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Control of Total Systemic Vascular Capacity by the Carotid Sinus Baroreceptor Reflex

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TLDR
The reflex controls the total systemic venous capacity to a degree that changes cardiac output potentially by 30–10% per 25-mm Hg change in ISP, which is consistent with quantitative understanding of carotid sinus baroreceptor reflex control of cardiac output.
Abstract
To attain a quantitative understanding of carotid sinus baroreceptor reflex control of cardiac output, we studied the reflex control of total systemic vascular capacity in vagotomized dogs. In experiments measuring blood volume shifts caused by the carotid sinus reflex (series 1), venous return was diverted into a reservoir while cardiac output and central venous pressure were maintained at constant levels. The pressure in the isolated carotid sinuses (ISP) was lowered or raised in 25-mm Hg steps between 75 and 200 mm Hg. This procedure mobilized blood into or out of the reservoir, indicating a decrease or an increase in total vascular capacity, respectively. The mean maximum volume shift, 3.6 ml/kg body weight, occurred in the same ISP region, 135 ± 12.5 mm Hg, where reflex control of total peripheral resistance was strongest. The total volume shift was approximately 7.5 ml/kg for ISP changes from 75 to 200 mm Hg. When mean arterial blood pressure was maintained constant during the ISP step changes, the ...

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Potential Effects of Aggressive Decongestion During the Treatment of Decompensated Heart Failure on Renal Function and Survival

TL;DR: Hemoconcentration is significantly associated with measures of aggressive fluid removal and deterioration in renal function and is associated with substantially improved survival, raising the question of whether aggressive decongestion, even in the setting of worsening renal function, can positively affect survival.
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Baroreflex sensitivity: measurement and clinical implications.

TL;DR: The pathophysiological background of baroreflex control is recalled, the most relevant methods that have been developed so far for the measurement of BRS are reviewed, and recent proposals for overcoming them are presented.
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Venous function and central venous pressure: a physiologic story.

TL;DR: The veins contain approximately 70% of total blood volume and are 30 times more compliant than arteries; therefore, changes in blood volume within the veins are associated with relatively small changes in venous pressure.
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Interaction between carotid baroregulation and the pulsating heart: a mathematical model

TL;DR: A sensitivity analysis suggests that venous unstressed volume control plays the major role in the early hemodynamic response to acute hemorrhage, whereas systemic resistance and heart rate controls are a little less important.
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Evaluation of methods for estimation of total arterial compliance

TL;DR: Seven classic and recently proposed methods used for the estimation of total arterial compliance have been evaluated for their accuracy and applicability in different physiological conditions and it is shown that the methods based on the two-element windkessel (WK) model are more accurate than thosebased on the three-element WK model.
References
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Journal ArticleDOI

Reflexogenic Areas of the Cardiovascular System

TL;DR: Experiments done between 1877 and 1926 showed that a rise of blood pressure in the carotid-cephalic circulation induces bradycardia and a fall of the systemic arterial pressure, while a drop in the vehicle pressure provokes acceleration of the heart rate and a rise in the systemicarterial pressure.
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Servoanalysis of carotid sinus reflex effects on peripheral resistance.

TL;DR: Heymans and Neil have summarized present knowledge of the reflex and identified the baroceptors of the carotid sinus and aortic arch which reflexly control the systemic blood pressure.
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The Participation of the Venomotor System in Pressor Reflexes

TL;DR: In dogs anesthetized with chloralose, innervated loops of intestine were isolated so as to permit periodic interruptions of blood flow to record pressure-volume diagrams from the venous bed, interpreting direct evidence of venoconstriction accompanying pressor responses of the cardiovascular system.
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Total Systemic Vascular Compliance Measured as Incremental Volume-Pressure Ratio

TL;DR: A method to measure the compliance, defined as ΔVΔP, of the total systemic vascular bed (Ct) without stopping systemic flow is developed and indicated no significant difference between measurements of bleeding and reinfusion, measurements with different initial venous pressures or blood volume, or measurements before and after vagotomy.
Journal ArticleDOI

Veins and venous tone.

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