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Am J Physiol Regul Integr Comp Physiol. 2017 Jun 01;312(6):R873-R882. doi: 10.1152/ajpregu.00355.2016. Epub 2017 Mar 22.

Muscle sympathetic nerve activity response to heat stress is attenuated in chronic heart failure patients.

American journal of physiology. Regulatory, integrative and comparative physiology

Jian Cui, John Boehmer, Cheryl Blaha, Lawrence I Sinoway

Affiliations

  1. Penn State Heart and Vascular Institute, Penn State Hershey, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
  2. Penn State Heart and Vascular Institute, Penn State Hershey, Milton S. Hershey Medical Center, Hershey, Pennsylvania [email protected].

PMID: 28330967 PMCID: PMC5495922 DOI: 10.1152/ajpregu.00355.2016

Abstract

Heat stress evokes significant increases in muscle sympathetic nerve activity (MSNA) in healthy individuals. The MSNA response to heat stress in chronic heart failure (CHF) is unknown. We hypothesized that the MSNA response to heat stress is attenuated in CHF. Passive whole body heating was applied with water-perfused suits in 13 patients (61 ± 2 yr) with stable class II-III CHF, 12 age-matched (62 ± 2 yr) healthy subjects, and 14 young (24 ± 1 yr) healthy subjects. Mild heating (i.e., increases in skin temperature ΔTsk ~2-4°C, internal temperature ΔTcore <0.3°C) significantly decreased MSNA in CHF patients; however, it did not significantly alter the MSNA in the age-matched and young healthy subjects. Heat stress (i.e., ΔTsk ~4°C and ΔTcore ~0.6°C) raised MSNA in the age-matched (32.9 ± 3.2 to 45.6 ± 4.2 bursts/min;

Copyright © 2017 the American Physiological Society.

Keywords: heart failure; hemodynamics; nervous system; stress; sympathetic

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