The effects of age on baroreceptor reflex function in man

• DOI: 10.1007/bf03005682
• Publication Date: 2008-12-13T14:30:19Z
• Authors: Peter C. Duke; John G. Wade; Robert F. Hickey; C. Philip Larson
• Keywords: Adult; Valsalva Maneuver; Blood Pressure; Middle Aged; Electrocardiography; Phenylephrine; 03 medical and health sciences; 0302 clinical medicine; Heart Rate; Reflex; Humans; Pulse; Aged

The relationship of age to baroreceptor reflex activity was determined in 35 healthy volunteers ranging in age from 19 to 65 years. Intra-arterial catheters were placed and blood pressure and pulse rate responses of each subject were observed during a Valsalva maneuver (31 subjects) and during the Pressor Test (33 subjects). The Valsalva maneuver consisted of a forced expiration sufficient to raise a column of mercury 40 torr for 10 seconds. This resulted in a reduction in pulse pressure (Baroreceptor stimulus) during the maneuver followed by a transient overshoot in diatolic pressure (response) following its termination. In comparison to younger subjects, older subjects had a greater reduction in pulse pressure but similar overshoot in diastolic pressure. The pressor test consisted of observing the effect of increasing systolic blood pressure (stimulus) on pulse duration (response) following the intravenous administration of phynylephrine. By relating each systolic pressure to the immediately succeeding R-R interval, a linear relationship was found. Its slope expressed in milliseconds of R-R interval change per torr increase in systolic pressure is an index of baroreflex function. Older subjects have less cardiac slowing compared to younger subjects and a hyperbolic relationship exists between age and slope (r = 0.84, p less than 0.05). These tests indicate that baroreceptor reflex function decreases with aging.