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First published online on November 11, 2005.
Experimental Physiology (2005)
DOI: 10.1113/expphysiol.2005.032102
© The Physiological Society 2005
A more recent version of this article appeared on January 1, 2006
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Received September 6, 2005
Revised September 15, 2005
Accepted after revision September 15, 2005

Human/environmental and exercise physiology

Baroreceptor Function During Exercise: Resetting the Record

Michael J Joyner 1*

1 Mayo Clinic

* To whom correspondence should be addressed. E-mail: joyner.michael{at}mayo.edu.


  Abstract
This paper briefly reviews the historical evolution of ideas about how baroreflexes operate and continue to regulate arterial blood pressure during exercise. Observations from studies conducted in conscious humans and animals are emphasized and three main questions are asked. First, do baroreflexes contribute to arterial blood pressure regulation during exercise? Second, if baroreflexes contribute to blood pressure regulation during exercise, how do they do it? Third, are there any pathophysiological conditions, where manipulation of baroreflexes or baroreflex "dysfunction" might alter exercise responses? In this context ideas related to baroreflex resetting during exercise are emphasized and how electrical stimulation of the carotid sinus nerve might improve exercise tolerance in cardiovascular disease is highlighted. Additionally, the key contributions of John Shepherd and the late David Donald (along with their colleagues) on related issues are noted.


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