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Cardiovascular responses to postural changes: differences with age for women and menThe cardiovascular responses to postural change, and how they are affected by aging, are inadequately described in women. Therefore, the authors examined the influence of age and sex on the responses of blood pressure, cardiac output, heart rate, and other variables to change in posture. Measurements were made after 10 minutes each in the supine, seated, and standing positions in 22 men and 25 women who ranged in age from 21 to 59 years. Several variables differed, both by sex and by age, when subjects were supine. On rising, subjects' diastolic and mean arterial pressures, heart rate, total peripheral resistance (TPR), and thoracic impedance increased; cardiac output, stroke volume, and mean stroke ejection rate decreased; and changes in all variables, except heart rate, were greater from supine to sitting than sitting to standing. The increase in heart rate was greater in the younger subjects, and increases in TPR and thoracic impedance were greater in the older subjects. Stroke volume decreased less, and TPR and thoracic impedance increased more, in the women than in the men. The increase in TPR was particularly pronounced in the older women. These studies show that the cardiovascular responses to standing differ, in some respects, between the sexes and with age. The authors suggest that the sex differences are, in part, related to greater decrease of thoracic blood volume with standing in women than in men, and that the age differences result, in part, from decreased responsiveness of the high-pressure baroreceptor system.
Document ID
20050000356
Document Type
Reprint (Version printed in journal)
Authors
Frey, M. A. (NASA Kennedy Space Center Cocoa Beach, FL United States)
Tomaselli, C. M.
Hoffler, W. G.
Date Acquired
August 22, 2013
Publication Date
May 1, 1994
Publication Information
Publication: Journal of clinical pharmacology
Volume: 34
Issue: 5
ISSN: 0091-2700
Subject Category
Life Sciences (General)
Distribution Limits
Public
Copyright
Other