Limb venous compliance in patients with idiopathic orthostatic intolerance and postural tachycardia.
@article{Freeman2002LimbVC,
title={Limb venous compliance in patients with idiopathic orthostatic intolerance and postural tachycardia.},
author={Roy Freeman and Vasilios Lirofonis and William B. Farquhar and Marcelo Risk},
journal={Journal of applied physiology},
year={2002},
volume={93 2},
pages={
636-44
}
}Venous denervation and increased venous pooling may contribute to symptoms of orthostatic intolerance. We examined venous compliance in the calf and forearm in 11 orthostatic-intolerant patients and 15 age-matched controls over a range of pressures, during basal conditions and sympathetic excitation. Occlusion cuffs placed around the upper arm and thigh were inflated to 60 mmHg and deflated to 10 mmHg over 1 min. Limb volume was measured continuously with a mercury-in-Silastic strain gauge…
61 Citations
Microvascular Filtration Is Increased in Postural Tachycardia Syndrome
- MedicineCirculation
- 2003
Increased microvascular filtration accounts for enhanced leg swelling in patients with POTS with increased arterial blood flow and was invariant with orthostasis.
Gender affects calf venous compliance at rest and during baroreceptor unloading in humans.
- Biology, MedicineAmerican journal of physiology. Heart and circulatory physiology
- 2004
Data indicate gender-dependent effects on calf venous compliance under conditions associated with low sympathetic outflow and LBNP, but these data cannot explain gender-associated differences in orthostatic tolerance.
Reduced venous compliance: an important determinant for orthostatic intolerance in women with vasovagal syncope.
- MedicineAmerican journal of physiology. Regulatory, integrative and comparative physiology
- 2016
The new VWM accurately adopted the curvilinear pressure-volume curve, providing a valid characterization of venous compliance, and may adversely affect mobilization of peripheral venous blood to the central circulation during hypovolemic circulatory stress in women with VVS.
Local vascular responses affecting blood flow in postural tachycardia syndrome.
- MedicineAmerican journal of physiology. Heart and circulatory physiology
- 2003
Local blood flow regulation in low-flow POTS is impaired and the duration of hyperemic blood flow was curtailed in LFP compared with either control or HFP subjects, and reactive hyperemi flow and cutaneous flow were similar in all subjects.
Effects of 18 days of bed rest on leg and arm venous properties.
- Medicine, BiologyJournal of applied physiology
- 2004
It is demonstrated that after bed rest, leg venous compliance is reduced and legs venous outflow resistance is enhanced; however, these changes are not related to measures of orthostatic tolerance; therefore, alterations in venous Compliance do not to play a major role in orthostatics intolerance after 18 days of head-down tilt bed rest.
Venous smooth muscle tone and responsiveness in older adults.
- Medicine, PsychologyJournal of applied physiology
- 2006
Data suggest that forearm and calf venous compliance is lower in older adults compared with young, however, this difference probably cannot be explained by alterations in smooth muscle tone or responsiveness.
Limb venous tone and responsiveness in hypertensive humans.
- MedicineJournal of applied physiology
- 2008
While venous compliance was similar between NTN and HTN adults,HTN adults have lower forearm venous capacitance (volume) which is increased with NTG, and data suggest that young HTn adults may have augmented venous smooth muscle tone compared with NTN controls.
Baroreflex control of muscle sympathetic nerve activity in postural orthostatic tachycardia syndrome.
- Biology, MedicineAmerican journal of physiology. Heart and circulatory physiology
- 2005
It is suggested that POTS patients have exaggerated MSNA responses to baroreflex challenges compared with healthy control subjects, although resting supine MSNA values did not differ between the groups.
Decreased compliance in the deep and superficial conduit veins of the upper arm during prolonged cycling exercise
- MedicinePhysiological reports
- 2017
It is suggested that CPL in the deep and superficial conduit veins adjusts to prolonged exercise via different mechanisms.
Alterations of calf venous and arterial compliance following acclimation to heat administered at a fixed daily time in humans
- MedicineInternational journal of biometeorology
- 2006
It is suggested that repeated heat exposure in humans, for 4 h at a fixed time daily, increases the calf CV and the CSA particularly during the period when the subjects were previously exposed to heat.
References
SHOWING 1-10 OF 45 REFERENCES
Vascular perturbations in the chronic orthostatic intolerance of the postural orthostatic tachycardia syndrome.
- MedicineJournal of applied physiology
- 2000
It is suggested that resting venous pressure is higher and the threshold for edema is lower in POTS patients compared with controls, which may signify a redistribution of blood to the lower extremities even while supine, accounting for tachycardia through vagal withdrawal.
The relation between lower limb pooling and blood flow during orthostasis in the postural orthostatic tachycardia syndrome of adolescents.
- MedicineThe Journal of pediatrics
- 2001
Lower resistance at baseline reflects a defect in arterial vasoconstriction in POTS, further exacerbated during upright posture, and contributes to the pathophysiology of POTS in adolescents.
Role of impaired lower-limb venous innervation in the pathogenesis of the chronic fatigue syndrome.
- Medicine, BiologyThe American journal of the medical sciences
- 2001
Delayed orthostatic hypotension was clearly demonstrable, and, as in previously reported patients with orthostatics of acute onset, this was associated with reduced pedal vein compliance during norepinephrine infusion, implying impaired sympathetic innervation of foot veins.
Measurement of limb venous compliance in humans: technical considerations and physiological findings.
- Biology, MedicineJournal of applied physiology
- 1999
It is demonstrated that venous pressure-volume curves can be generated both rapidly and noninvasively with this technique, and that although whole-limb venous compliance is under negligible sympathetic control in humans, unstressed volume can be affected by the sympathetic nervous system.
Pathogenesis of hyperadrenergic orthostatic hypotension. Evidence of disordered venous innervation exclusively in the lower limbs.
- Medicine, BiologyThe Journal of clinical investigation
- 1990
Foot veins of the patients with hyperadrenergic orthostatic hypotension, and both hand and foot veins of patients with "diffuse" autonomic failure, were supersensitive to norepinephrine, as reflected by a steeper slope of the regression of log on percentage reduction in venous distensibility, and a significantly lower ED50.
Reflex vascular defects in the orthostatic tachycardia syndrome of adolescents.
- Medicine, BiologyJournal of applied physiology
- 2001
There are (at least) two subgroups of POTS characterized by high Pv and low flow or normal Pv and high flow, which may correspond to abnormalities in local or baroreceptor-mediated vasoconstriction, respectively.
Assessment of capillary fluid shifts during orthostatic stress in normal subjects and subjects with orthostatic intolerance
- MedicineClinical autonomic research : official journal of the Clinical Autonomic Research Society
- 1999
Comparison of results of leg filTration rates between patients and volunteers indicated that some of the patients had abnormally high filtration rates and suggests that impedance plethysmography may have a role in assessing the possible reasons for orthostatic intolerance.
Abnormal Baroreflex Responses in Patients With Idiopathic Orthostatic Intolerance
- MedicineCirculation
- 2000
Patients with idiopathic orthostatic intolerance have lower cardiac vagal baroreflex sensitivity and marginally lower blood volume and respond with faster heart rates despite similar levels of arterial pressure during LBNP.
Reduced venous compliance in lower limbs of aging humans and its importance for capacitance function.
- Medicine, BiologyAmerican journal of physiology. Heart and circulatory physiology
- 1998
The reduced venous compliance with age and the concomitant reduction in capacitance response during LBNP have implications for both the sympathetic reflex responses as well as the capacitance responded during acute hypovolemic circulatory stress, which might be defected in aging humans.
Abnormal orthostatic changes in blood pressure and heart rate in subjects with intact sympathetic nervous function: evidence for excessive venous pooling.
- MedicineThe Journal of laboratory and clinical medicine
- 1988
Most of the patients with idiopathic sympathicotonic abnormalities of orthostatic blood pressure control have a venous pooling syndrome often aggravated by hypovolemia, the cause(s) of which remains to be determined.






