Skip to main content
The Western Journal of Medicine logoLink to The Western Journal of Medicine
. 1983 Jul;139(1):41–45.

Separation of Forearm Hemodynamics Into Skin and Muscle Components by Means of I-Epinephrine Iontophoresis

Murray A Katz, Linda Foltz
PMCID: PMC1010874  PMID: 6624081

Abstract

By a combination of iontophoresis of I-epinephrine into the skin of one arm and simultaneous venous occlusion plethysmography in both treated (muscle only) and untreated forearms (muscle plus skin), we examined in 16 normal volunteers forearm blood flow, capillary filtration coefficient and venous capacity at cuff pressure of 40 mm of mercury (VC40) at rest, during tonic finger exercise and after interrupted repetitive finger exercise. Blood pressure did not change during the testing procedure. Forearm muscle conductance was about 60% to 70% of total conductance and was positively correlated with total conductance during rest and exercise. With standard exercises muscle conductance rises to 1½ to 2½ times resting level, and skin conductance rises to 2½ to 4½ times resting level. The capillary filtration coefficient is almost entirely in the muscle. It doubles in value with tonic exercise but decreases to half its resting value after interrupted repetitive exercise despite greatly increased conductance. Therefore, repetitive exercise-induced dissociation between conductance and filtration surface occurs in striated muscle. The mechanism is yet unknown. VC40 in muscle is about 84% of total forearm VC40. During tonic exercise muscle VC40 was reduced, and during interrupted repetitive exercise the values for muscle and skin returned to resting values. A high correlation between muscle only and muscle-plus-skin for forearm blood flow and the identify between arms for measuring capillary filtration coefficient makes iontophoresis unnecessary for determining these values in forearm striated muscle under these experimental conditions.

Full text

PDF
41

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. COBBOLD A., FOLKOW B., KJELLMER I., MELLANDER S. Nervous and local chemical control of pre-capillary sphincters in skeletal muscle as measured by changes in filtration coefficient. Acta Physiol Scand. 1963 Jan-Feb;57:180–192. doi: 10.1111/j.1748-1716.1963.tb02584.x. [DOI] [PubMed] [Google Scholar]
  2. COOPER K. E., EDHOLM O. G., MOTTRAM R. F. The blood flow in skin and muscle of the human forearm. J Physiol. 1955 May 27;128(2):258–267. doi: 10.1113/jphysiol.1955.sp005304. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Katz M. A. Capillary filtration measurement by strain gauge. I. Analysis of methods. Am J Physiol. 1977 Apr;232(4):H354–H360. doi: 10.1152/ajpheart.1977.232.4.H354. [DOI] [PubMed] [Google Scholar]
  4. Katz M. A. Capillary filtration measurement by strain gauge. II. Effects of mannitol infusion. Am J Physiol. 1977 Apr;232(4):H361–H367. doi: 10.1152/ajpheart.1977.232.4.H361. [DOI] [PubMed] [Google Scholar]
  5. Katz M. A. Dissociation of acetylcholine-induced responses of arteriolar resistance vessels and precapillary sphincter-like arterioles. Microvasc Res. 1978 Jul;16(1):133–140. doi: 10.1016/0026-2862(78)90049-3. [DOI] [PubMed] [Google Scholar]
  6. Katz M. A., Janjan N. Forearm hemodynamics and responses to exercise in middle-aged adult-onset diabetic patients. Diabetes. 1978 Jul;27(7):726–731. doi: 10.2337/diab.27.7.726. [DOI] [PubMed] [Google Scholar]
  7. Zelis R., Mason D. T., Braunwald E. Partition of blood flow to the cutaneous and muscular beds of the forearm at rest and during leg exercise in normal subjects and in patients with heart failure. Circ Res. 1969 Jun;24(6):799–806. doi: 10.1161/01.res.24.6.799. [DOI] [PubMed] [Google Scholar]

Articles from Western Journal of Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES