COVID-19 is getting on our nerves: sympathetic neural activity and haemodynamics in young adults recovering from SARS-CoV-2
- PMID: 34174086
- PMCID: PMC8447023
- DOI: 10.1113/JP281888
COVID-19 is getting on our nerves: sympathetic neural activity and haemodynamics in young adults recovering from SARS-CoV-2
Abstract
Key points: The impact of SARS-CoV-2 infection on autonomic and cardiovascular function in otherwise healthy individuals is unknown. For the first time it is shown that young adults recovering from SARS-CoV-2 have elevated resting sympathetic activity, but similar heart rate and blood pressure, compared with control subjects. Survivors of SARS-CoV-2 also exhibit similar sympathetic nerve activity and haemodynamics, but decreased pain perception, during a cold pressor test compared with healthy controls. Further, these individuals display higher sympathetic nerve activity throughout an orthostatic challenge, as well as an exaggerated heart rate response to orthostasis. If similar autonomic dysregulation, like that found here in young individuals, is present in older adults following SARS-CoV-2 infection, there may be substantial adverse implications for cardiovascular health.
Abstract: The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can elicit systemic adverse physiological effects. However, the impact of SARS-CoV-2 on autonomic and cardiovascular function in otherwise healthy individuals remains unclear. Young adults who tested positive for SARS-CoV-2 (COV+; n = 16, 8 F) visited the laboratory 35 ± 16 days following diagnosis. Muscle sympathetic nerve activity (MSNA), systolic (SBP) and diastolic (DBP) blood pressure, and heart rate (HR) were measured in participants at rest and during a 2 min cold pressor test (CPT) and 5 min each at 30° and 60° head-up tilt (HUT). Data were compared with age-matched healthy controls (CON; n = 14, 9 F). COV+ participants (18.2 ± 6.6 bursts min-1 ) had higher resting MSNA burst frequency compared with CON (12.7 ± 3.4 bursts min-1 ) (P = 0.020), as well as higher MSNA burst incidence and total activity. Resting HR, SBP and DBP were not different. During CPT, there were no differences in MSNA, HR, SBP or DBP between groups. COV+ participants reported less pain during the CPT compared with CON (5.7 ± 1.8 vs. 7.2 ± 1.9 a.u., P = 0.036). MSNA was higher in COV+ compared with CON during HUT. There was a group-by-position interaction in MSNA burst incidence, as well as HR, in response to HUT. These results indicate resting sympathetic activity, but not HR or BP, may be elevated following SARS-CoV-2 infection. Further, cardiovascular and perceptual responses to physiological stress may be altered, including both exaggerated (orthostasis) and suppressed (pain perception) responses, compared with healthy young adults.
Keywords: COVID-19; MSNA; autonomic function; cold pressor test; heart rate variability; orthostatic.
© 2021 The Authors. The Journal of Physiology © 2021 The Physiological Society.
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Comment in
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Maybe angiotensin II is getting on our nerves, and the role of exercise.J Physiol. 2021 Oct;599(20):4525-4526. doi: 10.1113/JP282149. Epub 2021 Sep 25. J Physiol. 2021. PMID: 34505296 No abstract available.
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Does COVID-19 influence the sympathetic regulation of blood pressure?J Physiol. 2021 Nov;599(22):4951-4953. doi: 10.1113/JP282362. Epub 2021 Oct 21. J Physiol. 2021. PMID: 34628672 Free PMC article. No abstract available.
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References
-
- Arlt J, Jahn H, Kellner M, Strohle A, Yassouridis A & Wiedemann K (2003). Modulation of sympathetic activity by corticotropin‐releasing hormone and atrial natriuretic peptide. Neuropeptides 37, 362–368. - PubMed
-
- Aschenbrenner K, Hummel C, Teszmer K, Krone F, Ishimaru T, Seo HS & Hummel T (2008). The influence of olfactory loss on dietary behaviors. Laryngoscope 118, 135–144. - PubMed
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