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Departments of Anesthesiology and Physiology, Kyoto Prefectural University of Medicine, Kyoto 602-0841; and Department of Sports Medicine, Shinshu University School of Medicine, Matsumoto 390-8621, Japan
To gain
better insights into the effect of dehydration on thermal and
cardiovascular regulation during hyperthermia, we examined these
regulatory responses during body heating in rats under isosmotic hypovolemia and hyperosmotic hypovolemia. Rats were divided into four
groups: normovolemic and isosmotic (C), hypovolemic and isosmotic [L, plasma volume loss (
PV) =
20% of control],
hypovolemic and less hyperosmotic [HL1, increase in plasma
osmolality (
Posm) = 23 mosmol/kgH2O,
PV =
16%], and hypovolemic and more hyperosmotic (HL2,
Posm = 52 mosmol/kgH2O,
PV =
17%). Hyperosmolality was attained by subcutaneous injection of
hypertonic saline and hypovolemia by intra-arterial injection of
furosemide before heating. Then rats were placed in a thermocontrolled
box (35°C air temperature, ~20% relative humidity) for 1-2
h until rectal temperatures
(Tre) reached 40.0°C. Mean
arterial pressure in L decreased with rise in
Tre
(P < 0.001), whereas mean arterial
pressure remained constant in the other groups. Maximal tail skin blood
flow in L, HL1, and HL2 was decreased to ~30% of that in C
(P < 0.001).
Tre threshold for tail skin
vasodilation (TVD) was not changed in L, whereas the threshold shifted
higher in the HL groups. Tre
threshold for TVD was highly correlated with
Posm
(r = 0.94, P < 0.001). Heart rate in the HL
groups increased with rise in Tre
(P < 0.001), whereas it remained
unchanged in C and L. Cardiovascular responses to heating were not
influenced by V1 antagonist in C,
L, and HL2. Thus isotonic hypovolemia attenuates maximal tail skin
blood flow, whereas hypertonic hypovolemia causes an upward shift of
Tre threshold for TVD and an
increase in heart rate during hyperthermia. These results suggest that
plasma hyperosmolality stimulates pressor responses in the hypovolemic
condition that subsequently contribute to arterial pressure regulation
during heat stress.
plasma osmolality; thermal dehydration; cardiovascular control; tail skin blood flow
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