We infused dobutamine (20 microgram/kg per min) intravenously, once before and once after coronary artery occlusion, in 10 chronically instrumented dogs. Both infusions increased cardiac output and left ventricular dP/dt and dP/dt/P, but divergent effects on heart rate and aortic blood pressure were observed. Dobutamine decreased heart rate and increased mean aortic blood pressure before coronary artery occlusion, whereas after occlusion it increased heart rate while mean aortic blood pressure remained unchanged. A greater decrease in total peripheral vascular resistance occurred during dobutamine infusion after coronary artery occlusion than before. These differences may relate to withdrawal of enhanced sympathetic tone after coronary occlusion. Similar infusions of normal saline (n = 9) produced no systemic hemodynamic changes either before or after coronary artery occlusion. Myocardial blood flow increased to both non-ischemic and ischemic regions of the heart during dobutamine infusion, but the endocardial:epicardial blood flow ratio did not change significantly. In addition, infarct size, measured by nitroblue tetrazolium stain, was smaller in the dobutamine group (10 +/- 1 g) than in the normal saline group (15 +/- 2 g). Neither left ventricular weight nor risk zone differed between the two groups. These results indicate that dobutamine may be a useful inotropic agent during acute myocardial infarction.

Our results provide evidence for localised arterial differences, which occur more extensively in peripheral vessels (brachial and femoral). Chronically, vascular remodelling may occur as a result of the specific haemodynamic conditions within each vessel, which likely differs depending on the mode of exercise. In the future, empirical research is needed to understand the effect of resistance training on chronic vascular remodelling, as this is not well documented.

Introduction: Post-menopausal women have lower resting cardiac function than premenopausal women, but whether the menopause influences maximal cardiac output and hence exercise capacity is unclear. It is possible that pre-and post-menopausal women achieve similar improvements in peak aerobic capacity (V O 2peak ) and cardiac output with exercise training via different regional left ventricular muscle function ("LV mechanics"), as suggested by in vitro and animal studies. The aim of this study was to investigate the effects of the menopause on LV mechanics and adaptations to exercise training. Methods: Twenty-five healthy untrained middle-aged women (age 45-58 years; 11 pre-menopausal, 14 post-menopausal) completed 12 weeks of exercise training. Before and after exercise training, (i)V O 2peak and blood volume were determined, and (ii) LV mechanics were assessed using echocardiography at rest and during two submaximal physiological tests -lower body negative pressure (LBNP) and supine cycling. Results: The increase in relativeV O 2peak after exercise training was 9% smaller in post-menopausal than premenopausal women, concomitant with a smaller increase in blood volume (P < 0.05).However, cardiac output and LV volumes were not different between pre-and postmenopausal women (P > 0.05) despite altered regional LV muscle function, as indicated by higher basal mechanics in pre-menopausal women during the physiological tests after exercise training (P < 0.05). Conclusion: These findings are the first to confirm altered LV mechanics in post-menopausal women. In addition, the reduced aerobic adaptability to exercise training in post-menopausal women does not appear to be a central cardiac limitation, and may be due to altered blood volume distribution and lower peripheral adaptations.1 removed: Twenty-five healthy untrained 2 removed: completed

Arterial wall mechanics likely play an integral role in arterial responses to acute physiological stress. Therefore, this study aimed to determine the impact of low and moderate intensity double‐leg press exercise on common carotid artery (CCA) wall mechanics using 2D vascular strain imaging. Short‐axis CCA ultrasound images were collected in 15 healthy men (age: 21 ± 3 years; stature: 176.5 ± 6.2 cm; body mass; 80.6 ± 15.3 kg) before, during, and immediately after short‐duration isometric double‐leg press exercise at 30% and 60% of participants' one‐repetition maximum (1RM: 317 ± 72 kg). Images were analyzed for peak circumferential strain (PCS), peak systolic and diastolic strain rate (S‐SR and D‐SR), and arterial diameter. Heart rate (HR), systolic and diastolic blood pressure (SBP and DBP) were simultaneously assessed and arterial stiffness indices were calculated post hoc. A two‐way repeated measures ANOVA revealed that during isometric contraction, PCS and S‐SR decreased significantly (P < 0.01) before increasing significantly above resting levels post exercise (P < 0.05 and P < 0.01, respectively). Conversely, D‐SR was unaltered throughout the protocol (P = 0.25). No significant differences were observed between the 30% and 60% 1RM trials. Multiple regression analysis highlighted that HR, BP, and arterial diameter did not fully explain the total variance in PCS, S‐SR, and D‐SR. Acute double‐leg press exercise is therefore associated with similar transient changes in CCA wall mechanics at low and moderate intensities. CCA wall mechanics likely provide additional insight into localized intrinsic vascular wall properties beyond current measures of arterial stiffness.

In experimental studies it has been shown that intrauterine growth retardation and reduced kidney growth during development are associated with significant decreases in nephron endowment. However, the results of previous studies may be inaccurate as nephron counts were obtained using a maceration technique, which can lead to breakdown of glomeruli, and other potentially biased techniques. In the present study, the total number of glomeruli (and thereby nephrons) in the offspring of rats fed a low (9%) or normal (20%) protein diet during pregnancy were estimated using a physical disector/fractionator technique. The offspring of rats fed a low protein diet had a significantly lower birth weight than rats fed a normal protein diet, their kidneys were smaller and they contained 30% fewer nephrons (20,386 ± 4,818 in the low protein diet vs. 28,731 ± 3,290 in the control rats). Our results, obtained using an unbiased stereological technique confirm previous findings that administration of a low protein diet during pregnancy results in reduced nephron endowment in the offspring.

Reduced nephron endowment, either inherited or acquired, has been linked to adult renal pathology as well as hypertension. The sheep provides an excellent model for studying nephrogenesis and renal development because, as in humans, nephrogenesis is complete before birth. In the present study, the physical disector/fractionator method was used to estimate the total number of glomeruli, and thereby nephrons, in normal lambs. Glomerular capillary parameters including mean capillary length per glomerulus, mean capillary surface area per glomerulus and total renal filtration surface area (TRFSA) were also estimated. Total glomerular, and hence nephron number was 333,832 ± 69,560 (mean± standard deviation). TRFSA was 10.95 ± 3.64 x 104 mm2• These results establish a methodology for future investigations, using the sheep as a model, into the effects of depleted nephrogenesis on renal pathology in later life

This study investigated the effect of high-intensity interval training (HIIT) cycling elevation training mask (ETM) in moderately trained participants on both aerobic (V̇O 2max ) and anaerobic power performance. Sixteen participants, five females (25.8 ± 7.6 years) and eleven males (22.2 ± 3.5 years) took part in this randomized controlled trial. Participants were assigned to the experimental group (ETM, n = 8 participants) wearing an ETM or the control group (CON, n = 8 participants) without the ETM. V̇O 2max was determined during a standardized protocol using Cortex Metalyzer-3B on a cycle ergometer. Peak and average power were calculated a 30-second Wingate test. Participants completed 4-weeks (two sessions a week) of high-intensity cycle training. Each training session consisting of 4 separate bouts of 4-minutes of high-intensity cycling exercise. After the training period, ETM reported an increment in V̇O 2max (effect size ( d ) = 1.19), peak power ( d = 0.77), and average power ( d = 0.76). CON reported an increment only in V̇O 2max ( d = 1.00). No-between group differences were found in any parameter (ANCOVA), therefore the two protocols should be considered equally effective. In conclusion, this study reported that both HIIT protocols significantly enhance V̇O 2max in a very short training period (4 weeks).

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