Los barorreflejos arteriales cardiovagal, cardiosimpático y vasosimpático y el control neural de la presión arterial a corto plazo

Robles-Cabrera, Adriana; Michel-Chávez, Anaclara; Callejas-Rojas, R. C.; Malamud-Kessler, Caroline; Delgado, Guillermo; Estañol-Vidal, Bruno

doi:10.33588/rn.5911.2014314

Cited by 13 publications

(7 citation statements)

References 43 publications

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“…The theory of the facilitation of parasympathetic activity based on the tactile stimuli justify the changes in the autonomous nervous system [51,52]. Another justification to our results may be related to the remote stimulation of the carotid sinus receptors that influence autonomous nervous system, heart rate, blood pressure and respiratory rate as defined by Robles [12].…”

Section: Discussionsupporting

confidence: 58%

“…Shortage of significant changes may be justified by carrying out the study in healthy participants. In this profile, central and peripheral neuromodulator mechanisms of the Autonomic Nervous System are many and complex, and rapid adjustments are made to the possible modifications that could be caused by the technique studied and in the run-time analyzed [12]. Therefore, future studies are needed to assess the usefulness of these techniques in healthy participants by measuring neurohumeral direct outcomes; as in participants with pathology, where these neuromodulator mechanisms could be exhausted.…”

Section: Discussionmentioning

confidence: 99%

“…The autonomic nervous system maintains homeostasis through the coordinated action of sympathetic and parasympathetic systems [10]. In the regulation of respiratory function, the parasympathetic system is the main modulator, performing a bronchoconstrictive action in the smooth muscle [10][11][12]. According to Godoy and Vodder methods, MLD techniques may produce effects on the neurovegetative nervous system, decreasing sympathetic activity and, indirectly, increasing the parasympathetic system and a presumed mechanism of action of stimulating contractions of the lymphangions [13][14][15]; even effects of Vodder maneuvers on intracranial pressures have been described [16].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students

Río-González

Cerezo-Téllez

Gala-Guirao

et al. 2020

JCM

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The aim of this study is to describe the short-term effects of manual lymph drainage (MLD) isolated in supraclavicular area in healthy subjects. A 4-week cross-sectional, double-blinded randomized clinical trial was conducted. Participants: 24 healthy participants between 18 and 30 years old were recruited from Universidad Europea de Madrid from December 2018 to September 2019. A total of four groups were studied: control, placebo, Vodder, and Godoy. The order of the interventions was randomized. Resting Heart Rate and Oxygen Saturation, blood pressure, pressure pain threshold of trapezius muscle, respiratory rate, range of active cervical movements were measured before and after every intervention. All the participants fulfilled four different interventions with a one-week-wash-out period. No statistically significant differences were found between groups in descriptive data; neither in saturation of oxygen, diastolic blood pressure and cervical range of motion. Significant differences were found in favor of Vodder (p = 0.026) in heart rate diminution and in cardiac-rate-reduction. A significant difference in respiratory rate diminution is found in favor of the Godoy group in comparison with the control group (p = 0.020). A significant difference is found in favor of the Godoy group in systolic blood pressure decrease (p = 0.015) even in pressure pain threshold (p < 0.05). MLD decreases systolic blood pressure in healthy participants. However, it does not produce any changes in other physiologic outcomes maintaining physiologic values, which may suggest the safety of the technique in patients suffering from other pathologies.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students

Río-González

Cerezo-Téllez

Gala-Guirao

et al. 2020

JCM

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“…8 Signals travel through these pathways to the nucleus tractus solitarius (NTS) in the dorsal medulla. 9 When stimulated, the CS has a sympathetic-inhibitory effect on the peripheral and myocardial vascular tissue. This reflex arc is a negative feedback loop that acts as a buffer for blood pressure and heart rate during postural changes, and during physical or emotional stress.…”

Section: Introductionmentioning

confidence: 99%

Physiological and clinical impact in the carotid baroreceptor function following the surgical management of bilateral carotid body tumors

et al. 2022

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Objective The bilateral presentation of Carotid Body Tumors (CBT) is rare; the surgical resection of these masses remains the mainstay management due to the malignant potential. We aim to describe, classify, and quantify baroreceptor failure (BRF) after the surgical management of patients with bilateral CBT to better understand the clinical consequences. Methods Retrospective review of patients that underwent bilateral CBT resection to assess the changes in baroreceptor function. We describe the clinical events associated to BRF after surgery, baseline patient’s demographics, characteristics, comorbidities. Additionally, clinical and a quantitative evaluation of baroreceptor sensitivity were conducted using the Composite Autonomic Severity Score (CASS). Results From 1986 to 2020, a total 146 CBT resections were performed in 132 patients in our institution. Tumors were removed bilaterally in staged procedures in seven patients with a mean age of 61 years (Standard Deviation 11), six (85%) were females, and there was no family history of paragangliomas. The clinical presentation were palpable masses in 5 (71%), and odynophagia in 2 (29%) cases; malignant histopathology following surgery was found in one case. BRF occurred in one patient after unilateral CBT resection, consisting of bradycardia and a 40 s asystole that was not previously associated to BR sensitivity. Three (43%) patients presented BRF in the immediate postoperative period of the contralateral CBT excision, consisting of volatile hypertensive crisis in two cases, and supraventricular tachycardia in one. All the patients developed (100%) chronic baroreceptor sensitivity symptoms consisting in syncope, vertigo and fatigue in 4 (57%), tachycardia in 2 (28%), and orthostatic headache in one (14%). Autonomic testing showed mixed sympathetic and parasympathetic failure in five (71%), severe sympathetic failure in 1 (14%), and parasympathetic dysfunction in one patient (14%). Conclusions Postoperative autonomic assessment confirmed BRF in all studied patients that underwent staged bilateral CBT resection with mixed, sympathetic, and parasympathetic dysfunction. Further studies are necessary to evaluate the incidence and physiological mechanisms of these sequelae to anticipate possible complications and offer the appropriate perioperative management.

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“…Este parámetro se mide mediante la auscultación de los ruidos de Korotkoff y el uso del esfigmomanómetro. (1,2) El valor de la presión arterial media (PAM) depende del flujo sanguíneo y de la resistencia periférica al flujo; este es el rozamiento que se produce entre la sangre y las paredes arteriales, de manera que, está determinada tanto por parámetros cardíacos como vasculares. En el caso de la PAS, es la fuerza ejercida por la contracción del ventrículo izquierdo, y la PAD, es la resistencia que ejercen los vasos sanguíneos 1 .…”

Section: Introductionunclassified

Cambios en la presión arterial media y frecuencia cardíaca según las diferentes posiciones del manguito con respecto a la línea media longitudinal del cuerpo

Cancino¹,

Ocampo²,

Vindas³

et al. 2019

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La presión arterial media y la frecuencia cardiaca son parámetros que se ven afectadosdirectamente por la posición del manguito con respecto a la línea media longitudinal del cuerpo.Ante las diferentes posiciones del manguito, la columna hidrostática y la gravedad afectan elretorno venoso, el cual es regulado por el barorreflejo. La presión arterial media aumentacuando el manguito se encuentra colgando de la camilla y disminuye cuando el manguito seencuentra en una posición de 90° con respecto a la línea longitudinal del cuerpo (F= 6,48;g.l= 2-39; P= 0,0037). La frecuencia cardiaca es igual independientemente de la posición delmanguito (F= 0,60; g.l= 2-39; p= 0,55). La posición del manguito tiene importancia clínica, yaque sin una posición correcta de este, la gravedad y la columna hidrostática van a afectar losvalores tanto de la presión arterial media como la frecuencia cardiaca y consecuentemente, lavaloración del paciente.

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Los barorreflejos arteriales cardiovagal, cardiosimpático y vasosimpático y el control neural de la presión arterial a corto plazo

Cited by 13 publications

References 43 publications

Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students

Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students

Physiological and clinical impact in the carotid baroreceptor function following the surgical management of bilateral carotid body tumors

Cambios en la presión arterial media y frecuencia cardíaca según las diferentes posiciones del manguito con respecto a la línea media longitudinal del cuerpo

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