed rest (HDBR) in women, and that an aerobic and resistive exercise countermeasure (EX, n = 8) would reduce the effect compared with HDBR without exercise (CON, n = 7). Middle cerebral artery maximal blood flow velocity (CBFV), cardiac stroke volume (SV), and superficial femoral artery blood flow (Doppler ultrasound) were recorded at baseline rest and for 5 min following 0.3 mg sublingual NG. Post-HDBR, NG caused greater increases in heart rate (HR) in CON compared with EX (+24.9 ± 7.7 and +18.8 ± 6.6 beats/min, respectively, P < 0.0001). The increase in HR combined with reductions in SV to maintain cardiac output. Systolic, mean, and pulse pressures were reduced 5-10 mmHg by NG, but total peripheral resistance was only slightly reduced at 3 min after NG. Reductions in CBFV of -12.5 ± 3.8 cm/s were seen after NG, but a reduction in the Doppler resistance index suggested dilation of the middle cerebral artery with no differences after HDBR. The femoral artery dilated with NG and blood flow was reduced ∼50% with the appearance of large negative waves suggesting a marked increase in downstream resistance, but there were no effects of HDBR. In general, responses of women to NG were not altered by HDBR; the greater increase in HR in CON but not EX was probably a consequence of cardiovascular deconditioning. These results contrast with the hypothesis and a previous investigation of men after HDBR by revealing no change in cardiovascular responses to exogenous nitric oxide.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Sublingual
  • Adult
  • Bed Rest*
  • Blood Flow Velocity / drug effects*
  • Blood Pressure / drug effects
  • Cardiovascular Deconditioning / drug effects
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / drug effects
  • Head-Down Tilt / physiology
  • Heart Rate / drug effects
  • Humans
  • Middle Cerebral Artery / diagnostic imaging
  • Middle Cerebral Artery / drug effects
  • Nitroglycerin / administration & dosage*
  • Oxygen Consumption / drug effects
  • Resistance Training
  • Stroke Volume / drug effects*
  • Ultrasonography, Doppler
  • Vascular Resistance / drug effects
  • Vasodilator Agents / administration & dosage*
  • Weightlessness Countermeasures

Substances

  • Vasodilator Agents
  • Nitroglycerin