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2007, Piran, Slovenia

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Environmental Ergonomics XII<br />

Igor B. Mekjavic, Stelios N. Kounalakis & Nigel A.S. Taylor (Eds.), © BIOMED, Ljubljana <strong>2007</strong><br />

RESULTS AND DISCUSSION<br />

Arteries, arterioles and veins were found to be more distensible in the arm than in the<br />

leg.<br />

Five weeks of bedrest markedly increased distensibility in arteries, arterioles and<br />

veins of the leg.<br />

Five weeks of pressure habituation markedly decreased distensibility, i.e. increased<br />

wall stiffness, in arteries, arterioles and veins of the arm.<br />

Increased intravascular pressure resulted in local release of ET-1. Since this substance<br />

has a well-documented capacity to increase long-term arterial stiffness in in vitro<br />

settings, we suggest that pressure-induced formation/release of ET-1 might contribute<br />

to the increased vascular stiffness observed after the 5-week pressure-habituation<br />

regimen.<br />

DISCUSSION<br />

It thus appears that the wall stiffness of arteries, pre-capillary resistance vessels and<br />

veins adapts to meet the long-term demands imposed by the hydrostatic pressure<br />

acting locally on the vessel walls.<br />

That removal of the hydrostatic pressure gradients that act along the vessels in erect<br />

posture markedly increase pressure distensibility in dependent blood vessels may<br />

contribute to the orthostatic intolerance observed in long-term bedridden patients and<br />

in astronauts/cosmonauts returning from space missions.<br />

That a limited number of exposures to moderately increased arterial pressure increases<br />

the stiffness in arteries and pre-capillary resistance vessels might have implications<br />

for the pathophysiology of essential hypertension.<br />

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