Acute baroreflex resetting and its control of blood pressure in an open loop model

Summary

Acute baroreflex resetting has been quantitatively studied in anesthetized dogs. Carotid sinuses were isolated bilaterally and carotid sinus conditioning pressure (CP_csp) was set at nine different levels for 20 min over a range of from 40 to 200 mm Hg. Over this range of 160 mm Hg in CP_csp, the magnitude of baroreflex resetting of set point pressure (Psp), threshold pressure (Pth) and BP50 was 32.0±5, 43.3±6 and 39.6±6 mm Hg, respectively. The extent of resetting was a non-linear function of the level of CP_csp. There is less resetting at high CP_csp. The average extent of resetting is only about 25%. In contrast to this small degree of resetting, a profound inverse relationship between the baseline pressure and the conditioning pressure was observed at the end of the conditioning period for each CP_csp. In addition, we also observed an attenuation in the buffering capacity of the baroreflex at very high or very low CP_csp. Vagotomy and aortic section did not alter baroreflex resetting. This data indicates that the baroreflex in capable of monitoring the absolute level of blood pressure during acute resetting in addition to buffering transient disturbances in arterial pressure. Based upon the results of the present experiments, the concept that acute baroreflex resetting results in an inability of the baroreflex to monitor the absolute level of arterial pressure does not appear to be valid.