Effects of Spinal Section and of Positive-Feedback Excitatory Reflex on Sympathetic and Heart Rate Variability

Author:

Montano Nicola1,Cogliati Chiara1,da Silva Valdo Jose Dias1,Gnecchi-Ruscone Tomaso1,Massimini Marcello1,Porta Alberto1,Malliani Alberto1

Affiliation:

1. From Centro Ricerche Cardiovascolari CNR, Dipartimento di Scienze Precliniche LITA di Vialba, Medicina Interna II, Ospedale L. Sacco, Universita’ degli Studi di Milano, Milano, Italy (N.M., C.C., V.J.D.d.S., M.M., A.P., A.M.); and Cardiologia, Ospedale S.L. Mandic, Merate, Italy (T.G.-R.).

Abstract

Abstract—The sympathetic outflow appears to be capable of displaying a rhythmicity synchronous with cardiovascular Mayer’s waves even after spinal section. To test the hypothesis that spinal sympathetic low frequency (LF) oscillation can be enhanced during sympathetic excitation, we recorded cardiac sympathetic nerve activity (SNA), R-R interval, arterial pressure, and ventilation in 9 unanesthetized decerebrate-vagotomized cats before and after C1 spinal section. LF and high frequency (HF) components were detected in the variability of SNA, R-R interval, and systolic arterial pressure both before and after spinal section. In this latter condition, a significant coherence between LFSNAand LFR-Rwas present in 5 animals, whereas HFSNAand HFR-Rwere correlated in 4 animals. During an excitatory sympathetic spinal reflex elicited by aortic constriction, the efferent sympathetic firing was markedly enhanced (from 7±2 to 33±7 spikes/s); concomitantly, the powers of both LFSNAand HFSNAwere also increased. Coherence between LFSNAand LFR-Rbecame significant in all cases, whereas HFSNAand HFR-Rbecame correlated in 6 animals. In 3 animals, the reflex sympathetic excitation was no longer elicitable after interrupting a vast contingent of sympathetic afferents by means of thoracic dorsal root section. We report for the first time that LF and HF oscillations are detectable in SNA, R-R interval, and systolic arterial pressure variabilities of decerebrate-vagotomized spinal cats and that an excitatory spinal reflex is capable of increasing the power of both SNA spectral components.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Internal Medicine

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