Baroreceptor unloading does not limit forearm sweat rate during severe passive heat stress

J Appl Physiol (1985). 2015 Feb 15;118(4):449-54. doi: 10.1152/japplphysiol.00800.2014. Epub 2014 Dec 18.

Abstract

This study tested the hypothesis that sweat rate during passive heat stress is limited by baroreceptor unloading associated with heat stress. Two protocols were performed in which healthy subjects underwent passive heat stress that elicited an increase in intestinal temperature of ∼1.8°C. Upon attaining this level of hyperthermia, in protocol 1 (n = 10, 3 females) a bolus (19 ml/kg) of warm (∼38°C) isotonic saline was rapidly (5-10 min) infused intravenously to elevate central venous pressure (CVP), while in protocol 2 (n = 11, 5 females) phenylephrine was infused intravenously (60-120 μg/min) to return mean arterial pressure (MAP) to normothermic levels. In protocol 1, heat stress reduced CVP from 3.9 ± 1.9 mmHg (normothermia) to -0.6 ± 1.4 mmHg (P < 0.001), while saline infusion returned CVP to normothermic levels (5.1 ± 1.7 mmHg; P > 0.999). Sweat rate was elevated by heat stress (1.21 ± 0.44 mg·cm(-2)·min(-1)) but remained unchanged during rapid saline infusion (1.26 ± 0.47 mg·cm(-2)·min(-1), P = 0.5), whereas cutaneous vascular conductance increased from 77 ± 10 to 101 ± 20% of local heating max (P = 0.029). In protocol 2, MAP was reduced with heat stress from 85 ± 7 mmHg to 76 ± 8 mmHg (P = 0.048). Although phenylephrine infusion returned MAP to normothermic levels (88 ± 7 mmHg; P > 0.999), sweat rate remained unchanged during phenylephrine infusion (1.39 ± 0.22 vs. 1.41 ± 0.24 mg·cm(-2)·min(-1); P > 0.999). These data indicate that both cardiopulmonary and arterial baroreceptor unloading do not limit increases in sweat rate during passive heat stress.

Keywords: arterial baroreceptors; cardiopulmonary baroreceptors; central venous pressure; hyperthermia; skin blood flow; sweat rate.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Arterial Pressure / drug effects
  • Arterial Pressure / physiology
  • Body Temperature Regulation / drug effects
  • Body Temperature Regulation / physiology
  • Central Venous Pressure / drug effects
  • Central Venous Pressure / physiology
  • Female
  • Fever / physiopathology
  • Forearm / physiology*
  • Heat-Shock Response / drug effects
  • Heat-Shock Response / physiology*
  • Hot Temperature
  • Humans
  • Male
  • Phenylephrine / pharmacology
  • Pressoreceptors / drug effects
  • Pressoreceptors / physiology*
  • Regional Blood Flow / drug effects
  • Regional Blood Flow / physiology
  • Skin / drug effects
  • Skin / physiopathology
  • Stress, Physiological / drug effects
  • Stress, Physiological / physiology*
  • Sweat / drug effects
  • Sweat / physiology*
  • Sweating / drug effects
  • Sweating / physiology*
  • Sympathetic Nervous System / drug effects
  • Sympathetic Nervous System / physiology

Substances

  • Phenylephrine