[Respiratory variations of baroreceptor reflex transmission and their effects on sympathetic activity and vasomotor tone]

Cardiovascular rhythms in the 0.15-Hz band: common origin of identical phenomena in man and dog in the reticular formation of the brain stem?

Selected examples from experiments in humans and dogs with time series of reticular neurons, respiration, arterial blood pressure and cutaneous forehead blood content fluctuations were analysed using multiscaled time-frequency distribution, post-event-scan and pointwise transinformation. We found in both experiments a "0.15-Hz rhythm" exhibiting periods of spindle waves (increasing and decreasing amplitudes), phase synchronized with respiration at 1:2 and 1:1 integer number ratios. At times of wave-epochs and n:m phase synchronization, the 0.15-Hz rhythm appeared in heart rate and arterial blood pressure. As phase synchronization of the 0.15-Hz rhythm with respiration was established at a 1:1 integer number ratio, all cardiovascular-respiratory oscillations were synchronized at 0.15 Hz. Analysis of a canine experiment supplied evidence that the emergence of the 0.15-Hz rhythm and n:m phase synchronization appears to result from a decline in the level of the general activity of the organism associated with a decline in the level of activity of reticular neurons in the lower brainstem network. These findings corroborate the notion of the 0.15-Hz rhythm as a marker of the "trophotropic mode of operation" first introduced by W.R. Hess.

Physiological basis for human autonomic rhythms

Oscillations of arterial pressures, heart periods, and muscle sympathetic nerve activity have been studied intensively in recent years to explore otherwise obscure human neurophysiological mechanisms. The best-studied rhythms are those occurring at breathing frequencies. Published evidence indicates that respiratory fluctuations of muscle sympathetic nerve activity and electrocardiographic R-R intervals result primarily from the action of a central 'gate' that opens during expiration and closes during inspiration. Parallel respiratory fluctuations of arterial pressures and R-R intervals are thought to be secondary to arterial baroreflex physiology: changes in systolic pressure provoke changes in the R-R interval. However, growing evidence suggests that these parallel oscillations result from the influence of respiration on sympathetic and vagal-cardiac motoneurones rather than from baroreflex physiology. There is a rapidly growing literature on the use of mathematical models of low- and high-frequency (respiratory) R-R interval fluctuations in characterizing instantaneous 'sympathovagal balance'. The case for this approach is based primarily on measurements made with patients in upright tilt. However, the strong linear relation between such measures as the ratio of low- to high-frequency R-R interval oscillations and the angle of the tilt reflects exclusively the reductions of the vagal (high-frequency) component. As the sympathetic component does not change in tilt, the low- to high-frequency R-R interval ratio provides no proof that sympathetic activity increases. Moreover, the validity of extrapolating from measurements performed during upright tilt to measurements during supine rest has not been established. Nonetheless, it is clear that measures of heart rate variability provide important prognostic information in patients with cardiovascular diseases. It is not known whether reduced heart rate variability is merely a marker for the severity of disease or a measurement that identifies functional reflex abnormalities contributing to terminal dysrhythmias.

Respiratory modulation of carotid and aortic body reflex left ventricular inotropic responses in the cat

1. The reflex changes in the inotropic state of the left ventricle, measured as the dP/dt max (maximum rate of change of pressure), occurring in response to selective stimulation of the carotid and aortic body chemoreceptors by sodium cyanide, were studied in the cat anaesthetized with a mixture of chloralose and urethane. 2. The animals were artificially ventilated with an open pneumothorax. The heart rate and mean arterial blood pressure were maintained constant. 3. With on-going central respiratory activity, stimulation of the carotid bodies caused an increase in respiratory movements. Variable changes in left ventricular dP/dt max occurred, the predominant response being an increase. The mean change was 8.3 +/- 2.9 % from a control value of 6850 +/- 450 mmHg s-1. Stimulation of the aortic bodies resulted in a smaller increase in respiration or no effect, but a significant increase occurred in left ventricular dP/dt max of 19.6 +/- 2.9 % from a control value of 6136 +/- 228 mmHg s-1. No significant changes in left ventricular end-diastolic pressure occurred in response to stimulation of either group of chemoreceptors. 4. Tests of chemoreceptor stimulations were repeated during temporary suppression of the secondary respiratory mechanisms: the central respiratory drive was suppressed reflexly by electrical stimulation of the central cut ends of both superior laryngeal nerves and lung stretch afferent activity was minimized by stopping artificial respiration. Carotid body stimulation again evoked variable responses, the predominant now being a reduction in left ventricular dP/dt max of 3.1 % from a control value of 5720 +/- 320 mmHg s-1, which was significantly different to that occurring during on-going spontaneous respiration. Aortic body stimulation caused an increase in left ventricular dP/dt max similar to the response during on-going spontaneous respiration. 5. The positive inotropic responses were mediated via the sympathetic nervous system, as indicated by their abolition as a result of intravenous injections of the beta-adrenoceptor blocking agent, propranolol. 6. It is concluded that the carotid bodies exert a small variable effect on left ventricular dP/dt max, the predominant positive inotropic response being due to the concomitant neurogenic effects of the increase in respiration. In contrast, the positive inotropic response to excitation of the aortic chemoreceptors is not respiratory modulated.

Simultaneous changes of rhythmic organization in brainstem neurons, respiration, cardiovascular system and EEG between 0.05 Hz and 0.5 Hz

Several neurons from different regions of the brainstem of anesthetized dogs were simultaneously recorded, together with various parameters of the cardiovascular system, respiration, efferent sympathetic neural activities and cortical activity. Often rhythmic changes of activity in the range 0.05-0.5 Hz could be observed in the simultaneously recorded signals. The rhythms were analysed in time domain and by power spectra and their changes depicted over the time. The most striking rhythms between 0.05 Hz and 0.5 Hz are the respiratory rhythm and those rhythms that originate in reticular neurons of the common brainstem system as well as their respective harmonics, i.e. the ranges around the integer multiple frequencies of these basic rhythms. The observed oscillations can vanish and reappear at times. Frequencies of basic oscillations and harmonics and their amplitudes are subject to distinct slow modulations. These modulations can have irregular as well as regular courses. The different rhythms can appear separately or simultaneously in the single signals. The most important phenomenon to be observed is that the rhythms mutually influence their frequencies, which follows the rules of 'relative coordination' as described by E. v. Holst. Such changes of rhythmic activities generally also concern the ranges of harmonics of the basic rhythms. Rhythmic influences on peripheral functional systems, e.g. the cardiovascular system, are most distinct at times when the different rhythms overlap in their frequency ranges. This holds not only for the ranges of basic frequencies, but also for the ranges of their harmonics. Further it was found that rhythms with the same basic frequencies may not only appear simultaneously, but also at various times in the different functional systems. The temporal course of changes of these rhythms, their interactions and their influence on the processing of cardiac rhythmic neuronal discharge patterns is demonstrated. The meaning of the mutually influencing rhythms for the functional organization of central nervous structures is discussed.

Cardiac rhythmic patterns in neuronal activity are related to the firing rate of the neurons: I. Brainstem reticular neurons of dogs

Cardiac rhythmic discharge patterns (CRDP) of brainstem reticular neurons in anesthetized dogs were estimated by ECG-triggered post-event-time histograms (PETH). Modulations of the CRDP occur, whenever the firing levels of the neurons slowly change with periods longer than the cardiac cycle. Therefore, in the activity of one and the same neuron different types of CRDP can occur interlaced in time. 'Partial' PETHs calculated according to the discharge level of the neurons make these various CRDP obvious. On the other hand, the CRDP are not always so clear in the 'total' PETHs, taken from the continuous periods of activity. The meaning of these different CRDP for regulatory processes of the organism is discussed. We study the processing of the easily identifiable signal in neuron activity, i.e., cardiac rhythm, to illustrate how signal processing depends on the momentary activity level of the neurons which is influenced by other afferent signals and by inflows from central structures reaching the neurons.

Discharge pattern of neurons in the nucleus tractus solitarii (NTS): its cardiac rhythm is modulated by firing rate of the neurons

In the nucleus tractus solitarii (NTS) neurons discharge in relation to cardiac rhythm. This cardiac rhythm exhibits various patterns designated as CRDPs (cardiac rhythmic discharge patterns). The CRDPs are estimated by post-event-time histograms (PETH) triggered by the R-waves of the ECG. Modulations of CRDPs appear as changes in the number and height of peaks in the PETHs. The amount of basic activity, which is not related to the cardiac cycle, alters CRDP. PETHs constructed during various phases of respiration reveal modulations of CRDPs within the respiratory cycle. As our previous work indicated, the NTS neurons exhibit typical reticular rhythms. In this paper we also found that the basic activity of NTS neurons was often changed by other influences for which no comparable patterns could be observed in other simultaneously acquired signals. When we constructed PETHs according to the activity level of the NTS neurons, i.e., firing level per cardiac cycle, modulations of CRDPs which were even stronger than respiratory or reticular rhythmical modulations became clear. The modulations of CRDPs caused by different origins were found to be present in the same neuron interlaced in time. The possible role played by these modulations of CRDPs in the coordination of different functional systems in the organism is discussed.

Different modes of dampening influence from baroreceptors are determined by the functional organization of the NTS neuronal network

Simultaneous recordings of several neurones of the first relay station of baroreceptor afferents show that its general activity-dampening influence is realized via the common brainstem system (CBS) which itself controls the processing on the neurones of the nucleus of the solitary tract (NTS). This feedback system maintains the degree of activity which is necessary for the ongoing behaviour as long as it fits to the environmental situation. The output of the NTS is determined partly by the CBS, partly by the properties of the peripheral afferent input, partly by the dynamic functional organization of the local circuits and partly by influences from other brain areas.

Central action of α-adrenoceptor agents on the baroreceptor reflex

In chloralose-anaesthetized cats the effects of intravenous application of the alpha 1- and alpha 2-adrenoceptor agonistic and antagonistic agents methoxamine, prazosin, B-HT 933 and rauwolscine were tested on baroreceptor reflex, sympathetic background activity and blood pressure. Sympathetic activity was recorded from the renal nerve and the efficacy of the central transmission of the baroreceptor reflex was measured by the duration of the complete inhibition of renal nerve activity during electrical stimulation of the left carotid sinus nerve. All baroreceptors were denervated by sectioning both carotid sinus and vagal nerves. The alpha 1-agonist methoxamine increased baroreceptor-induced sympatho-inhibition, sympathetic background activity and blood pressure. The alpha 1-antagonist prazosin had the opposite effects. The alpha 2-agonist B-HT 933 was most effective in augmenting the inhibitory response in sympathetic activity to baroreceptor stimulation; sympathetic background activity and blood pressure were also decreased. At low doses (50 micrograms/kg) the alpha 2-antagonist rauwolscine reduced the baroreceptor sympathetic reflex inhibition and increased sympathetic activity and blood pressure. The effect of B-HT 933 upon the baroreceptor reflex could be completely antagonized by rauwolscine. These findings demonstrate a very effective facilitation of the baroreceptor reflex transmission by stimulation of central alpha 2-adrenoceptors. Through such humoral-neuronal interaction circulating catecholamines are likely to modulate cardiovascular control.

Respiratory modulation of the activity in sympathetic neurones supplying muscle, skin and pelvic organs in the cat

1. The respiratory-related modulation of activity in neurones of the lumbar sympathetic outflow to skeletal muscle, skin and pelvic organs was investigated in anaesthetized, paralysed and artificially ventilated cats, using single- and multi-unit recordings. The activity of the neurones was analysed with respect to the phrenic nerve discharge under various experimental conditions. 2. Neurones tentatively classified as muscle vasoconstrictor and visceral vasoconstrictor neurones exhibited two activity peaks, one caused by baroreceptor unloading during the declining phase of the second order blood pressure waves and a respiratory drive-dependent peak in parallel with inspiration. The two peaks were separated by depressions of activity in early inspiration and post-inspiration. After cutting vagus and buffer nerves the activity peak during inspiration remained and was followed and sometimes preceded by a depression of activity. 3. The majority of the neurones tentatively classified as cutaneous vasoconstrictor neurones exhibited no respiratory modulation in their activity. Others exhibited an activity peak in expiration, an activity peak in inspiration, or a respiratory profile similar to that in muscle vasoconstrictor neurones. During increased respiratory drive (induced by hypercapnia) some neurones with unmodulated activity changed to an inspiratory or an expiratory pattern. Neurones discharging predominantly in inspiration projected preferentially to hairless skin. 4. Neurones which were tentatively classified as sudomotor neurones discharged predominantly in early expiration. 5. Some preganglionic neurones which were tentatively classified as motility-regulating neurones discharged during expiration. The majority of these neurones disclosed no respiratory modulation of their activity. 6. The study shows that different types of neurone of the lumbar sympathetic system exhibit distinct patterns of respiratory modulation in their activity. We conclude that the type and degree of central coupling between respiratory system and sympathetic nervous system may vary according to the destination of the sympathetic neurones.

Rapid phasic baroreceptor inhibition of the activity in sympathetic preganglionic neurones does not change throughout the respiratory cycle

We tested the hypothesis that the inhibitory influence of rapid phasic arterial baroreceptor stimulation on activity in sympathetic preganglionic neurones is weaker in inspiration than in expiration. Using neurophysiological techniques, 59 single preganglionic neurones with typical reflex pattern of muscle vasoconstrictor neurones that projected in the cervical sympathetic trunk were analysed. The inhibitory modulation of the ongoing activity in these neurones by the pulsatile activation of the arterial baroreceptors was determined by constructing post-R-wave histograms separately for both respiratory phases (as indicated by the discharge in the phrenic nerve). Quantitative measurements showed that the inhibition of the activity in the preganglionic neurones following phasic stimulation of arterial baroreceptors by the pulse pressure wave was not statistically different in both respiratory phases, even with increased respiratory drive.

Effects of carotid sinus nerve stimulation at different times in the respiratory and cardiac cycles on variability of heart rate and blood pressure of normotensive and renal hypertensive dogs

It was the purpose of the present study to determine (1) whether or not there exists a common respiratory and cardiac cycle time effect of the baroreceptor control of heart rate (HR) and blood pressure (BP) in spontaneously breathing anaesthetized dogs and (2) whether this effect, if present, is abnormal in dogs with renal hypertension. The baroreflex responses were evoked by brief low-intensity electrical carotid sinus nerve stimulation (CSNS) triggered by the R-wave in the electrocardiogram with an adjustable delay (0-210 ms) and positioned in either inspiration or expiration. All baroreceptor afferent nerves were intact. Brief CSNS had no noticeable effect on breathing. The responses of means of HR, respiratory sinus arrhythmia (RSA), and systolic and diastolic respiratory blood pressure waves (RBPWsyst, RBPWdiast) to CSNS were not different for normotensive and hypertensive dogs. No cardiac, but a small respiratory cycle time effect on means of HR, BPsyst and BPdiast was observed. The magnitude of RSA and RBPWdiast was markedly enhanced for expiratory CSNS at each delay after the R-wave. Inspiratory CSNS diminished the magnitude of RSA and RBPW only if applied during systole, and become ineffective for delays greater than 200 ms after the R-wave. During both respiratory phases, CSNS was elevated at times of central presentation of the natural sinoaortal baroreceptor discharges (120 ms and 70 ms, respectively). The magnitudes of RSA and RBPW were influenced simultaneously and in the same way by CSNS throughout. It is concluded that, under the present experimental conditions, RSA and RBPW have a common central origin.

Respiratory modulation of muscle sympathetic and vagal cardiac outflow in man

We studied the influence of respiration on muscle sympathetic and cardiac vagal activities in twenty conscious, healthy young adult subjects. Efferent post-ganglionic muscle sympathetic activity was measured directly with electrodes inserted percutaneously into a peroneal nerve, and vagal cardiac activity was measured indirectly from electrocardiographic changes of heart period. Muscle sympathetic activity waxed and waned with respiration; maximum activity occurred at end-expiration and minimum activity occurred at end-inspiration. Voluntary control of breathing did not alter the time course or magnitude of muscle sympathetic outflow. Spectral analyses showed that respiratory periodicities were present in sympathetic and vagal records. Average power at frequencies below respiratory frequencies exceeded or equalled that at respiratory frequencies in both muscle sympathetic and vagal cardiac records. A cardiac periodicity was present and conspicuous in muscle sympathetic recordings in all but one subject. Diastolic arterial pressure increased during inspiration and decreased during expiration. Heart period and muscle sympathetic activity paralleled each other and were related reciprocally to changes of diastolic pressure. Brief reductions of carotid baroreceptor afferent traffic provoked by neck pressure were more effective in increasing sympathetic activity in expiration than inspiration. We conclude that quiet respiration is associated with parallel phasic changes in activity of medullary vagal cardiac and spinal muscle sympathetic motonuclei in man; spontaneous activity and susceptibility to excitation or inhibition by autonomic inputs are greater in expiration than inspiration. Substantial power is present in both muscle sympathetic and cardiac vagal recordings at frequencies below respiratory frequencies.

Properties of a sympatho-inhibitory and vasodilator reflex evoked by superior laryngeal nerve afferents in the cat

The background discharge of sympathetic preganglionic neurones shows a marked inspiration-synchronous component which is known to originate from within the central nervous system. The contribution of this component to total neurogenic vasoconstrictor tone is unknown. In order to estimate its extent we have exploited the inspiration-suppressing effect of a group of low threshold afferent fibres in the superior laryngeal nerve. The electrical activities of the cervical sympathetic trunk and of the phrenic nerve were recorded in pentobarbitone-anaesthetized, paralysed, artificially ventilated, sino-aortic denervated and vagotomized cats, together with the perfusion pressure of an innervated hind limb perfused at a constant flow rate. Repetitive stimulation of the superior laryngeal nerve at an intensity just sufficient to suppress phrenic nerve activity inhibited the inspiration-synchronous sympathetic discharge and caused hind limb vasodilatation. This vasodilatation was abolished by hexamethonium or phentolamine, but was not affected by atropine or propranolol. Following the elimination of phrenic nerve activity and inspiration-synchronous sympathetic discharge by systemic hypocapnia, repetitive stimulation of the superior laryngeal nerve either failed to affect the residual sympathetic activity and hind limb perfusion pressure, or caused an increase of both. Stimulation of the superior laryngeal nerve with short (0.2 s) trains of stimuli, delivered at selected times of the respiratory cycle for several consecutive cycles, had similar effects on phrenic nerve bursts, inspiration-synchronous sympathetic discharge and hind limb perfusion pressure. Stimulation at progressively earlier times during inspiration produced a graded reduction in all three variables, while stimulation during late inspiration or early expiration had no effect on any of them. The results suggest that the vasodilator reflex, elicited by inspiration-suppressing afferents in the superior laryngeal nerve, results from selective abolition of the excitatory input which causes the inspiration-synchronous discharge of sympathetic neurones. The magnitude of the hind limb vasodilatation can therefore be taken as an indication of the extent of control of hind limb vasoconstrictor tone exerted by this particular input. By comparing the magnitude of the reflexly evoked vasodilatation with that of the vasodilatation resulting from ganglionic blockade, it was estimated that 24.2% of the neurogenic vasoconstrictor tone of the hind limb was attributable to the inspiration-synchronous component of sympathetic discharge.

Effects of carotid sinus nerve stimulation on respiratory sinus arrhythmia and respiratory blood pressure waves of the dog

The effect on the amplitudes of RSA and RBPW of the time of the stimulus in the cardiac cycle, and also of continuous stimulation were studied. When the stimulus train was applied near peak systole the amplitudes of RSA and RBPW decreased. Stimulation in late systole increased both RSA and RBPW. Continuous stimulation did not exert any effects on RSA and RBPW.

Respiratory modulation of sympathetic activity

Sympathetic activity recorded from cardiac and renal nerves was correlated with phrenic and internal intercostal nerve activity under normocapnea and hypercapnea. Cats were anesthetized with halothane for surgery switching to chloralose for recording. Both vagal and carotid sinus nerves were cut, animals were paralyzed and artificially ventilated. We found that sympathetic activity followed the rhythmic pattern of phrenic nerve discharge fairly closely except in two important respects: first, sympathetic activity was significantly depressed during early inspiration and second, it reached a minimum during post inspiration while phrenic activity was decaying but still active. These effects were accentuated when PACO2 was raised. In one cat early inspiratory depression was the only manifestation of respiratory modulation of sympathetic activity superimposed on an otherwise tonic pattern. In 4 cats sympathetic activity increased in an augmenting fashion in parallel with the augmenting discharge of expiratory alpha motoneurones. We suggest that respiratory-related, excitatory and inhibitory inputs modulate sympathetic activity at the brainstem level. Inspiratory and possibly expiratory interneurones may be the source of activation, and inhibitory inputs may derive from early inspiratory and postinspiratory interneurones. The inhibitory effects may be the only manifestation of respiratory modulation during strong tonic drive of the sympathetic activity.

[Transient behaviour of the heart rate in man depending on respiratory cycle during fast tilt]

The initial heart rate response to rapid passive changing of posture was analysed in 43 normal subjects. The tilting (mean tilt time: 1.7 s) was applied during expiration or inspiration. As compared to inspiration, the 70 degrees head-up tilt during expiration resulted in significantly higher values of heart rate increase and longer duration of the "initial complex", i.e. the immediate increase and the following decrease of heart rate to a minimum after tilting. The heart rate response to tilting from erect to supine position was not symmetrical to that during head-up tilt: at first the heart rate increased, about 6 s after the change of body position heart rate decreased suddenly, mostly below the recumbent control value, which was attained again after about 20-30 s. The distinct initial heart rate response to the head-up tilt probably can be explained in part by the hydrostatically caused drop of the mural pressure at the level of carotid artery and the different sensitivity of arterial baroreflex during the respiratory cycle. Other mechanisms, e.g. the participation of chronotropic autoregulation are discussed.

Central control and interactions affecting sympathetic and parasympathetic activity

Current thinking concerning the central control of the autonomic nervous system and the central interactions affecting sympathetic and parasympathetic activity is presented. Among the questions discussed are the following: are there neurons within the common brain stem system which exert an influence on preganglionic parasympathetic neurons and can they be differentiated from neurons which affect sympathetic preganglionic neuron functions? What interactions occur between sympathetic and parasympathetic tone-mediating neurons? In discussing these problems information is presented as obtained by recording from reticular formation (RF) neurons with discharge patterns similar to efferent parasympathetic activity. The general conclusion reached is that there is a common central control; interactions occur in the brain stem as well as peripherally; depending on the functional situation, these two systems can be organized to act either reciprocally or non-reciprocally.

Neurophysiological background of central neural cardiovascular-respiratory coordination: basic remarks and experimental approach

This paper is comprised of a review of past contributions and their theoretical consequences and a presentation of new results in studies of the origin of sympathetic rhythms and tone. Two basic mechanisms are involved: a primary intracentral coupling with the main cardiovascular-respiratory rhythm (MCRR) generator and a secondary reflex coupling. It was found that the activity and rhythms of certain sympathetic efferents, such as the cervical sympathetic, are closely related to the MCRR. Other efferents, such as the renal sympathetics, are loosely linked and follow drives from other circuits in the genesis of their rhythms and tone. New experimental evidence is given that rhythmic and tonic activity in sympathetic nerves originates from several sources. Hence central respiratory-autonomic systems interaction is not explained by simplistic concepts.

Phase relationship between normal human respiration and baroreflex responsiveness

1. We studied the influences of phase of respiration and breathing frequency upon human sinus node responses to arterial baroreceptor stimulation. 2. Carotid baroreceptors were stimulated with brief (0.6 sec), moderate (30 mmHg) neck suction during early, mid, and late inspiration or expiratin at usual breathing rates, or, during early inspiration and expiration at breathing rates of 3, 6, 12, and 24 breaths/min. 3. Baroreceptor stimuli applied during early and mid inspiration and late expiration provoked only minor sinus node inhibition; stimuli begun during late inspiration and early expiration provoked maximum sinus node inhibition. 4. At breathing rates of 3, 6 and 12 breaths/min, expiratory baroreflex responses were significantly greater than inspiratory responses; at 24 breaths/min, however, inspiratory and expiratory baroreceptor stimuli produced comparable degrees of sinus node inhibition. 5. Our results delineate an important central biological rhythm in normal man: human baroreflex responsiveness oscillates continuously during normal, quiet respiration. The phase shift of baroreflex responsiveness on respiration suggests that this interaction cannot be ascribed simply to gating synchronous with central inspiratory neurone activity. Regularization of heart rate during rapid breathing is associated with loss of the differential inspiratory-expiratory baroreflex responsiveness which is present at usual breathing rates.

Respiratory modulation of baroreceptor and chemoreceptor reflexes affecting heart rate through the sympathetic nervous system

1. Brief stimuli were delivered to the carotid body chemoreceptors or the carotid sinus baroreceptors at different phases of the respiratory cycle in anaesthetized dogs. Chemoreceptor stimulation was achieved by injecting small volumes (0.2-0.5 ml.) of warmed saline equilibrated with CO(2) near to the carotid bodies on both sides. Baroreceptor stimulation was achieved by injecting larger volumes (2-5 ml.) of saline equilibrated with air into the region of the carotid bifurcation on both sides, after first clamping the common carotid arteries.2. When the vagus nerves were intact, but sympathetic nervous effects on heart rate were blocked by administration of propranolol, there was a prompt and pronounced bradycardia evoked when either baroreceptor or chemoreceptor stimuli were given in expiration, but little or no change in heart rate when they were given in inspiration.3. When the vagus nerves were cut, but sympathetic nervous function was intact, respiratory modulation of both baroreceptor and chemoreceptor reflex effects on heart rate could still be demonstrated. The bradycardia evoked by either stimulus was more marked for stimuli given in expiration than for stimuli given in inspiration. A complementary response pattern for brief decreases in baroreceptor stimulation (carotid occlusions) was demonstrated: the tachycardia evoked by occlusions timed during inspiration was greater than that evoked by occlusions timed during expiration. All the reflex effects were mediated by the sympathetic system because they were abolished by administration of propranolol.4. Typically, the sympathetic reflex effects were slight in comparison with the vagal reflexes evoked by either chemoreceptor or baroreceptor stimuli.

Cardiac and respiratory rhythmicities in cutaneous and muscle vasoconstrictor neurones to the cat's hindlimb

Cardiac and respiratory rhythmicities have been investigated quantitatively in postganglionic vasoconstrictor neurones supplying skeletal muscle and skin of the hindlimb in chloralose anesthetized, immobilized cats. Both rhythmicities are largest in muscle vasoconstrictor neurones, smaller in vasoconstrictor neurones supplying hariy skin, and smallest in vasoconstrictor neurones supplying hairless skin. The magnitude of the cardiac rhythmicity in the vasoconstrictor neurones is positively correlated with the quantitative reaction to systemic hypoxia.

Neuronal activity with cardiac rhythm in the nucleus of the solitary tract in cats and dogs. II. Activity modulation in relation to the respiratory cycle

In anaesthetized, spontaneously breathing cats and dogs extracellular recordings were made of the spontaneous activities of 28 single neurones with cardiac rhythm. Histological exmaination confirmed that the neurones were situated in the mediodorsal portion of the nucleus of the solitary tract. The neurones, which had already been analysed in respect to their pulse-rhythmical pattern27, were investigated by means of inspiration triggered histograms. The neurones could be grouped according to the respiratory modulations of their activities. Increased activities occurred during (a) the rise of the respiratory blood pressure wave, (b) the respiratory rest period, and (c) the inspiration. Three neurones did not exhibit respiratory modulation. The respiratory modulations of groups a and b were most probably caused by changing inputs from cardiovascular receptors in the course of respiration. It could be shown by adequate stimulation and elimination of the vagus nerves that the neurones of group c were influenced by lung inflation receptors as well as by cardiovascular receptors.

Responses of the cardiovascular system to carotid sinus nerve stimulation

The changes in blood pressure, heart rate, cardiac output and blood flow in the femoral and common carotid arteries on carotid sinus nerve stimulation (CSNS) were studied in chloralose anaesthetized dogs, both with spontaneous heart rhythm and during atrial pacing. Stimulation of the sinus nerves with impulse trains and with impulses of constant frequency had almost equal effects on the blood pressure. The former had a greater effect on the heart rate; these findings verified earlier observations. The reductions in cardiac output followed those in heart rate. During atrial pacing the stroke volume was reduced on CSNS. The total peripheral resistance, regional peripheral resistances and input impedance of the vascular bed of the femoral artery were calculated. The initial effects of CSNS varied in relation to the prestimulation total peripheral resistance and to stimulation frequency. Differences between stimulation with a constant frequency and the intermittent types, with the same number of impulses per cardiac cycle, were negligible as regards effects on stroke volume, blood flow and regional vascular resistances. CSNS caused changes in input impedance of the vascular bed of the femoral artery which were very similar to those observed earlier on intraarterial injection of vasodilator drugs. The different effects of intermittent and constant frequency CSNS on the heart rate in dogs with intact vagal nerves and no clamping of the common carotid arteries might be caused by asymmetries in the autonomic effects on the S.A. node. The neurophysiological mechanisms are discussed. It is deduced that greater reductions in blood pressure with intermittent stimulation are only obtained in the pre-existence of a high sympathetic tone.