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… 
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References

SHOWING 1-10 OF 45 REFERENCES
Vascular perturbations in the chronic orthostatic intolerance of the postural orthostatic tachycardia syndrome.
TLDR
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.
TLDR
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.
  • D. Streeten
  • Medicine, Biology
    The American journal of the medical sciences
  • 2001
TLDR
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.
TLDR
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.
  • D. Streeten
  • Medicine, Biology
    The Journal of clinical investigation
  • 1990
TLDR
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.
TLDR
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
  • C. M. Brown, R. Hainsworth
  • Medicine
    Clinical autonomic research : official journal of the Clinical Autonomic Research Society
  • 1999
TLDR
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
TLDR
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.
  • H. Olsen, T. Länne
  • Medicine, Biology
    American journal of physiology. Heart and circulatory physiology
  • 1998
TLDR
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.
TLDR
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.
...
1
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3
4
5
...