Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Hinghofer-Szalkay, HG; Goswami, N; Roessler, A; Grasser, EK; Schneditz, D.
Reactive hyperemia in the human liver.
Am J Physiol Gastrointest Liver Physiol. 2008; 295(2): G332-G337.
Doi: 10.1152/ajpgi.00042.2008
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Hinghofer-Szalkay Helmut
- Co-authors Med Uni Graz
- Goswami Nandu
- Rössler Andreas
- Schneditz Daniel
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- We tested whether hepatic blood flow is altered following central hypovolemia caused by simulated orthostatic stress. After 30 min of supine rest, hemodynamic, plasma density, and indocyanine green (ICG) clearance responses were determined during and after release of a 15-min 40 mmHg lower body negative pressure (LBNP) stimulus. Plasma density shifts and the time course of plasma ICG concentration were used to assess intravascular volume and hepatic perfusion changes. Plasma volume decreased during LBNP (-10%) as did cardiac output (-15%), whereas heart rate (+14%) and peripheral resistance (+17%) increased, as expected. On the basis of ICG elimination, hepatic perfusion decreased from 1.67 +/- 0.32 (pre-LBNP control) to 1.29 +/- 0.26 l/min (-22%) during LBNP. Immediately after LBNP release, we found hepatic perfusion 25% above control levels (to 2.08 +/- 0.48 l/min, P = 0.0001). Hepatic vascular conductance after LBNP was also significantly higher than during pre-LBNP control (21.4 +/- 5.4 vs. 17.1 +/- 3.1 ml.min(-1).mmHg(-1), P < 0.0001). This indicates autoregulatory vasodilatation in response to relative ischemia during a stimulus that has cardiovascular effects similar to normal orthostasis. We present evidence for physiological post-LBNP reactive hyperemia in the human liver. Further studies are needed to quantify the intensity of this response in relation to stimulus duration and magnitude, and clarify its mechanism.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Humans -
- Hyperemia - etiology
- Indocyanine Green - diagnostic use
- Liver - blood supply
- Liver Circulation -
- Lower Body Negative Pressure -
- Male -
- Find related publications in this database (Keywords)
- hepatic
- indocyanine green
- orthostasis
- splanchnic blood flow
- autoregulation
- lower body negative pressure