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  • American Physiological Society  (2)
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  • American Physiological Society  (2)
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  • 1
    Online Resource
    Online Resource
    American Physiological Society ; 1988
    In:  Journal of Applied Physiology Vol. 65, No. 6 ( 1988-12-01), p. 2665-2671
    In: Journal of Applied Physiology, American Physiological Society, Vol. 65, No. 6 ( 1988-12-01), p. 2665-2671
    Abstract: To assess the effect of autonomic and sensorineural dysfunction on O2 uptake kinetics, we studied the exercise response of seven diabetic humans having peripheral sensory and cardiac autonomic neuropathy, eight diabetics without neuropathy, and eight normal subjects. Maximal O2 uptake (VO2max), ventilatory anaerobic threshold, and O2 uptake kinetics were assessed. Metabolic control was optimized 12 h prior to and during testing by intravenous insulin infusion. Patients with diabetic neuropathy had a reduced VO2max [83 +/- 6% predicted vs. 104 +/- 6% (nonneuropathic diabetics) and 107 +/- 5% (normals); P less than 0.05]. However, there was no difference in ventilatory anaerobic threshold [14.8 +/- 0.9 (neuropathic diabetics) vs. 18.0 +/- 1.0 (nonneuropathic diabetics) and 16.7 +/- 1.5 ml O2.kg-1.min-1 (normals); P greater than 0.25] . The phase I increment in O2 uptake (VO2) and estimated cardiac output and the time constant of VO2 during constant-load exercise at 40% VO2max also were similar in all groups. We propose that the instantaneous increase in VO2 and cardiac output at exercise onset in diabetes with impaired neurogenic reflexes is caused primarily by mechanical and metabolic events in exercising muscle that cause venous compression and vasodilation.
    Type of Medium: Online Resource
    ISSN: 8750-7587 , 1522-1601
    RVK:
    RVK:
    Language: English
    Publisher: American Physiological Society
    Publication Date: 1988
    detail.hit.zdb_id: 1404365-8
    SSG: 12
    SSG: 31
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  • 2
    Online Resource
    Online Resource
    American Physiological Society ; 1985
    In:  American Journal of Physiology-Renal Physiology Vol. 249, No. 3 ( 1985-09-01), p. F356-F360
    In: American Journal of Physiology-Renal Physiology, American Physiological Society, Vol. 249, No. 3 ( 1985-09-01), p. F356-F360
    Abstract: Renal blood flow and hemodynamic autoregulation were assessed in seven chronically instrumented canines studied in the conscious state and after pentobarbital anesthesia administration (30 mg/kg). The effects of acute arterial hemorrhage (10 and 15 ml/kg) were also studied. In the conscious state, no significant changes in autoregulation were observed following 10 mg/kg hemorrhage. With pentobarbital and 10 ml/kg hemorrhage, a significant change in the limits of autoregulation was noted (autoregulatory limit 78.5 +/- 16.6 vs. 88.4 +/- 25.3 mmHg, P less than 0.05). Four animals were also studied in the conscious state following 15 ml/kg acute arterial hemorrhage. In these animals, mean arterial pressure decreased (from 105.0 +/- 11.4 to 87.8 +/- 7.2 mmHg, P less than 0.025) but renal blood flow (from 293 +/- 38 to 272 +/- 65 ml/min) and autoregulatory limit did not change. We conclude that renal blood flow is unaffected by hemorrhage or pentobarbital alone. In the conscious state, renal pressure-flow autoregulation is maintained despite moderate hemorrhage and systemic hypotension. The lower limit of autoregulation is significantly changed by even minor hemorrhage in the pentobarbital-anesthetized state.
    Type of Medium: Online Resource
    ISSN: 1931-857X , 1522-1466
    Language: English
    Publisher: American Physiological Society
    Publication Date: 1985
    detail.hit.zdb_id: 1477287-5
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