Journal of the American Society of Hypertension
Volume 2, Issue 6 , Pages 455-461 , November 2008

The effects of head-out-of-water immersion on arterial wave reflection in healthy adults

  • Jason M. Lazar, MD

      Affiliations

    • Division of Cardiovascular Medicine, State University of New York Downstate Medical, Center, Brooklyn, New York, USA
    • Corresponding Author InformationCorresponding author: Jason M. Lazar, MD, Director, Noninvasive Cardiology, State University of New York, Downstate Medical Center, 450 Clarkson Avenue, Box 1199, Brooklyn, New York 11203. Tel: 718-221-5222; fax: 718-221-5220
  • ,
  • Marsha Morris

      Affiliations

    • Division of Cardiovascular Medicine, State University of New York Downstate Medical, Center, Brooklyn, New York, USA
  • ,
  • Ghazanfar Qureshi, MD

      Affiliations

    • Division of Cardiovascular Medicine, State University of New York Downstate Medical, Center, Brooklyn, New York, USA
  • ,
  • Gregory Jean-Noel

      Affiliations

    • Division of Cardiovascular Medicine, State University of New York Downstate Medical, Center, Brooklyn, New York, USA
  • ,
  • Wilmer Nichols, PhD

      Affiliations

    • Department of Medicine/Cardiology, University Hospital of Florida HSC, Shands Hospital, Gainesville, Florida, USA
  • ,
  • Mohammed Rehan Qureshi, MD

      Affiliations

    • Division of Cardiovascular Medicine, State University of New York Downstate Medical, Center, Brooklyn, New York, USA
  • ,
  • Louis Salciccioli, MD

      Affiliations

    • Division of Cardiovascular Medicine, State University of New York Downstate Medical, Center, Brooklyn, New York, USA

Received 18 March 2008 ,Accepted 30 April 2008.

References 

  1. Fernhall B, Manfredi TG, Congdon K. Prescribing water-based exercise from treadmill and arm ergometry in cardiac patients. Med Sci Sports Exerc. 1992;24:139–143
  2. Holmer I. Swimming physiology. Ann Physiol Anthropol. 1992;11:269–276
  3. Cornish KG, Hughes K, Dreessen A, Olguin M. Head-out immersion in the non-human primate: a model of cardiovascular deconditioning during microgravity. Aviat Space Environ Med. 1999;70:773–779
  4. Gabrielsen A, Warberg J, Christensen NJ, Bie P, Stadeager C, Pump B, et al. Arterial pulse pressure and vasopressin release during graded water immersion in humans. Am J Physiol. 2000;278:R1583–R1588
  5. Park KS, Choi JK, Park YS. Cardiovascular regulation during water immersion. Appl Human Sci. 1999;18:233–241
  6. Miwa C, Sugiyama Y, Mano T, Iwase S, Matsukawa T. Sympatho-vagal responses in humans to thermoneutral head-out water immersion. Aviat Space Environ Med. 1997;68:1109–1114
  7. Sramek P, Simeckova M, Jansky L, Savlikova J, Vybiral S. Human physiological responses to immersion into water of different temperatures. Eur J Appl Physiol. 2000;81:436–442
  8. O'Rourke M, Kelly R. Wave reflection in the systemic circulation and its implications in ventricular function. J Hypertens. 1993;11:327–337
  9. Nichols WW. Clinical measurement of arterial stiffness obtained from noninvasive pressure waveforms. Am J Hypertens. 2005;18:3S–10S
  10. Williams B, Lacy PS, Thom SM, Cruickshank K, Stanton A, Collier D, et al. Differential impact of blood pressure-lowering drugs on central aortic pressure and clinical outcomes: principal results of the Conduit Artery Function Evaluation (CAFE) Study. Circulation. 2006;113:1213–1225
  11. Chen CH, Nevo E, Fetics B, Pak PH, Yin FC, Maughan WL, et al. Estimation of central aortic pressure waveform by mathematical transformation of radial tonometry pressure: validation of generalized transfer function. Circulation. 1997;95:1827–1836
  12. Pauca AL, O'Rourke MF, Kon ND. Prospective evaluation of a method for estimating ascending aortic pressure from the radial artery pressure waveform. Hypertension. 2001;38:932–937
  13. Wilkinson IB, MacCallum H, Flint L, Cockcroft JR, Newby DE, Webb DJ. The influence of heart rate on augmentation index and central arterial pressure in humans. J Physiol. 2000;525:263–270
  14. Murgo JP, Westerhof N, Giolma JP, Altobelli SA. Aortic input impedance in normal man: relationship to pressure wave forms. Circulation. 1980;62:105–116
  15. Weissler AM, Harris WS, Schoenfeld CD. Systolic time intervals in heart failure in man. Circulation. 1968;37:149–159
  16. O'Rourke MF, Pauca AL. Augmentation of the aortic and central arterial pressure waveform. Blood Press Monit. 2004;9:179–185
  17. Hashimoto J, Nichols WW, O'Rourke MF, Imai Y. Association between wasted pressure effort and left ventricular hypertrophy in hypertension: influence of arterial wave reflection. Am J Hypertens. 2008;21:329–333
  18. Sarnoff SJ, Braunwald E, Welch GH, Case RB, Stainsby WN, Macruz R. Hemodynamic determinants of oxygen consumption of the heart with special reference to the tension-time index. Am J Physiol. 1958;192:148–156
  19. Buckberg GD, Towers B, Paglia DE, Mulder DG, Maloney JV. Subendocardial ischemia after cardiopulmonary bypass. J Thorac Cardiovasc Surg. 1972;64:669–684
  20. Merillon JP, Lebras Y, Chastre J, Lerallut JF, Motte G, Fontenier G, et al. Forward and backward waves in the arterial system, their relationship to pressure waves form. Eur Heart J. 1983;4:13–20
  21. Karamanoglu M, Feneley MP. Late systolic pressure augmentation: role of left ventricular outflow patterns. Am J Physiol. 1999;277:481–487
  22. Tartière JM, Logeart D, Safar ME, Cohen-Solal A. Interaction between pulse wave velocity, augmentation index, pulse pressure and left ventricular function in chronic heart failure. J Hum Hypertens. 2006;20:213–219
  23. Smulyan H, Asmar RG, Rudnicki A, London GM, Safar ME. Comparative effects of aging in men and women on the properties of the arterial tree. J Am Coll Cardiol. 2001;37:1374–1380
  24. Miwa C, Sugiyama Y, Mano T, Iwase S, Matsukawa T. Spectral characteristics of heart rate and blood pressure variabilities during head-out water immersion. Environ Med. 1996;40:91–94
  25. Gabrielsen A, Sorensen VB, Pump B, Galatius S, Videbaek R, Bie P, et al. Cardiovascular and neuroendocrine responses to water immersion in compensated heart failure. Am J Physiol Heart Circ Physiol. 2000;279:H1931–H1934
  26. Onodera S, Miyachi M, Nishimura M, Yamamoto K, Yamaguchi H, Takahashi K, et al. Effects of water depth on abdominal aorta and inferior vena cava during standing in water. J Gravit Physiol. 2001;8:P59–P60
  27. Löllgen H, von Nieding G, Koppenhagen K, Kersting F, Just H. Hemodynamic response to graded water immersion [in German]. Klin Wochenschr. 1981;59:623–628
  28. Kinney EL, Cortada X, Ventura R. Cardiac size and motion during water immersion: implications for volume homeostasis. Am Heart J. 1987;113:345–349
  29. Watenpaugh DE, Pump B, Bie P, Norsk P. Does gender influence human cardiovascular and renal responses to water immersion?. J Appl Physiol. 2000;89:621–628
  30. Shiraishi M, Schou M, Gybel M, Christensen NJ, Norsk P. Comparison of acute cardiovascular responses to water immersion and head-down tilt in humans. J Appl Physiol. 2002;92:264–268
  31. Larsen AS, Johansen LB, Stadeager C, Warberg J, Christensen NJ, Norsk P. Volume-homeostatic mechanisms in humans during graded water immersion. J Appl Physiol. 1994;77:2832–2839
  32. Sun D, Huang A, Kaley G. Mechanical compression elicits NO-dependent increases in coronary flow. Am J Physiol Heart Circ Physiol. 2004;287:H2454–H2460
  33. Sun D, Huang A, Recchia FA, Cui Y, Messina EJ, Koller A, et al. Nitric oxide-mediated arteriolar dilation after endothelial deformation. Am J Physiol Heart Circ Physiol. 2001;280:H714–H721
  34. Ueno LM, Miyachi M, Matsui T, Takahashi K, Yamazaki K, Hayashi K, et al. Effect of aging on carotid artery stiffness and baroreflex sensitivity during head-out water immersion in man. Braz J Med Biol Res. 2005;38:629–637
  35. Boutouyrie P, Tropeano AI, Asmar R, Gautier I, Benetos A, Lacolley P, et al. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: a longitudinal study. Hypertension. 2002;39:10–15
  36. Ravikumar R, Deepa R, Shanthirani C, Mohan V, Nürnberger J, Keflioglu-Scheiber A, et al. Augmentation index is associated with cardiovascular risk. J Hypertens. 2002;20:2407–2414
  37. Boussuges A. Immersion in thermoneutral water: effects on arterial compliance. Aviat Space Environ Med. 2006;77:1183–1187
  38. Bonde-Petersen F, Schultz-Pedersen L, Dragsted N. Peripheral and central blood flow in man during cold, thermoneutral, and hot water immersion. Aviat Space Environ Med. 1992;63:346–350
  39. Cider A, Stibrant Sunnerhagen K, Schaufelberger M, Anderson B. Cardiorespiratory effects of warm water immersion in elderly patients with chronic heart failure. Clin Physiol Funct Imaging. 2005;25:313
  40. Adir Y, Shupak A, Gil A, Peled N, Keynan Y, Domachevsky L, et al. Swimming-induced pulmonary edema: clinical presentation and serial lung function. Chest. 2004;126:394–399

 Conflict of interest: none.

PII: S1933-1711(08)00085-5

doi: 10.1016/j.jash.2008.04.013

Journal of the American Society of Hypertension
Volume 2, Issue 6 , Pages 455-461 , November 2008