Article ; Online: L-arginine augments cardiac vagal control in healthy human subjects.
Hypertension (Dallas, Tex. : 1979)
2002 Volume 39, Issue 1, Page(s) 51–56
Abstract: Cardiac vagal control has prognostic significance in cardiac disease, but the control mechanisms of this system remain poorly understood. We have previously demonstrated a role for NO in promoting vagal control of heart rate in humans. Here we examine ... ...
Abstract | Cardiac vagal control has prognostic significance in cardiac disease, but the control mechanisms of this system remain poorly understood. We have previously demonstrated a role for NO in promoting vagal control of heart rate in humans. Here we examine the influence of L-arginine, the substrate for NO synthase, on this mechanism in healthy human subjects. Eleven healthy volunteers (9 men; age, 20 to 25 years) underwent measurement of heart rate variability and baroreflex sensitivity before and during a systemic infusion of L-arginine (1 g/min; total, 30 g). To control for the fall in blood pressure, comparison was made with an infusion of the control vasodilator hydralazine. Stereospecificity of observed effects was investigated by infusion of D-arginine. Urinary nitrate and nitrite (NO(x)) and cGMP concentrations were measured as indexes of NO generation. L-Arginine infusion produced a drop in mean arterial pressure of 5 mm Hg. This fall in blood pressure was matched by hydralazine infusion and was not observed with either D-arginine or saline infusion. Although RR interval duration, heart rate variability, and baroreflex sensitivity all fell significantly with hydralazine, the same degree of baroreflex unloading with L-arginine produced an increase in RR interval duration and no change or even slight increases in heart rate variability and baroreflex sensitivity. In contrast, D-arginine produced falls in high-frequency indexes of heart rate variability compared with saline. Only L-arginine increased urinary NO(x) and cGMP excretion. In conclusion, these data demonstrate that short-term L-arginine infusion facilitates vagal control of heart rate in healthy humans, probably via increased NO synthesis. |
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MeSH term(s) | Adult ; Arginine/pharmacology ; Baroreflex/drug effects ; Baroreflex/physiology ; Blood Pressure/drug effects ; Cross-Over Studies ; Female ; Heart/drug effects ; Heart/physiology ; Heart Rate/drug effects ; Heart Rate/physiology ; Humans ; Hydralazine/pharmacology ; Male ; Nitric Oxide/metabolism ; Nitric Oxide/physiology ; Single-Blind Method ; Stereoisomerism ; Vagus Nerve/drug effects ; Vagus Nerve/physiology ; Vasodilator Agents/pharmacology |
Chemical Substances | Vasodilator Agents ; Hydralazine (26NAK24LS8) ; Nitric Oxide (31C4KY9ESH) ; Arginine (94ZLA3W45F) |
Language | English |
Publishing date | 2002-01 |
Publishing country | United States |
Document type | Clinical Trial ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't |
ZDB-ID | 423736-5 |
ISSN | 1524-4563 ; 0194-911X ; 0362-4323 |
ISSN (online) | 1524-4563 |
ISSN | 0194-911X ; 0362-4323 |
DOI | 10.1161/hy0102.098308 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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